[Excerpt from authors]In an era of restricted health care funding and rising health care costs, hospitals have been compelled to restructure work environments, attempting to deliver health services at lower costs without decreasing the quality of care (Heinz, 2004). As a result of restructuring and increasing attention to costs, many hospitals have chosen to decrease their overall labor pool, including the number of full-time nursing positions (Kunen, 1996; Norrish & Rundall, 2001), leading to documented significant negative effects to nurses' health, well-being, and ability to provide quality nursing care (Cummings & Estabrooks, 2003). *Login required.