Upon examining her monthly budget report, the nurse manager observes a shortfall, leading her to modify the staffing schedule. Which of the following pieces of information exemplifies a negative variance?

The correct answer is D because having fewer nurses working than originally planned leads to a negative variance in staffing levels, which can impact patient care and operational efficiency. This results in increased workload for available staff, potential burnout, and compromised quality of care. Choice A does not relate directly to staffing levels, so it is not a negative variance. Choice B, having excess nurses, is actually a positive variance as it provides flexibility and potentially improved patient care. Choice C, a rise in patient satisfaction ratings, is also positive and does not indicate a negative variance in the budget.