Managing productivity during staffing shortages without authorizing overtime is a significant challenge for healthcare managers. The primary issue is maintaining quality patient care with limited staff, which can lead to increased workloads, stress, and burnout among employees. This situation can compromise patient safety and satisfaction, as overworked staff may make more errors and have less time for each patient. To overcome resistance from coworkers, I would employ transparent communication, explaining the reasons for staffing constraints and the importance of maintaining productivity and patient care standards. Involving staff in problem-solving can also foster a sense of ownership and collaboration. Additionally, implementing flexible scheduling and cross-training employees to cover multiple roles can help distribute the workload more evenly. Recognizing and rewarding staff efforts during challenging times can also boost morale and cooperation