Rationing of nursing care (RNC) is characterized by the omission of any aspect of the required patient care, resulting in incomplete or delayed nursing activities. Oncology nurses are exposed to a very high psychological burden, which can lead to the development of professional burnout syndrome (PBS). The level of PBS might be related to life and job satisfaction. This study aimed to identify determinants affecting RNC and reveal the relationship between RNC, life and job satisfaction, and the PBS levels among oncology nurses. The sample was a hundred oncology nurses from four hospitals in Poland with a mean age of 43.26 ± 10.69 years. The study was conducted from March 2019 to February 2020. The self-administered sociodemographic questionnaire and validated scales determining missed nursing care, job and life satisfaction, and life orientation were used: Basel Extent of Rationing of Nursing Care—Revised (BERNCA-R), Satisfaction with Job Scale (SWJS), Satisfaction with Life Scale (SWLS), Life Orientation Test-Revised (LOT-R), and Maslach Burnout Inventory (MBI). The mean BERNCA score was 1.55 ± 0.15, which indicates the frequency of RNC was between “never” and “rarely”. The mean SWJS score was 11.71 ± 5.97, which showed that nurses were “dissatisfied” and “rather dissatisfied” with their job. A low SWLS score was reported by 59% of nurses, which means that more than half of the respondents described their life satisfaction as low. In LOT-R, 66% of nurses reported pessimistic and 31% neutral life orientation. The mean overall MBI score was 49.27 ± 19.76 points (EE = 63.56 ± 25.37, DEP = 37.2 ± 24.95, and lack of PA = 47.05 ± 22.04), which means that half of the nurses perceived burnout and half did not. Additionally, the higher the job satisfaction (SWJS), the more frequent the RNC (BERNCA) (p < 0.05). The greater the EE, the stronger the sense of lack of PA, and the higher the PBS (MBI) level, the less frequent the RNC (BERNCA). In conclusion, there is a phenomenon of omission of some aspects of care among oncology nurses, but it is not frequent and concerns areas not directly related to therapeutic tasks, but requiring effort and not resulting in quick noticeable effects. It depends only little on life satisfaction and more on job satisfaction and PBS level. The results may indicate the professionalism of Polish nurses, their responsibility towards their patients’ life and health, and the sense of mission that enables them to perform their duties regardless of the external and internal difficulties. The presence of the PBS phenomenon in oncology nurses highlights the need for continued research in this area.
Zewnętrzne źródła finansowania Brak Konflikt interesówNie występuje Praca wpłynęła do Redakcji: 7.12.2018 r. Po recenzji: 18.12.2018 r. Zaakceptowano do druku: 18.12.2018 r. StreszczenieNowotwory to niejednorodna pod względem obrazu klinicznego i możliwości leczenia grupa schorzeń. W schyłkowym etapie choroby nowotworowej pacjent staje się niesamodzielny i wymaga stałej pomocy we wszystkich dziedzinach życia. Dotyczy to także chorych z wtórnym nowotworem mózgu. Choroba szybko postępuje, dając takie objawy, jak bóle głowy, zaburzenia widzenia, zaburzenia poznawcze czy napady padaczkowe. Celem pracy było ukazanie zadań i roli pielęgniarki w opiece nad pacjentem w zaawansowanym stadium choroby nowotworowej. Problemy badawcze rozważane w artykule to przede wszystkim metody pielęgnacji pacjenta oraz specyfika opieki. W niniejszej publikacji został opisany wpływ choroby na jakość życia chorego, rodzaj wsparcia, jakiego potrzebuje, oraz zapotrzebowanie na określony typ opieki pielęgniarskiej. Opieka ta opiera się na holistycznym podejściu do pacjenta, czyli takim, które uwzględnia funkcjonowanie człowieka w sferach: biologicznej, psychicznej, społecznej oraz duchowej. Może ją zagwarantować tylko ścisła współpraca całego zespołu interdyscyplinarnego. W pracy posłużono się metodą indywidualnych przypadków z opisem procesu pielęgnowania. Wykorzystano metody badawcze takie jak: skala Barthel, skala depresji Becka, skala ECOG, skala AIS, kwestionariusz MNA oraz kwestionariusz WHOQOL-BREF. Na ich podstawie ułożono indywidualny plan opieki pielęgniarskiej, który następnie został wdrożony do leczenia pacjenta. A -koncepcja i projekt badania, B -gromadzenie i/lub zestawianie danych, C -analiza i interpretacja danych, D -napisanie artykułu, E -krytyczne zrecenzowanie artykułu, F -zatwierdzenie ostatecznej wersji artykułu Pielęgniarstwo i Zdrowie Publiczne, ISSN 2082-9876 (print), ISSN 2451-1870 (online) Piel Zdr Publ. 2018;8(4):325-331 Cytowanie Twardak IM, Lisowka A, Pogłódek D, Twardak J, Krzyżanowski D. Opieka nad pacjentem z przerzutowym guzem mózgu w schyłkowej postaci choroby -studium przypadku. AbstractNeoplasms are a heterogeneous group of diseases in terms of clinical presentation and treatment options. The end stage of neoplastic disease is the final stage of treatment and life. Patients become dependent and require constant help in all areas of life. One of the causes of this condition is secondary brain neoplasm. The disease progresses quickly, giving symptoms such as headaches, vision disturbances, cognitive disturbances, or epileptic seizures. The aim of this study was to show the tasks and role of a nurse in the care of the patient with advanced neoplastic disease. Research problems covered in the paper consist of patient care problems and the specific nature of care. The paper describes the impact of the disease on the quality of life of the patient, the type of support he or she requires and the need for a specific type of nursing care. Principles of such care are based on a holistic approach to the patient, i....
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