The related phenomena of missed, rationed and unfinished care represent a critical global threat to patient safety and quality of nursing care. It has been established that in the provision of nursing care, unfinished care may lead to negative patient outcomes (Jones, Hamilton, & Murry, 2015) and a reduction in the quality of nursing care and patient safety (Griffiths et al., 2018). Nurses want to provide patient care that is both safe and of high quality and are required by professional standards to provide their patients with appropriate and courteous care while maintaining the quality and safety of that care (Vryonides, Papastavrou,
For fifteen years, the subject of missed nursing care has been a cause of concern for the profession of nursing and for researchers. Missed care is usually described as necessary patient care which is left undone, or incomplete due to lack of resources. Much of the research to date has focused on which types of care are missed, the structural and organizational antecedents, and the outcomes for patients, nurses and organizations. However, to date, the role of the nurse manager (NM) in relation to missed nursing care is largely unexplored. Nurses play a pivotal role in the provision of safe, high-quality care, and nurse managers (NMs) are integral to this process functioning as both managers and leaders within organizations (Weiss, Tappin, & Whitehead, 2015). As managers, they plan staffing and skill mix for optimum care, while maintaining focus on the strategic goals of the organization (Weiss et al., 2015). Likewise,
Development of simple, valid and reliable instruments to determine nursing care rationing is a subject of ongoing research. One such instrument, which is gaining popularity worldwide and has significant research applicability, is the Basel Extent of Rationing of Nursing Care (BERNCA) and its revised version, the BERNCA-R. The aim of this study was to translate and adapt the BERNCA-R into a Polish-language version and to assess its reliability and validity in evaluating the level of implicit rationing of nursing care in Poland. Standard methodological requirements were followed during translation and cultural adaptation of the English version of the BERNCA-R questionnaire into Polish. The cross-sectional validation study was conducted between May and September 2017, which included 175 nurses undergoing specialisation and qualification courses at the European Postgraduate Education Centre in Wrocław, Poland. Cronbach’s alpha and inter-item correlations were used to analyse the internal consistency of the Polish BERNCA-R questionnaire. The mean total BERNCA-R score was 1.9 points (SD = 0.74) on a scale of 0–4. Cronbach’s alpha for the unidimensional scale was 0.96. The mean inter-item correlation was 0.4 (range 0.1–0.84), which indicates high internal consistency. A single-factor solution demonstrated stable loadings above 0.5 for almost all items of the Polish BERNCA-R questionnaire. The study using the Polish BERNCA-R questionnaire demonstrated that the instrument is valid and reliable for use in investigating care rationing in groups of Polish nurses.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.