Factors Influencing the Rationing of Nursing Care in Selected Polish Hospitals

Radosz-Knawa, Zuzanna; Kamińska, Alicja; Malinowska-Lipień, Iwona; Brzostek, Tomasz; Gniadek, Agnieszka

doi:10.3390/healthcare10112190

Cited by 6 publications

(10 citation statements)

References 46 publications

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“…In the Schubert et al study, the mean BERNCA score was 57 (1.69 ± 0.571) and, according to the authors, meant that nurses had to ration at least one of the 32 tasks indicated in the questionnaire during the last 7 days of work, which is confirmed by our own study and those of other authors ( 22 , 30 , 31 ). A slightly lower level of rationing (1.38 ± 0.62) was shown by Uchmanowicz et al study ( 32 ).…”

Section: Discussionsupporting

confidence: 79%

Relationships between job satisfaction, occupational burnout and rationing of care among intensive care unit nurses

Tomaszewska,

Kowalczuk,

Majchrowicz

2024

Front. Public Health

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IntroductionRationing of nursing care is referred to as overlooking aspects of required patient care. Its result is incomplete or delayed services provided to the patient. Anesthesia nurses employed in an intensive care unit are exposed to a significant workload. Particularly heavy is the psychological burden leading in many cases to the onset of burnout syndrome and a decrease in job satisfaction.The aim of this paperWas to determine the relationship between occupational burnout, job satisfaction and rationing of care among anesthesia nurses employed in intensive care units.Materials and methodsThe study group consisted of 477 anesthesia nurses employed in intensive care units in Poland. The study was conducted between December 2022 and January 2023. The research tools were BERNCA-R questionnaire, Job Satisfaction Scale questionnaire and Maslach Burnout Inventory questionnaire, which were distributed to selected hospitals with a request to be forwarded to intensive care units and completed. In the statistical analysis, correlations were calculated using Spearman’s rho coefficient, reporting the intensity of the relationship and its positive or negative direction. The analysis was performed using the IBM SPSS 26.0 package with the Exact Tests module.ResultsThe mean score of the BERNCA questionnaire was 1.65 ± 0.82. The mean score of occupational burnout was 60.82 ± 10.46. The level of emotional exhaustion, which significantly affects occupational burnout, was 26.39 ± 6.07, depersonalization was 14.14 ± 3.21 and lack of personal achievement was 20.29 ± 4.70. All the scores obtained exceeded the threshold of 50% of total points, which indicates the presence of occupational burnout at a significant level. The job satisfaction of the nurses surveyed was above mean at 23.00 ± 5.2 out of 35 total points.ConclusionThe results proved that there is a statistically significant, although with a weak strength of association, correlation between occupational burnout and rationing of care by anesthesia nurses. As the limitation of anesthesia nurses’ ability to perform certain activities increases, their job satisfaction decreases. In a work environment that is conducive to nurses, there are fewer job responsibilities that are unfulfilled. Therefore, it is essential to create a friendly work environment for nursing staff that will promote the provision of services at the highest possible level.

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Section: Discussionsupporting

confidence: 79%

Relationships between job satisfaction, occupational burnout and rationing of care among intensive care unit nurses

Tomaszewska,

Kowalczuk,

Majchrowicz

2024

Front. Public Health

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“…The findings in this study align with results from other research. Radosz et al [ 26 ] confirmed the lack of influence of sociodemographic characteristics on the level of care rationing. Similarly, Wagner-Łosieczka et al [ 27 ] did not find a significant impact of sociodemographic characteristics of nursing staff on the level of nursing care rationing.…”

Section: Discussionmentioning

confidence: 99%

Professional burnout of nurses and the level of rationing of nursing care: an observational preliminary study

Marczak,

Milecka

2024

BMC Nurs

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Background Nurses are one of the professional groups most exposed to experiencing professional burnout. Professional burnout has a negative impact on the quality of nursing care, including causing care rationing. Therefore, it is very important to understand the determinants of both professional burnout and care rationing, as well as their mutual relationships. The aim of the study was to understand the impact of professional burnout among nurses on the level of rationing of nursing care. Methods The study was conducted among 100 nurses at the Głogów County Hospital (Poland) from November 14, 2011, to November 18, 2022. The following Polish version of the standardized research tools were utilized: the Basel Extent of Rationing of Nursing Care– Revised (BERNCA-R) questionnaire and the Oldenburg Burnout Inventory (OLBI). Additionally, a survey designed by the authors was employed. Results The BERNCA-R significantly correlates (p < 0.05) and positively (r > 0) with OLBI (disengagement), resulting in a higher degree of care rationing. The average overall BERNCA-R score was 1.56 points (SD = 0.62), indicating that the frequency of care rationing among respondents ranged from “never” to “rarely.” Among participants in the OLBI questionnaire, 63% of respondents had a moderate level of work exhaustion, 36% had a high level of work exhaustion, and 1% had a low level of work exhaustion. In turn, 58% of respondents had a moderate level of disengagement, 38% had a high level of disengagement, and 4% had a low level of disengagement. Moreover, a statistically significant association with the BERNCA-R score concerning the workplace (ward) and participation in training on preventing professional burnout was shown. Conclusions The rationing of nursing care was found to be at a low level. The higher the level of disengagement, the greater the level of care rationing was observed. In conservative units, nurses demonstrated a higher level of care rationing. Nurses’ expectations regarding the reduction of professional burnout include, among other things, higher remuneration, an increase in the number of staff, and an improvement in the work atmosphere.

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“…Radosz-Knawa et al covered 11 medical units and obtained an average care rationing score of 1.94 points, which means that care was also rarely rationed. However, the results of care rationing differed depending on the facility and ranged from 1.39 points (hospital 5) to 2.43 points (hospital 1), with the highest score being “sometimes” for rationing of care [ 16 ]. Rare rationing of care was also found among oncology nurses; the researchers obtained an average 1.55 points [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…The authors explain the differences in the rationing of care between hospitals by the number of patients under the care of nurses, which was in the range of 13.11 (hospital 1)–6.31 (hospital 5) patients. They showed a correlation between the number of adverse events and the assessment of the work environment [ 16 ]. Cisek et al showed that there were 12–24 patients per nurse on duty [ 44 ], compared to 6–11 patients in the UK [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, care rationing may be influenced by factors related to a given nurse, such as her skills, knowledge and attitudes [ 14 ]. The research also showed the influence of other factors closely related to the nurse on the rationing of care, e.g., professional burnout, fatigue, stress, job satisfaction, seniority, age, life satisfaction and life orientation [ 15 , 16 , 17 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Sociodemographic Factors on the Rationing of Nursing Care in Urology Wards

Jarosz

Młynarska

2023

Nursing Reports

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Background: The problem of care rationing is widespread all over the world and results from many factors affecting nurses. These factors may result from the environment in which the nurses work, e.g., the atmosphere at work, or may not be related to work, e.g., place of residence. The aim of this study was to examine the impact of sociodemographic factors (place of residence, satisfaction with the financial situation, number of forms of postgraduate education, work system, number of patients per nurse, number of diseases) on care rationing, job satisfaction and quality of nursing care. Methods: The study is a cross-sectional study which includes 130 nurses from all over Poland who work in urology wards. The criteria for inclusion were consent to the examination, practicing the profession of a nurse, work in the urology department and work experience of at least 6 months, regardless of the number of hours worked (full-time/part-time). The study was conducted using the standardized PIRNCA (Perceived Implicit Rationing of Nursing Care) questionnaire. Results: The average rationing nursing care was 1.11/3 points which means nursing care was rarely rationed. The average job satisfaction was 5.95/10 points, and the assessment of the quality of patient care was 6.88/10 points, which means a medium level of the job satisfaction and the quality of patient care. The rationing of care was affected by the number of nurse illnesses; job satisfaction was influenced by the place of residence and satisfaction with the financial situation, while the quality of care was not influenced by any of the analyzed factors. Conclusions: The result of care rationing is at a similar level as the results in Poland and abroad. Despite the rare rationing of care, employers should take corrective action, especially in terms of increasing the staff and health prevention of nurses.

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Factors Influencing the Rationing of Nursing Care in Selected Polish Hospitals

Cited by 6 publications

References 46 publications

Relationships between job satisfaction, occupational burnout and rationing of care among intensive care unit nurses

Relationships between job satisfaction, occupational burnout and rationing of care among intensive care unit nurses

Professional burnout of nurses and the level of rationing of nursing care: an observational preliminary study

The Impact of Sociodemographic Factors on the Rationing of Nursing Care in Urology Wards

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