Impact of fatigue on nursing care rationing in paediatric haematology and oncology departments – a cross-sectional study

Jankowska‐Polańska, Beata; Czyrniańska, Monika; Sarzyńska, Kathie; Świątoniowska-Lonc, Natalia; Chabowski, Mariusz

doi:10.1186/s12912-021-00663-7

Cited by 7 publications

(9 citation statements)

References 27 publications

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“…Research by Jankowska-Pola ńska et al showed no correlation between education, age, the number of jobs, job satisfaction and care rationing. However, it has been shown that the higher the fatigue, the more often the care is rationed [27], which was confirmed by our own research. A study by Kalisch et al also showed no correlation between age and care rationing [61].…”

Section: Age Of Respondents Seniority Fatigue Rationing Care Job Sati...supporting

confidence: 87%

“…There are many studies on rationing nursing care, mostly in intensive care units or surgery units in general, for example, the research by Jankowska-Polańska et al in the departments of hematology and pediatric oncology, where the level of rationing is high in nurses working 12 h shifts, and the level of fatigue was high in all subjects [ 27 ]. The study by Rochefort et al in the neonatal intensive care unit showed that 28% (often) and 40% (very often) of nurses rationally prepare for discharge and provide comfort to infants [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

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Rationing Care, Job Satisfaction, Fatigue and the Level of Professional Burnout of Nurses in Urology Departments

Jarosz

Zborowska

Młynarska

2022

IJERPH

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The problem of rationing nursing care is common and present all over the world, which is a direct threat to the health and life of patients. The aim of the study was to assess the level of rationing care, fatigue, job satisfaction and occupational burnout and to assess the relationship between them and age, length of service and the number of jobs. A survey was performed among 130 Polish nurses in urology departments using the following questionnaires: Link Burnout Questionnaire, Job Satisfaction Scale, Nursing Care Rationing Scale and Modified Fatigue Impact Scale. Nursing care is rarely rationed—1.11 points; the experience of fatigue ranges between sometimes and often—52.58 points; and job satisfaction is at an average level—17.23 points. The level of rationing nursing care in urology departments is similar to that in other departments. This requires minor changes to the work of nurses to reduce the workload. Employers should develop implementation programs for young workers in order to avoid burnout and also invest in factors increasing nurses’ satisfaction, such as the atmosphere at work.

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Section: Age Of Respondents Seniority Fatigue Rationing Care Job Sati...supporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Rationing Care, Job Satisfaction, Fatigue and the Level of Professional Burnout of Nurses in Urology Departments

Jarosz

Zborowska

Młynarska

2022

IJERPH

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“…Subsequently, research on care rationing was undertaken by M. Shubert in 2007 in Switzerland and she created the BERNCA (Basel Extent Rationing of Nursing Care) measurement tool [ 5 ]. In 2014, in the USA, this tool was adapted by T. Jones and created the PIRNCA (Perceived Implicit Rationing of Nursing Care) tool [ 6 ], and in 2019, the Polish version was adapted and confirmed with the original by Uchmanowicz et al [ 7 ]. Care rationing occurs when patient care is wholly or partially omitted and when care is required [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have been carried out to assess the level of care rationing in wards of various specialties, e.g., intensive care wards [ 17 ] and oncology wards [ 7 ]. Urology departments tend to be overlooked in many studies or automatically combined with surgical departments.…”

Section: Introductionmentioning

confidence: 99%

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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“…We should know that many previous studies had given us much information about the prevalence of MEs among nurses ( 16 , 17 ), and many factors were also supported to be associated with MEs for nurses, such as occupational burnout ( 18 ), physical and mental health ( 19 ), and fatigue ( 20 , 21 ). However, the differences between ORNs and other kinds of nurses should be considered when we interpret these findings.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of self-reported medical errors and adverse events among operating room nurses in China

Song

Tang

Wei

et al. 2022

Front. Public Health

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BackgroundIn recent decades, the prominence of medical errors (MEs) and adverse events (AEs) is fueled by several studies performed across the world. Correspondingly, a high prevalence of medical errors and adverse events have been reported. Operating room nurses (ORNs) were indispensable members of the operating process, and any kind of MEs or AEs from ORNs may cause serious results and even death to the patients. However, to the best of our knowledge, the prevalence and associated factors of MEs and AEs were never reported among ORNs in China, which is the largest country in population and health services quantity in the world.MethodsThis is a cross-sectional study, which was conducted among ORNs in China, and 787 valid questionnaires were analyzed in this study. MEs, AEs, gender, age, married status, religious belief, academic degree, manager or not, working years, working hours/week, physical disease, and mental health were evaluated in this study. MEs were evaluated by eight questions about the occurrence of eight kinds of MEs for the ORNs. For ORNs with MEs, further questions about clinical harm to the patients were interviewed, which analyzed AEs. Kessler 10 was used to evaluate the ORNs' mental health. Logistic regression was conducted to examine the factors associated with MEs and AEs.ResultsThe prevalence of MEs and AEs was 27.7 and 13.9% among ORNs, respectively. The most frequent MEs that occurred among ORNs were from surgical instruments (9.1%), disinfection (9.0%), equipment and consumables (8.9%), and specimen management (7.8%). MEs were positively associated with lower working years, poor mental health, and physical disease. The physical disease was positively associated with AEs.ConclusionThe prevalence of perceived MEs and AEs was at a higher level than other kinds of nurses. Fresh ORNs with physical and mental health problems were the risk population for MEs, and ORNs with physical disease were at a higher risk for AEs. All the findings implied that MEs and AEs were an important issue for ORNs, and ORNs with physical and mental health problems should be paid attention to control MEs and AEs.

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Impact of fatigue on nursing care rationing in paediatric haematology and oncology departments – a cross-sectional study

Cited by 7 publications

References 27 publications

Rationing Care, Job Satisfaction, Fatigue and the Level of Professional Burnout of Nurses in Urology Departments

Rationing Care, Job Satisfaction, Fatigue and the Level of Professional Burnout of Nurses in Urology Departments

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

Prevalence and associated factors of self-reported medical errors and adverse events among operating room nurses in China

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