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

Jarosz, Katarzyna; Zborowska, Agnieszka; Młynarska, Agnieszka

doi:10.3390/ijerph19148625

Cited by 8 publications

(10 citation statements)

References 35 publications

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“…Although nurses reported a variety of nursing activities as not completed, the mean score showed that frequency of nursing care rationing was in the range from between 'never' and 'rarely'. The same range (less than rarely) of rationed nursing care frequency has also been found in several Polish studies (Jarosz et al, 2022;Kołtuniuk et al, 2021;Piotrowska et al, 2022;Witczak et al, 2022) or in Slovak study (Kalánková et al, 2022).…”

Section: Discussionsupporting

confidence: 79%

Implicit rationing of nursing care reported by nurses from different types of hospitals and hospital units

Zeleníková

Jarošová

Polanská

et al. 2023

Journal of Clinical Nursing

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Aims and Objectives:The study aimed to investigate differences in assessing implicit rationing of nursing care by Czech nurses with respect to the type of unit and type of hospital.Background: Implicit rationing of nursing care may differ across different types of hospitals and hospital units.Design: This study used a multicentre cross-sectional study design. Methods:The STROBE checklist for observational cross-sectional studies was followed for reporting of the research study. The sample included 8209 nurses providing direct care to medical and surgical patients in 14 acute care Czech hospitals. The main outcome was implicit rationing of nursing care as measured with a Czech version of the Perceived Implicit Rationing of Nursing Care (PIRNCA) instrument. Data were collected from September 2019 to October 2020. Results:The most frequently rationed nursing care activity was timely response to patient or family request/need, followed by emotional or psychological support and adequate supervision of delegated tasks. More implicitly rationed nursing care was reported in medical units. Statistical differences were found in rating 25 items and the PIRNCA total score. Nurses from middle-sized hospitals reported implicitly rationed care more frequently than those from large hospitals. Conclusion:More rationed care was reported by nurses from medical units and nurses from middle-sized hospitals. Organisational variables (the type of unit and type of hospital) influence the implicit rationing of nursing care in our study.

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Section: Discussionsupporting

confidence: 79%

Implicit rationing of nursing care reported by nurses from different types of hospitals and hospital units

Zeleníková

Jarošová

Polanská

et al. 2023

Journal of Clinical Nursing

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“…Studies were published between 2020 and 2023; however, nine of them completed the data collection in 2020 (e.g., [ 52 ]), 10 in 2021 (e.g., [ 47 ]), two between 2020 and 2021 [ 37 , 50 ], one in 2022 [ 55 ], two between 2019 and 2020 [ 35 , 54 ], and one between 2019 and 2021 [ 38 ]. Participants were mainly nurses, and their sample size ranged from 130 [ 42 ] to 672 [ 34 ] in 21 studies; in others, participants were generally identified as “care workers”, ranging from 374 [ 22 ] to 2,700 [ 40 ], while those including nursing assistants and registered nurses together ranged from 43 [ 48 ] to 287 [ 54 ] participants. The MISSCARE Survey tool was the most used (= 14, e.g., [ 44 ]), followed by BERNCA (= 1, [ 46 ]), Revised BERNCA (BERNCA-R) (= 2, [ 51 , 52 ]), BERNCA-NH (= 2, [ 22 , 40 ]), PIRNCA (= 4, e.g., [ 42 ]), ICU-ONC (= 1, [ 53 ]), and UNCS (= 1, [ 37 ]) (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The objective, standard criteria used to measure the condition were not assessable in any of the qualified studies, since the condition was considered the COVID-19 disease. At the overall level, all except six studies [ 25 , 34 , 42 , 43 , 46 , 55 ] documented the occurrence of and reasons for UNC activities.…”

Section: Resultsmentioning

confidence: 99%

Unfinished nursing care in healthcare settings during the COVID-19 pandemic: a systematic review

Bayram,

Chiappinotto,

Palese

2024

BMC Health Serv Res

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Background Unfinished nursing care is becoming increasingly more of a concern in worldwide healthcare settings. Given their negative outcomes, it is crucial to continuously assess those nursing interventions that are commonly postponed or missed, as well as the underlying reasons and consequences. The worldwide COVID-19 pandemic has made it difficult for health facilities to maintain their sustainability and continuity of care, which has also influenced the unfinished nursing care phenomenon. However, no summary of the studies conducted during the COVID-19 pandemic was produced up to now. The main aim of this study was to systematically review the occurrence of, reasons for, and consequences of unfinished nursing care among patients in healthcare settings during the COVID-19 pandemic. Methods Systematic review registered in PROSPERO (CRD42023422871). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guideline and the Joanna Briggs Institute Critical Appraisal tool for cross-sectional studies were used. MEDLINE-PubMed, the Cumulative Index to Nursing and Allied Health Literature, and Scopus were searched from March 2020 up to May 2023, using keywords established in the field as missed care, unfinished nursing care, or implicit rationing. Results Twenty-five studies conducted mainly in European and Asiatic countries were included and assessed as possessing good methodological quality. The following tools were used: the MISSCARE Survey (= 14); the Basel Extent of Rationing of Nursing Care (= 1), also in its revised form (= 2) and regarding nursing homes (= 2); the Perceived Implicit Rationing of Nursing Care (= 4); the Intensive Care Unit-Omitted Nursing Care (= 1); and the Unfinished Nursing Care Survey (= 1). The order of unfinished nursing care interventions that emerged across studies for some countries is substantially in line with pre-pandemic data (e.g., oral care, ambulation). However, some interesting variations emerged at the country and inter-country levels. Conversely, labour resources and reasons close to the emotional state and well-being of nurses were mentioned homogeneously as most affecting unfinished nursing care during the pandemic. None of the studies investigated the consequences of unfinished nursing care. Conclusions Two continents led the research in this field during the pandemic: Europe, where this research was already well established, and Asia, where this research is substantially new. While unfinished care occurrence seems to be based on pre-established patterns across Europe (e.g., regarding fundamentals needs), new patterns emerged across Asiatic countries. Among the reasons, homogeneity in the findings emerged all in line with those documented in the pre-pandemic era.

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“…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%

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

Jarosz

Młynarska

2023

Nursing Reports

Self Cite

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

Cited by 8 publications

References 35 publications

Implicit rationing of nursing care reported by nurses from different types of hospitals and hospital units

Implicit rationing of nursing care reported by nurses from different types of hospitals and hospital units

Unfinished nursing care in healthcare settings during the COVID-19 pandemic: a systematic review

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

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