Abstract

This work developed an Egyptian tool for evaluating rationing of nursing care in critical units and investigated its association with nursing organization attributes and six nurse-sensitive patient outcomes. Rationing of the nursing care questionnaire and concurrent record review were conducted to collect data. Developed Egyptian tool of rationing of nursing care contained 36 items in six components. Adverse patient outcomes were detected as medication administration errors (27.9%), pulmonary infection (24.5%), pressure ulcer (20.3%), bloodstream infections (12.6%), urinary tract infections (10.3%), and patient falls (4.7%). The mild level of rationing of nursing care was positively associated with negative patient outcomes and negatively correlated with fair nursing organization attributes. The valid and reliable Egyptian tool for evaluating the rationing of nursing care was developed.

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