Abstract
Introduction: Nursing needs close interpersonal contact with the patient and emotional involvement, therefore can contribute to professional burnout and rationing of nursing care.Aim: Assessing the relationship between the rationing of nursing care and professional burnout in nursing staff.Materials and Methods: The study included a group of 219 nurses working in cardiovascular facilities. This was a cross-sectional study designed to investigate the relationship between factors of the care rationing and professional burnout. The survey data was collected with standardised and research instruments such as the revised Basel Extent of Rationing of Nursing Care questionnaire (BERNCA-R) and the Maslach Burnout Inventory (MBI).Results: The total mean BERNCA-R score was 1.38 (SD = 0.62), while the total MBI score amounted to 38.14 (SD = 22.93). The specific components of professional burnout yielded the values: emotional exhaustion (M = 44.8), job dissatisfaction (M = 40.66), and depersonalisation (M = 28.95). Multiple linear regression showed that independent predictors of BERNCA-R score were emotional exhaustion, depersonalisation, job dissatisfaction, and multi-jobs activity (p < 0.001).Conclusion: The level of rationing of nursing care in cardiovascular facilities increases along with emotional exhaustion, depersonalisation and job dissatisfaction, and multi-jobs activity.
Highlights
Nursing needs close interpersonal contact with the patient and emotional involvement, can contribute to professional burnout and rationing of nursing care
The respondents usually declared that a salary level matters (91.78%), while nine persons had no opinion on this subject (4.11%), and only four respondents (1.83%) believed that salary is insignificant for job satisfaction
The regression analysis demonstrated that the independent predictors of BERNCAR score were emotional exhaustion, depersonalisation, lack of job satisfaction; the analysis showed that the significant predictor was job activity at three or four healthcare centres (p = 0.038)
Summary
Nursing needs close interpersonal contact with the patient and emotional involvement, can contribute to professional burnout and rationing of nursing care. Rationing of nursing care is defined as a complete or partial omission of the required patient care. This phenomenon has been first described by Kalisch (2006), an American nurse. Kalisch (2006) have proposed a conceptual model of missed nursing care. According to this model, the rationing of nursing care results from several malfunction factors: insufficient resources to provide patients with. The more optimistic thinking and higher job satisfaction, the lower risk of missed nursing care (Jaworski et al, 2020; Uchmanowicz et al, 2020)
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