Abstract
Background: Rationing of nursing care is a serious issue that has been widely discussed throughout recent years in many countries. The level of satisfaction with life and of satisfaction with job as the nurse-related factors may significantly affect the level of care rationing.Aim: To assess the rationing of nursing care among the Polish nurses and the impact of nurse-related variables, i.e., satisfaction with life and satisfaction with job on the level of nursing care rationing.Materials and Methods: A cross-sectional study was conducted among 529 Polish registered nurses employing in two University Hospitals. Three self-report scales in the Polish version were used in this study, namely, Basel Extent of Rationing of Nursing Care-revised version (BERNCA-R), Satisfaction with Life Scale (SWLS), and Satisfaction with Work Scale (SWWS).Results: The respondents indicated that the most frequently rationed activity is studying the situation of individual patients and care plans at the beginning of the shift. The least frequently rationed activity indicated by the respondents was adequate hand hygiene. The patient-to-nurse ratio and the level of satisfaction with job are significant independent factors affecting the level of care rationing.Conclusions: The assessment of the level of satisfaction with life and identification of factors affecting this assessment will enable reducing the occurrence of care rationing.
Highlights
The patient-to-nurse ratio and the level of satisfaction with job are significant independent factors affecting the level of care rationing
- The level of satisfaction with job depending on the attitudes and feelings of the employee toward the performed profession is a factor that affects the rationing of nursing care significantly
Analysis of data obtained from the BERNCA questionnaire revealed that the mean total score for the studied group was 1.53, which means that the frequency of care rationing by the respondents falls within the range of between “never” and “rarely” (Table 2)
Summary
Each patient has a right to the high quality of care provided by a competent nursing team regardless of its clinical condition (New Zealand Nurses Organisation, 2014), Numerous studies (Chegini et al, 2020; Dhaini et al, 2020; Friganovic et al, 2020; Gurková et al, 2020; Jaworski et al, 2020; Kalánková et al, 2020; Uchmanowicz et al, 2020b; Zeleníková et al, 2020) performed throughout recent years demonstrated that, regrettably, the nurses fail to perform all activities planned in the nursing process when delivering care to the patient This phenomenon was described for the first time by Kalisch (2006) while the literature is replete with many terms defining it, i.e., nursing care left undone (Aiken et al, 2001), unfinished nursing care (Sochalski, 2004), missed nursing care (Kalisch, 2006), implicit care rationing (Schubert et al, 2007, 2008), task incompletion (Al-Kandari and Thomas, 2009), unmet nursing care needs (Lucero et al, 2010), care left undone (Ausserhofer et al, 2014), work left undone (Leary et al, 2014), nursing tasks left undone (Bekker et al, 2015), failure to maintain (Bail, 2016), or the unfinished task of nursing care (Kebede et al, 2017). The level of satisfaction with life and of satisfaction with job as the nurse-related factors may significantly affect the level of care rationing
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
