Maria Jędrzejczyk
Rationing of nursing care in Internal Medicine Departments—a cross-sectional study
Jędrzejczyk, Maria; Guzak, Beata; Czapla, Michał; Ross, Catherine; Vellone, Ercole; Juzwiszyn, Jan; Chudiak, Anna; Sadowski, Mikołaj; Uchmanowicz, Izabella
Authors
Beata Guzak
Michał Czapla
Professor Catherine Ross C.Ross4@napier.ac.uk
Research Student
Ercole Vellone
Jan Juzwiszyn
Anna Chudiak
Mikołaj Sadowski
Izabella Uchmanowicz
Abstract
Background: Implicit rationing of nursing care refers to a situation in which necessary nursing care is not performed to meet all of the patients’ needs. Purpose: To examine the factors influencing the rationing of nursing care, nurses’ assessment of the quality of patient care, and their job satisfaction in Internal Medicine Departments. Methods: A cross-sectional descriptive study was undertaken. The study included 1164 nurses working in the Internal Medicine Departments in 8 hospitals (Lower Silesia, Poland). The Perceived Implicit Rationing of Nursing Care instrument was used. Results: Respondents rarely ration nursing care, with a mean score of 1.12 (SD = 0.68). The mean score for quality of patient care was 6.99 (SD = 1.92). In contrast, the mean job satisfaction score was 6.07 points (SD = 2.22). The most important predictors of high rates of rationing of nursing care were work experience of 16–20 years (regression parameter: 0.387) and a Bachelor’s degree in nursing (regression parameter: 0.139). Nurses’ assessment of the quality of patient care ratings were increased by having a Master’s degree in nursing (regression parameter: 0.41), and significantly decreased by work experience of 16–20 years (regression parameter: -1.332). Independent predictors of job satisfaction ratings in both univariate and multivariate analysis were Master’s degree and long-shift working patterns. Conclusion: The factors that influence an increased level of nursing care rationing on medical wards are nurse seniority, exceeding 16 years and female gender. Obtaining a Master’s degree in nursing indicates improved nurses’ assessment of the quality of patient care.
Citation
Jędrzejczyk, M., Guzak, B., Czapla, M., Ross, C., Vellone, E., Juzwiszyn, J., Chudiak, A., Sadowski, M., & Uchmanowicz, I. (2023). Rationing of nursing care in Internal Medicine Departments—a cross-sectional study. BMC Nursing, 22(1), Article 455. https://doi.org/10.1186/s12912-023-01617-x
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 20, 2023 |
Online Publication Date | Dec 4, 2023 |
Publication Date | 2023 |
Deposit Date | Jan 12, 2024 |
Publicly Available Date | Jan 12, 2024 |
Journal | BMC Nursing |
Publisher | BMC |
Peer Reviewed | Peer Reviewed |
Volume | 22 |
Issue | 1 |
Article Number | 455 |
DOI | https://doi.org/10.1186/s12912-023-01617-x |
Keywords | Quality of patient care, Nurses, Job satisfaction, Perceived Implicit Rationing of Nursing Care (PIRNCA), Rationing nursing care |
Public URL | http://researchrepository.napier.ac.uk/Output/3407605 |
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Copyright Statement
This article is licensed under a Creative Commons Attribution 4.0 International License
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