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Rationing of Nursing Care in Intensive Care Units

Author

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  • Agnieszka Młynarska

    (Department of Gerontology and Geriatric Nursing, Faculty of Health Sciences in Katowice, Medical University of Silesia,40−752 Katowice, Poland)

  • Anna Krawuczka

    (Department of Gerontology and Geriatric Nursing, Faculty of Health Sciences in Katowice, Medical University of Silesia,40−752 Katowice, Poland)

  • Ewelina Kolarczyk

    (Department of Propaedeutics of Nursing, Faculty of Health Sciences in Katowice, Medical University in Silesia, 40−752 Katowice, Poland)

  • Izabella Uchmanowicz

    (Division of Nursing in Internal Medicine Procedures, Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland)

Abstract

The nursing practice refers to a wide range of tasks and responsibilities. In a situation where there is a problem of limited resources, nurses are forced to ration the patient’s care—that is, minimize and skip some tasks. The main purpose of this work was to assess the rationing level of nursing care among staff in the intensive care units. Methods: The research included 150 anaesthesiological nurses in the Silesian Region in Poland. The research was conducted from July to October 2019 using the standardized Perceived Implicit Rationing of Nursing Care (PRINCA) questionnaire on rationing nursing care, assessing the quality of patient care, and job satisfaction. The Modified Fatigue Impact Scale (MFIS) standardized questionnaire was used to assess the level of fatigue of respondents in the physical, cognitive, and psychosocial spheres. Results: Sociodemographic factors, such as gender, age, place of residence, education, seniority, and type of employment were not found to affect the rationing level of nursing care in the intensive care unit. The average quality of patient care was 6.05/10 points, while the average job satisfaction rating was 7.13/10 points. Analysis of the MFIS questionnaire showed that respondents experienced fatigue between “rare” and “sometimes”, and nursing staff fatigue was the main factor for rationing care. Conclusions: The higher the level of fatigue, the greater the rationing of care and the less satisfaction from work.

Suggested Citation

  • Agnieszka Młynarska & Anna Krawuczka & Ewelina Kolarczyk & Izabella Uchmanowicz, 2020. "Rationing of Nursing Care in Intensive Care Units," IJERPH, MDPI, vol. 17(19), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:6944-:d:417727
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    References listed on IDEAS

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    1. Renáta Zeleníková & Darja Jarošová & Ilona Plevová & Eva Janíková, 2020. "Nurses’ Perceptions of Professional Practice Environment and Its Relation to Missed Nursing Care and Nurse Satisfaction," IJERPH, MDPI, vol. 17(11), pages 1-10, May.
    2. Xiaowen Zhu & Jing Zheng & Ke Liu & Liming You, 2019. "Rationing of Nursing Care and Its Relationship with Nurse Staffing and Patient Outcomes: The Mediation Effect Tested by Structural Equation Modeling," IJERPH, MDPI, vol. 16(10), pages 1-11, May.
    3. Helga Bragadóttir & Beatrice J Kalisch & Gudný Bergthora Tryggvadóttir, 2017. "Correlates and predictors of missed nursing care in hospitals," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(11-12), pages 1524-1534, June.
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    Cited by:

    1. Katarzyna Jarosz & Agnieszka Zborowska & Agnieszka Młynarska, 2022. "Rationing Care, Job Satisfaction, Fatigue and the Level of Professional Burnout of Nurses in Urology Departments," IJERPH, MDPI, vol. 19(14), pages 1-15, July.
    2. Agnieszka Młynarska & Magdalena Bronder & Ewelina Kolarczyk & Stanisław Manulik & Rafał Młynarski, 2022. "Determinants of Sleep Disorders and Occupational Burnout among Nurses: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(10), pages 1-15, May.
    3. Katarzyna Tomaszewska & Bożena Majchrowicz & Dorota Ratusznik, 2021. "Rationing of Nursing Care on Example of Selected Health Care Facility," IJERPH, MDPI, vol. 18(23), pages 1-11, December.
    4. Daria Schneider-Matyka & Natalia Świątoniowska-Lonc & Jacek Polański & Małgorzata Szkup & Elżbieta Grochans & Beata Jankowska-Polańska, 2023. "Assessment of The Effect of Stress, Sociodemographic Variables and Work-Related Factors on Rationing of Nursing Care," IJERPH, MDPI, vol. 20(3), pages 1-14, January.

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