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Published on: February 2, 2020
Self-assessment of Rationing and Quality of Nursing Care
Izabela Witczak1, Aleksandra Kołtuniuk, Łukasz Rypicz
1Department of Health Care Economics and Quality (Drs Witczak and Rypicz), Division of Internal Medicine Nursing, Department of Nursing and Obstetrics (Drs Kołtuniuk and Uchmanowicz), Department of Education and Research in Health Sciences, Medical University of Warsaw. (Dr Panczyk), and Laboratory for Digital Dentistry, Department of Conservative Dentistry witch Endodontics (Dr Grzebieluch), Wroclaw Medical University, Wroclaw, Poland; and Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland (Dr Młynarska).
Background:
Nursing care rationing has been a widespread problem in everyday nursing practice for many years.
Purpose:
The aim of this research study was to assess the prevalence of care rationing among nurses working in Poland.
Methods:
The study was conducted among a population of 1310 nurses. To examine the dependencies between the sociodemographics and unfinished nursing care, the Polish adaptation of the Perceived Implicit Rationing of Nursing Care questionnaire and an investigator-developed questionnaire were used.
Results:
The mean level of missed care was 1.16 (SD = 0.7). The significant predictors of care rationing were associated with the quality of patient care (βstd = -.43, P < .001) and general work satisfaction (βstd = -.15, P < .001).
Conclusions:
Job satisfaction and the quality of nursing care should be constantly monitored as these factors are significantly associated with the levels of care rationing.
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