Cargando…

Rationing of Nursing Care in Intensive Care Units

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 ca...

Descripción completa

Detalles Bibliográficos
Autores principales: Młynarska, Agnieszka, Krawuczka, Anna, Kolarczyk, Ewelina, Uchmanowicz, Izabella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579213/
https://www.ncbi.nlm.nih.gov/pubmed/32977450
http://dx.doi.org/10.3390/ijerph17196944
_version_ 1783598537857040384
author Młynarska, Agnieszka
Krawuczka, Anna
Kolarczyk, Ewelina
Uchmanowicz, Izabella
author_facet Młynarska, Agnieszka
Krawuczka, Anna
Kolarczyk, Ewelina
Uchmanowicz, Izabella
author_sort Młynarska, Agnieszka
collection PubMed
description 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.
format Online
Article
Text
id pubmed-7579213
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-75792132020-10-29 Rationing of Nursing Care in Intensive Care Units Młynarska, Agnieszka Krawuczka, Anna Kolarczyk, Ewelina Uchmanowicz, Izabella Int J Environ Res Public Health Article 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. MDPI 2020-09-23 2020-10 /pmc/articles/PMC7579213/ /pubmed/32977450 http://dx.doi.org/10.3390/ijerph17196944 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Młynarska, Agnieszka
Krawuczka, Anna
Kolarczyk, Ewelina
Uchmanowicz, Izabella
Rationing of Nursing Care in Intensive Care Units
title Rationing of Nursing Care in Intensive Care Units
title_full Rationing of Nursing Care in Intensive Care Units
title_fullStr Rationing of Nursing Care in Intensive Care Units
title_full_unstemmed Rationing of Nursing Care in Intensive Care Units
title_short Rationing of Nursing Care in Intensive Care Units
title_sort rationing of nursing care in intensive care units
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579213/
https://www.ncbi.nlm.nih.gov/pubmed/32977450
http://dx.doi.org/10.3390/ijerph17196944
work_keys_str_mv AT młynarskaagnieszka rationingofnursingcareinintensivecareunits
AT krawuczkaanna rationingofnursingcareinintensivecareunits
AT kolarczykewelina rationingofnursingcareinintensivecareunits
AT uchmanowiczizabella rationingofnursingcareinintensivecareunits