Volume 21, Issue 2 (6-2024)
J Res Dev Nurs Midw 2024, 21(2): 6-10 |
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Ethics code: 43/2022
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Kohanová D, Solgajová A, Bartoníčková D. Nurses´ reports on rationed nursing care in selected private hospitals: Preliminary results. J Res Dev Nurs Midw 2024; 21 (2) :6-10
URL: http://nmj.goums.ac.ir/article-1-1607-en.html
URL: http://nmj.goums.ac.ir/article-1-1607-en.html
1- Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovak Republic , dkohanova@ukf.sk
2- Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovak Republic
3- Department of Nursing, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czech Republic
2- Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovak Republic
3- Department of Nursing, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czech Republic
Abstract: (618 Views)
Background: The phenomenon of rationed nursing care represents a global problem that jeopardizes the provision of quality and safe care. To date, there are a limited number of studies that focus on the occurrence of this phenomenon in the private care setting.
Objectives: To explore the frequency and patterns of rationed nursing care and the factors that contribute to its frequency in selected private hospitals in Slovakia.
Methods: This descriptive cross-sectional study was conducted between November 2022 and January 2023. Data collection was carried out using the Basel Extent Rationing of Nursing Care – Revised. The study sample consisted of 174 nurses working in three selected Slovak private hospitals. In data analysis, we used descriptive statistics for the evaluation of the instrument and the sample characteristics. Additionally, differences in the frequency of rationed nursing care based on selected variables were analyzed using nonparametric tests (Mann-Whitney U test; Kruskal-Wallis test). For numerical variables the Spearman correlation coefficient (r) was used. The results were tested at a significance level of p <0.05.
Results: The frequency of rationed nursing care was 49.3%. The most frequently withheld nursing care activity was increased supervision of confused patients and the need for their restraint (69.8%; 2.26 ± 1.09). Differences in the evaluation of rationed nursing care were identified based on the type of unit and the position of the job. The occurrence of rationed nursing care was influenced by nurse experience in the current position, evaluation of quality care, overall patient safety degree, number of patients/shifts, number of admitted ad discharged patients/shifts, job satisfaction, satisfaction with the current position, and satisfaction with teamwork in our study (p <0.05).
Conclusion: This study serves as a catalyst for nurse managers to take proactive steps in addressing rationed nursing care, fostering a culture of safety, and promoting excellence in patient-centered care delivery within private hospital settings in Slovakia. By embracing innovation, collaboration, and a commitment to continuous improvement, we can overcome the challenges posed by rationed care and uphold the principles of quality, safety, and compassion in nursing practice.
Objectives: To explore the frequency and patterns of rationed nursing care and the factors that contribute to its frequency in selected private hospitals in Slovakia.
Methods: This descriptive cross-sectional study was conducted between November 2022 and January 2023. Data collection was carried out using the Basel Extent Rationing of Nursing Care – Revised. The study sample consisted of 174 nurses working in three selected Slovak private hospitals. In data analysis, we used descriptive statistics for the evaluation of the instrument and the sample characteristics. Additionally, differences in the frequency of rationed nursing care based on selected variables were analyzed using nonparametric tests (Mann-Whitney U test; Kruskal-Wallis test). For numerical variables the Spearman correlation coefficient (r) was used. The results were tested at a significance level of p <0.05.
Results: The frequency of rationed nursing care was 49.3%. The most frequently withheld nursing care activity was increased supervision of confused patients and the need for their restraint (69.8%; 2.26 ± 1.09). Differences in the evaluation of rationed nursing care were identified based on the type of unit and the position of the job. The occurrence of rationed nursing care was influenced by nurse experience in the current position, evaluation of quality care, overall patient safety degree, number of patients/shifts, number of admitted ad discharged patients/shifts, job satisfaction, satisfaction with the current position, and satisfaction with teamwork in our study (p <0.05).
Conclusion: This study serves as a catalyst for nurse managers to take proactive steps in addressing rationed nursing care, fostering a culture of safety, and promoting excellence in patient-centered care delivery within private hospital settings in Slovakia. By embracing innovation, collaboration, and a commitment to continuous improvement, we can overcome the challenges posed by rationed care and uphold the principles of quality, safety, and compassion in nursing practice.
Keywords: Health care rationing, Nursing care, Patient safety, Private hospitals, Surveys and Questionnaires
perspective: Original Article |
Subject:
Nursing
References
1. Action R, Papastavrou E, Suhonen R. Impacts of rationing and missed nursing care: challenges and solutions. Switzerland: Springer Cham; 2021. [View at Publisher] [DOI] [Google Scholar]
2. Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015;52(6):1121-37. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Schubert M, Ausserhofer D, Desmedt M, Schwendimann R, Lesaffre E, Li B, et al. Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals--a cross sectional study. Int J Nurs Stud. 2013;50(2):230-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Norman RM, Sjetne IS. Adaptation, modification, and psychometric assessment of a Norwegian version of the Basel extent of rationing of nursing care for nursing homes instrument (BERNCA-NH). BMC Health Serv Res. 2019;19(1):969. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Piotrowska A, Lisowska A, Twardak I, Włostowska K, Uchmanowicz I, Mess E. Determinants Affecting the Rationing of Nursing Care and Professional Burnout among Oncology Nurses. Int J Environ Res Public Health. 2022;19(12):7180. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. Uchmanowicz I, Kirwan M, Riklikiene O, Wolfshaut-Wolak R, Gotlib J, Schubert M. Validation of Polish version of the Basel Extent of Rationing of Nursing Care revised questionnaire. PLoS One. 2019;14(3):e0212918. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Kawano K, Oyama Y. Reliability and Validity of the Japanese Version of the Revised-Basel Extent of Rationing of Nursing Care (BERNCA-R) scale. Journal of the Japanese Society of Nursing Managemen. 2023;27(1):171-8. [View at Publisher] [DOI] [Google Scholar]
8. Radosz-Knawa Z, Kamińska A, Malinowska-Lipień I, Brzostek T, Gniadek A. Factors Influencing the Rationing of Nursing Care in Selected Polish Hospitals. Healthcare (Basel). 2022;10(11):2190. [View at Publisher] [DOI] [PMID] [Google Scholar]
9. Chiappinotto S, Papastavrou E, Efstathiou G, Andreou P, Stemmer R, Ströhm C, et al. Antecedents of unfinished nursing care: a systematic review of the literature. BMC Nurs. 2022;21(1):137. [View at Publisher] [DOI] [PMID] [Google Scholar]
10. Schubert M, Glass TR, Clarke SP, Schaffert-Witvliet B, De Geest S. Validation of the Basel Extent of Rationing of Nursing Care instrument. Nurs Res. 2007;56(6):416-24. [View at Publisher] [DOI] [PMID] [Google Scholar]
11. Jones TL. Validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) instrument. Nurs Forum. 2014;49(2):77-87. [View at Publisher] [DOI] [PMID] [Google Scholar]
12. Gurková E, Adamkovič M, Jones T, Kurucová R, Kalánková D, Žiaková K. Factor analysis, validity of the perceived implicit rationing of nursing care instrument and prevalence and patterns of unfinished nursing care in Slovakia. J Nurs Manag. 2020; 28(8):2036-47. [View at Publisher] [DOI] [PMID] [Google Scholar]
13. Kalánková D, Suhonen R, Stolt M, Kurucová R, Katajisto J, Žiaková K, et al. Psychometric testing of perceived implicit rationing of nursing care (PIRNCA). J Adv Nurs. 2020;76(6):1469-82. [View at Publisher] [DOI] [PMID] [Google Scholar]
14. Kalánková D, Bartoníčková D, Kolarczyk E, Žiaková K, Młynarska A. Factors Contributing to Rationed Nursing Care in the Slovak Republic-A Secondary Analysis of Quantitative Data. Int J Environ Res Public Health. 2022;19(2):702. [View at Publisher] [DOI] [PMID] [Google Scholar]
15. Pitoňáková J, Kurucová R, Žiaková K. Prideľovaná ošetrovateľská starostlivosť vo vybraných nemocniciach na Slovensku. Health & Caring. 2022;1(1):1-10. [View at Publisher] [DOI] [Google Scholar]
16. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007;30(4):459-67. [View at Publisher] [DOI] [PMID] [Google Scholar]
17. Schubert M, Clarke SP, Glass TR, Schaffert-Witvliet B, De Geest S. Identifying thresholds for relationships between impacts of rationing of nursing care and nurse- and patient-reported outcomes in Swiss hospitals: a correlational study. Int J Nurs Stud. 2009;46(7):884-93. [View at Publisher] [DOI] [PMID] [Google Scholar]
18. Jones TL. A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nurs Econ. 2015;33(3):144-54. [View at Publisher] [PMID] [Google Scholar]
19. Zeleníková R, Gurková E, Friganovic A, Uchmanowicz I, Jarošová D, Žiaková K, et al. Unfinished nursing care in four central European countries. J Nurs Manag. 2020;28(8):1888-900. [View at Publisher] [DOI] [PMID] [Google Scholar]
20. Campbell CM, Prapanjaroensin A, Anusiewicz CV, Baernholdt M, Jones T, Patrician PA. Variables associated with missed nursing care in Alabama: A cross-sectional analysis. J Nurs Manag. 2020;28(8):2174-84. [View at Publisher] [DOI] [PMID] [Google Scholar]
21. VanFosson CA, Jones TL, Yoder LH. Monthly variation of unfinished nursing care at the US Army Burn Center. Burns. 2018;44(8):1910-19. [View at Publisher] [DOI] [PMID] [Google Scholar]
22. Dutra CKR, Salles BG, Guirardello EB. Situations and reasons for missed nursing care in medical and surgical clinic units. Rev Esc Enferm USP. 2019;53:e03470. [View at Publisher] [DOI] [PMID] [Google Scholar]
23. Falk AC, Nymark C, Göransson KE, Vogelsang AC. Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative cross-sectional study. Intensive Crit Care Nurs. 2022;72:103276. [View at Publisher] [DOI] [PMID] [Google Scholar]
24. Schubert M, Ausserhofer D, Bragadóttir H, Rochefort CM, Bruyneel L, Stemmer R, et al.; RANCARE Consortium COST Action - CA 15208. Interventions to prevent or reduce rationing or missed nursing care: A scoping review. J Adv Nurs. 2021;77(2):550-64. [View at Publisher] [DOI] [PMID] [Google Scholar]
25. Eskin Bacaksiz F, Alan H, Taskiran Eskici G, Gumus E. A cross-sectional study of the determinants of missed nursing care in the private sector: Hospital/unit/staff characteristics, professional quality of life and work alienation. J Nurs Manag. 2020;28(8):1975-85. [View at Publisher] [DOI] [PMID] [Google Scholar]
26. Bragadóttir H, Kalisch BJ, Tryggvadóttir GB. Correlates and predictors of missed nursing care in hospitals. J Clin Nurs. 2017;26(11-12): 1524-34. [View at Publisher] [DOI] [PMID] [Google Scholar]
27. Ball JE, Murrells T, Rafferty AM, Morrow E, Griffiths P. 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf. 2014;23(2):116-25. [View at Publisher] [DOI] [PMID] [Google Scholar]
28. Chaboyer W, Harbeck E, Lee BO, Grealish L. Missed nursing care: An overview of reviews. Kaohsiung J Med Sci. 2021;37(2):82-91. [View at Publisher] [DOI] [PMID] [Google Scholar]
29. Zúñiga F, Ausserhofer D, Hamers JP, Engberg S, Simon M, Schwendimann R. The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes-A cross-sectional study. Int J Nurs Stud. 2015;52(9):1463-74. [View at Publisher] [DOI] [PMID] [Google Scholar]
30. Orique SB, Patty CM, Woods E. Missed nursing care and unit-level nurse workload in the acute and post-acute settings. J Nurs Care Qual. 2016;31(1):84-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
31. Kousar S, Hussain M, Afzal M, Gilani A, Azhar M. Impact of job satisfaction on nurses' performance. Saudi J Nurs Health Care. 2018;1(1):49-55. [View at Publisher] [DOI] [Google Scholar]
32. Ausserhofer D, Zander B, Busse R, Schubert M, De Geest S, Rafferty AM, et al. Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. BMJ Qual Saf. 2014;23(2):126-35. [View at Publisher] [DOI] [PMID] [Google Scholar]
33. Castner J, Wu YW, Dean-Baar S. Multi-level model of missed nursing care in the context of hospital merger. West J Nurs Res. 2014;37(4):1-21. [View at Publisher] [DOI] [PMID] [Google Scholar]
34. Kirwan M, Schubert M. Missed or rationed nursing care: Where to now for the nurse manager? J Nurs Manag. 2020;28(8):1767-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
35. Longhini J, Papastavrou E, Efstathiou G, Andreou P, Stemmer R, Ströhm C, et al. Strategies to prevent missed nursing care: An international qualitative study based upon a positive deviance approach. J Nurs Manag. 2021;29(3):572-83. [View at Publisher] [DOI] [PMID] [Google Scholar]
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