Papastavrou Evridiki, Andreou Panayiota, Tsangari Haritini, Schubert Maria, De Geest Sabina
Cyprus University of Technology, Limassol, Cyprus.
Clin Nurs Res. 2014 Jun;23(3):314-35. doi: 10.1177/1054773812469543. Epub 2013 Jan 3.
The purpose of this study was to examine rationing of nursing care and the possible relationship between nurses' perceptions of their professional practice environment and care rationing. A total of 393 nurses from medical and surgical units participated in the study. Data were collected using the Basel Extent of Rationing of Nursing Care (BERNCA) instrument and the Revised Professional Practice Environment (RPPE) Scale. The highest level of rationing was reported for "reviewing of patient documentation" (M = 1.15, SD = 0.94; 31.2% sometimes or often) followed by "oral and dental hygiene" (M = 1.06, SD = 0.94; 31.5% sometimes or often) and "coping with the delayed response of physicians" (M = 1.04, SD = 0.96; 30% sometimes or often). Regression analyses showed that teamwork, leadership and autonomy, and communication about patients accounted in total 18.4% of the variance in rationing. In regard to application, the association between the practice environment and rationing suggests improvements in certain aspects that could minimize rationing.
本研究的目的是考察护理资源分配情况，以及护士对其专业执业环境的认知与护理资源分配之间可能存在的关系。共有393名来自内科和外科病房的护士参与了该研究。使用《巴塞尔护理资源分配程度量表》（BERNCA）和修订后的《专业执业环境量表》（RPPE）收集数据。报告显示，“审查患者病历”的资源分配程度最高（M = 1.15，标准差 = 0.94；31.2%的人有时或经常如此），其次是“口腔卫生护理”（M = 1.06，标准差 = 0.94；31.5%的人有时或经常如此）以及“应对医生的延迟回应”（M = 1.04，标准差 = 0.96；30%的人有时或经常如此）。回归分析表明，团队合作、领导能力与自主性以及关于患者的沟通，总共解释了资源分配差异的18.4%。在应用方面，执业环境与资源分配之间的关联表明，在某些方面进行改进可以尽量减少资源分配。
