Radosz-Knawa Zuzanna, Kamińska Alicja, Malinowska-Lipień Iwona, Brzostek Tomasz, Gniadek Agnieszka
Department of Medical and Environmental Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, 31-501 Krakow, Poland.
Laboratory of Theory and Fundamentals of Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, 31-126 Krakow, Poland.
Healthcare (Basel). 2022 Oct 31;10(11):2190. doi: 10.3390/healthcare10112190.
Introduction: The rationalization of nursing care can be a direct consequence of the low employment rate or unfavorable working environment of nurses. Aim: The aim of the study was to learn about the factors influencing the rationing of nursing care. Methods: The study group consisted of 209 nurses working in internal medicine departments. The study used the method of a diagnostic survey, a survey technique with the use of research tools: the BERNCA-R questionnaire and the PES-NWI questionnaire (which includes the occupational burnout questionnaire). Results: The mean total BERNCA score for rationing nursing care was 1.94 ± 0.75 on a scale from 0 to 4. A statistically significant relationship was demonstrated between the work environment and the rationing of nursing care. The results of the BERNCA-R scale correlated statistically significantly and positively (r > 0) with two (out of three) subscales of the occupational burnout questionnaire (MBI—Maslach Burnout Inventory): emotional exhaustion and depersonalization (p < 0.001), and with all types of adverse events analyzed (p < 0.05). Conclusions: The higher the frequency of care rationing, the worse the assessment of working conditions by nurses, and, therefore, more frequent care rationing determined the more frequent occurrence of adverse events. The more frequent the care rationing, the more frequent adverse events occur.
护理工作的合理化可能是护士低就业率或不利工作环境的直接后果。目的：本研究的目的是了解影响护理工作配给的因素。方法：研究组由209名在内科工作的护士组成。本研究采用诊断性调查方法，即使用研究工具进行调查的技术：BERNCA-R问卷和PES-NWI问卷（其中包括职业倦怠问卷）。结果：护理工作配给的BERNCA总得分均值在0至4分的量表上为1.94±0.75。工作环境与护理工作配给之间存在统计学上的显著关系。BERNCA-R量表的结果与职业倦怠问卷（MBI-马氏职业倦怠量表）的三个子量表中的两个（情感耗竭和去个性化）在统计学上显著正相关（r>0）（p<0.001），并且与所分析的所有类型的不良事件显著正相关（p<0.05）。结论：护理工作配给的频率越高，护士对工作条件的评估就越差，因此，更频繁的护理工作配给决定了不良事件更频繁地发生。护理工作配给越频繁，不良事件发生得就越频繁。
