A new approach to the prevention of nursing care rationing: Cross-sectional study on positive orientation.


Journal

Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 08 03 2020
revised: 22 08 2020
accepted: 24 08 2020
pubmed: 8 9 2020
medline: 29 7 2021
entrez: 7 9 2020
Statut: ppublish

Résumé

To assess the effects of nurses' life satisfaction and life orientation on the level of nursing care rationing. Best practice within human resource management argues that striving for a positive orientation within the workforce may create a friendly work environment that could promote the employee's development and job satisfaction in a health care organisation. A total of 547 nurses were enrolled and assessed using three self-report scales: the Basel Extent of Rationing of Nursing Care-R (BERCA-R), the Satisfaction with Life Scale (SWLS) and the Life Orientation Test (LOT-R). Then, the data were submitted into bivariate analyses. More pessimistic nurses with low and moderate levels of life satisfaction, and those with a neutral life orientation, presented with significantly higher BERCA-R scores than those who were more optimistic and who had high levels of life satisfaction. Nursing care rationing depends on psychological factors of life satisfaction and life orientation. Low levels of satisfaction with life and a more pessimistic life orientation negatively contribute towards a higher prevalence of nursing care rationing. Nursing management policies, including intervention management, should consider ensuring positive orientation is in place to increase job satisfaction and optimism in health care workers.

Sections du résumé

AIMS OBJECTIVE
To assess the effects of nurses' life satisfaction and life orientation on the level of nursing care rationing.
BACKGROUND BACKGROUND
Best practice within human resource management argues that striving for a positive orientation within the workforce may create a friendly work environment that could promote the employee's development and job satisfaction in a health care organisation.
METHODS METHODS
A total of 547 nurses were enrolled and assessed using three self-report scales: the Basel Extent of Rationing of Nursing Care-R (BERCA-R), the Satisfaction with Life Scale (SWLS) and the Life Orientation Test (LOT-R). Then, the data were submitted into bivariate analyses.
RESULTS RESULTS
More pessimistic nurses with low and moderate levels of life satisfaction, and those with a neutral life orientation, presented with significantly higher BERCA-R scores than those who were more optimistic and who had high levels of life satisfaction.
CONCLUSIONS CONCLUSIONS
Nursing care rationing depends on psychological factors of life satisfaction and life orientation. Low levels of satisfaction with life and a more pessimistic life orientation negatively contribute towards a higher prevalence of nursing care rationing.
IMPLICATIONS FOR NURSING MANAGEMENT CONCLUSIONS
Nursing management policies, including intervention management, should consider ensuring positive orientation is in place to increase job satisfaction and optimism in health care workers.

Identifiants

pubmed: 32894887
doi: 10.1111/jonm.13156
doi:

Types de publication

Journal Article

Langues

eng

Pagination

317-325

Subventions

Organisme : European Cooperation in Science and Technology
ID : CA15208

Informations de copyright

© 2020 John Wiley & Sons Ltd.

Références

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Auteurs

Izabella Uchmanowicz (I)

Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland.

Izabela Witczak (I)

Division of Economics and Quality in Health Care, Wroclaw Medical University, Wroclaw, Poland.

Łukasz Rypicz (Ł)

Division of Economics and Quality in Health Care, Wroclaw Medical University, Wroclaw, Poland.

Remigiusz Szczepanowski (R)

Research Unit for Clinical Psychology, University of Lower Silesia, Wroclaw, Poland.

Mariusz Panczyk (M)

Department of Education and Research in Health Sciences, Medical University of Warsaw, Warsaw, Poland.

Alicja Wiśnicka (A)

Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland.

Raul Cordeiro (R)

Comprehensive Health Research Centre (CHRC), Nova University of Lisbon, Lisbon, Portugal.
VALORIZA-Research Centre for Endogenous Resource Valorization, Portalegre, Portugal.
Polytechnic Institute of Portalegre (IPP), Portalegre, Portugal.

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