Implicit rationing of nursing care reported by nurses from different types of hospitals and hospital units.
hospital units
nurse
nursing
rationed care
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
revised:
16
02
2023
received:
24
10
2022
accepted:
06
03
2023
medline:
7
7
2023
pubmed:
23
3
2023
entrez:
22
3
2023
Statut:
ppublish
Résumé
The study aimed to investigate differences in assessing implicit rationing of nursing care by Czech nurses with respect to the type of unit and type of hospital. Implicit rationing of nursing care may differ across different types of hospitals and hospital units. This study used a multicentre cross-sectional study design. The STROBE checklist for observational cross-sectional studies was followed for reporting of the research study. The sample included 8209 nurses providing direct care to medical and surgical patients in 14 acute care Czech hospitals. The main outcome was implicit rationing of nursing care as measured with a Czech version of the Perceived Implicit Rationing of Nursing Care (PIRNCA) instrument. Data were collected from September 2019 to October 2020. The most frequently rationed nursing care activity was timely response to patient or family request/need, followed by emotional or psychological support and adequate supervision of delegated tasks. More implicitly rationed nursing care was reported in medical units. Statistical differences were found in rating 25 items and the PIRNCA total score. Nurses from middle-sized hospitals reported implicitly rationed care more frequently than those from large hospitals. More rationed care was reported by nurses from medical units and nurses from middle-sized hospitals. Organisational variables (the type of unit and type of hospital) influence the implicit rationing of nursing care in our study. The findings call for nursing managers to pay attention to organisational variables which may affect the implicit rationing of nursing care.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
The study aimed to investigate differences in assessing implicit rationing of nursing care by Czech nurses with respect to the type of unit and type of hospital.
BACKGROUND
BACKGROUND
Implicit rationing of nursing care may differ across different types of hospitals and hospital units.
DESIGN
METHODS
This study used a multicentre cross-sectional study design.
METHODS
METHODS
The STROBE checklist for observational cross-sectional studies was followed for reporting of the research study. The sample included 8209 nurses providing direct care to medical and surgical patients in 14 acute care Czech hospitals. The main outcome was implicit rationing of nursing care as measured with a Czech version of the Perceived Implicit Rationing of Nursing Care (PIRNCA) instrument. Data were collected from September 2019 to October 2020.
RESULTS
RESULTS
The most frequently rationed nursing care activity was timely response to patient or family request/need, followed by emotional or psychological support and adequate supervision of delegated tasks. More implicitly rationed nursing care was reported in medical units. Statistical differences were found in rating 25 items and the PIRNCA total score. Nurses from middle-sized hospitals reported implicitly rationed care more frequently than those from large hospitals.
CONCLUSION
CONCLUSIONS
More rationed care was reported by nurses from medical units and nurses from middle-sized hospitals. Organisational variables (the type of unit and type of hospital) influence the implicit rationing of nursing care in our study.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
The findings call for nursing managers to pay attention to organisational variables which may affect the implicit rationing of nursing care.
Types de publication
Journal Article
Langues
eng
Pagination
4962-4971Subventions
Organisme : Ministry of Health of the Czech Republic
ID : NV18-09-00420
Informations de copyright
© 2023 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
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