Rationing of nursing care in a developing country: A cross-sectional study

IF 3.8 3区医学 Q1 NURSING

International Nursing Review Pub Date : 2025-01-14 DOI:10.1111/inr.13088

Çiğdem Torun Kılıç RN, MSN, PhD, Aysel Özsaban RN, MSN, PhD, Aysun Bayram RN, MSN, PhD, Emel Altuntaş

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引用次数: 0

Abstract

Aim

This study aimed to determine the effect of nurses’ work environment, individual and work schedule features on the rationing of nursing care.

Introduction

Rationing of nursing care is a concern in healthcare settings worldwide, as it is associated with negative outcomes for both patients and nursing staff.

Background

Little is known about the precursors of rationing of nursing care in developing countries.

Methods

This descriptive, correlational and cross-sectional study was conducted with 405 nurses in Türkiye. Data were collected Nurse Information Form, Basel Extent of Rationing of Nursing Care-R and Nursing Work Index–The Practice Work Environment Scale. The study was reported following the STROBE and RANCARE guideline.

Results

Nurses’ mean rationing of nursing care score was 1.58 ± 0.59, and the mean work environment perception score was 2.58 ± 0.47, with no statistically significant relationship between the scale scores. However, working ward, working hours and working schedule significantly affected the total rationing of nursing care scores.

Discussion

In this study, contrary to the literature, no relationship was found between the rationing of nursing care and the perception of the work environment. Supporting the literature, nurses' individual/work schedule features affected the rationing of nursing care.

Conclusion

Improving nurses’ work schedule features and nurse staffing may help reduce the rationing of nursing care.

Implications for nursing and health policy

This study emphasised the importance of nurses’ work schedule features and nurse staffing in the rationing of nursing care. The data from this study can guide nurse managers in identifying factors related to work schedules that may affect the rationing of nursing care and strategies to follow to make the necessary improvements.

Abstract Image

查看原文本刊更多论文

发展中国家护理配给：一项横断面研究。

目的：本研究旨在探讨护士工作环境、个人及工作时间特征对护理配给的影响。导言：配给护理是全世界卫生保健机构关注的问题，因为它与患者和护理人员的负面结果有关。背景：对发展中国家护理配给的前体知之甚少。方法：采用描述性、相关性和横断面研究方法对云南省405名护士进行调查。数据采用《护士信息表》、《巴塞尔护理配给程度- r》和《护理工作指数-实习工作环境量表》。该研究是按照STROBE和ranare指南报道的。结果：护士对护理配给的平均得分为1.58±0.59分，工作环境感知的平均得分为2.58±0.47分，量表得分之间无统计学意义。工作病区、工作时间、工作日程对护理总分配量有显著影响。讨论：在本研究中，与文献相反，没有发现护理配给与工作环境感知之间的关系。支持文献，护士的个人/工作时间表特征影响护理配给。结论：改善护士的工作时间特点和人员配置有助于减少护理配给。对护理和健康政策的启示：本研究强调护士的工作时间表特征和护士人员配置在护理配给中的重要性。本研究的数据可以指导护理管理者识别与工作时间表相关的因素，这些因素可能会影响护理配给，并采取相应的策略来进行必要的改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Nursing Review 医学-护理

CiteScore

7.90

自引率

7.30%

发文量

审稿时长

6-12 weeks

期刊介绍： International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.