Factors associated with nursing care rationing in Poland: A cross-sectional observational study

IF 3.1 Q1 NURSING

International Journal of Nursing Studies Advances Pub Date : 2025-08-27 DOI:10.1016/j.ijnsa.2025.100413

Daria Schneider-Matyka , Kamila Rachubińska , Anna Maria Cybulska , Mariusz Panczyk , Przemysław Ustianowski , Ireneusz Walaszek , Dorota Ćwiek , Elżbieta Grochans , Małgorzata Szkup

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引用次数: 0

Abstract

Background

: Nursing care rationing is a global issue, but its intensity may vary across countries depending on available resources and healthcare system characteristics.

Objective

: This study aimed to examine factors associated with the severity of nursing care rationing among Polish nurses.

Design

: Cross-sectional observational study.

Setting(s)

: Two university clinical hospitals in Szczecin, Poland.

Participants

The study involved 411 nurses working in 40 wards and clinics across both institutions.

Methods

: A self-designed questionnaire was used to collect socio-demographic and work-related information, alongside standardized instruments: the Emotional Intelligence Questionnaire (INTE), the Perceived Stress Scale (PSS-10), and the Perceived Implicit Rationing of Nursing Care (PIRNCA). Descriptive statistics and both univariate and multivariate linear regression analyses were performed.

Results

: The severity of nursing care rationing was significantly associated with stress level (B = 0.039, p < 0.001) and emotional intelligence (B = –0.006, p = 0.002). Nurses with secondary education and those working under civil law contracts reported significantly higher levels of care rationing. Additionally, care rationing was more prevalent among hospital nurses compared to those in other settings.

Conclusions

: Low levels of emotional intelligence among Polish nurses coexist with high levels of stress and increased nursing care rationing. These findings indicate that emotional intelligence may serve as a protective factor that reduces the negative impact of stress on care provision.

Trial Registration

: Not applicable.

Social media abstract

: Rationing nursing care, in addition to the characteristics of the working environment, depends on the buffering role of emotional intelligence and the severity of stress experienced by nurses. #RationungNursingCare#QualityOfCare

查看原文本刊更多论文

与波兰护理配给相关的因素：一项横断面观察研究

背景：护理配给是一个全球性问题，但根据可用资源和卫生保健系统的特点，其强度可能因国家而异。目的：本研究旨在探讨波兰护士护理配给严重程度的相关因素。设计：横断面观察性研究。地点：波兰什切青的两所大学临床医院。参与者这项研究涉及两家机构40个病房和诊所的411名护士。方法：采用自行设计的问卷收集社会人口统计学和工作相关信息，并采用标准化工具：情绪智力问卷（INTE）、感知压力量表（PSS-10）和感知隐性护理定量（PIRNCA）。描述性统计和单变量和多变量线性回归分析。结果：护理配给程度与压力水平（B = 0.039, p < 0.001）和情绪智力（B = -0.006, p = 0.002）显著相关。受过中等教育的护士和根据民法合同工作的护士报告说，护理配给水平明显较高。此外，与其他环境中的护士相比，医院护士的护理配给制更为普遍。结论：波兰护士的低情商与高压力和护理配给增加并存。这些发现表明，情绪智力可以作为一种保护因素，减少压力对护理提供的负面影响。试验注册：不适用。摘要：配给护理，除了工作环境的特点外，还取决于情绪智力的缓冲作用和护士所经历的压力的严重程度。# RationungNursingCare # QualityOfCare

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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