INVESTIGATING THE PREVALENCE, PATTERNS AND PREDICTORS OF RATIONED NURSING CARE AT INTENSIVE CARE UNITS
Klíčová slova:rationed care, nursing, nurses, intensive care
Background: Rationed nursing care is a significant and widespread problem jeopardizing patient safety and quality of nursing care, mainly in an outpatient setting.
Objective: To explore the prevalence, patterns and predictors of rationed nursing care among nurses working in intensive care units in Slovakia.
Method: The study has adopted a cross-sectional design. Data were collected using the Perceived Implicit Rationing of Nursing Care instrument (PIRNCA). The respondents were intensive care nurses (N=279) from seven hospitals in Slovakia.
Results: The mean level of rationed nursing care was 1.68 (SD = 0.91). The prevalence of rationed nursing care was significantly predicted by nurse education, specialization training, overtime hours, intention to leave the profession, perceived staff adequacy. Quality of patient care and job satisfaction were the most significant predictors of rationed nursing care (p ≤ .05).
Conclusions: Hospital management should immediately address the predictors of rationed nursing care in intensive care units to increase quality and safe care, thus improving patient outcomes. Further examination of the quality of patient care and job satisfaction of nurses and their associations with rationed nursing care is needed in intensive care units.
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