scholarly journals Factors Contributing to Rationed Nursing Care in the Slovak Republic—A Secondary Analysis of Quantitative Data

2022 ◽  
Vol 19 (2) ◽  
pp. 702
Author(s):  
Dominika Kalánková ◽  
Daniela Bartoníčková ◽  
Ewelina Kolarczyk ◽  
Katarína Žiaková ◽  
Agnieszka Młynarska
Keyword(s):  
Job Satisfaction ◽  
Clinical Practice ◽  
Patient Care ◽  
Nursing Care ◽  
Slovak Republic ◽  
Secondary Analysis ◽  
Care Quality ◽  
Targeted Interventions ◽  
Quality Of Patient Care

Rationed nursing care is a significant problem in healthcare facilities worldwide. Awareness of contributing factors to rationed care might support the development and implementation of strategies for reducing this phenomenon from clinical practice. The study examined the association between selected hospital, unit, and staff variables and the prevalence of rationed nursing care. Secondary analysis of cross-sectional data collected between December 2017 and July 2018 from 895 registered nurses in seven acute care hospitals in the Slovak Republic was performed. Data were collected using the questionnaire Perceived Implicit Rationing of Nursing and analyzed by descriptive and inferential statistics in the statistical program SPSS 25.0. Statistically significant associations were found between rationed nursing care and unit type, education, shift type, nurses’ experience in the current unit, overtime hours, missed shifts, intention to leave the position, perceived staff adequacy, quality of patient care, and job satisfaction. Differences in rating rationed nursing care, quality of patient care, and job satisfaction were identified based on hospital type. Together with top hospital management, nurse managers should develop targeted interventions focusing on mitigating rationed nursing care from the clinical practice with a focus placed on university hospitals. Quality and safe care might be ensured through constant monitoring of the quality of patient care and job satisfaction of nurses as these factors significantly predicted the estimates of rationed nursing care.

scholarly journals Rationing of Nursing Care in Intensive Care Units

2020 ◽  
Vol 17 (19) ◽  
pp. 6944
Author(s):  
Agnieszka Młynarska ◽  
Anna Krawuczka ◽  
Ewelina Kolarczyk ◽  
Izabella Uchmanowicz
Keyword(s):  
Job Satisfaction ◽  
Intensive Care ◽  
Patient Care ◽  
Intensive Care Units ◽  
Nursing Care ◽  
Sociodemographic Factors ◽  
Quality Of Patient Care ◽  
Wide Range ◽  
Experienced Fatigue

The nursing practice refers to a wide range of tasks and responsibilities. In a situation where there is a problem of limited resources, nurses are forced to ration the patient’s care—that is, minimize and skip some tasks. The main purpose of this work was to assess the rationing level of nursing care among staff in the intensive care units. Methods: The research included 150 anaesthesiological nurses in the Silesian Region in Poland. The research was conducted from July to October 2019 using the standardized Perceived Implicit Rationing of Nursing Care (PRINCA) questionnaire on rationing nursing care, assessing the quality of patient care, and job satisfaction. The Modified Fatigue Impact Scale (MFIS) standardized questionnaire was used to assess the level of fatigue of respondents in the physical, cognitive, and psychosocial spheres. Results: Sociodemographic factors, such as gender, age, place of residence, education, seniority, and type of employment were not found to affect the rationing level of nursing care in the intensive care unit. The average quality of patient care was 6.05/10 points, while the average job satisfaction rating was 7.13/10 points. Analysis of the MFIS questionnaire showed that respondents experienced fatigue between “rare” and “sometimes”, and nursing staff fatigue was the main factor for rationing care. Conclusions: The higher the level of fatigue, the greater the rationing of care and the less satisfaction from work.

scholarly journals Educational objectives make or break the quality of patient care

Curationis ◽  
1981 ◽  
Vol 4 (2) ◽  
Author(s):  
Charlotte Searle
Keyword(s):  
Nursing Education ◽  
Patient Care ◽  
Nursing Care ◽  
Important Criterion ◽  
Educational Objectives ◽  
Quality Of Patient Care

A most important criterion in nursing education is that a definite end must be kept in view. This end purpose or terminal outcome is the concept of Quality nursing care.

Relationship Between Control Over Nursing Practice and Job Satisfaction and Quality of Patient Care

2019 ◽  
Vol 34 (3) ◽  
pp. E1-E6 ◽  
Author(s):  
Zaid Al-Hamdan ◽  
Eman Smadi ◽  
Muayyad Ahmad ◽  
Hala Bawadi ◽  
Ann M. Mitchell
Keyword(s):  
Job Satisfaction ◽  
Patient Care ◽  
Nursing Practice ◽  
Quality Of Patient Care ◽  
Control Over Nursing Practice

scholarly journals Progress on the introduction of supervisory ward manager roles since the Francis report recommendations

2019 ◽  
Vol 28 (11) ◽  
pp. 702-707
Author(s):  
Paul Regan ◽  
Sarah Shillitoe-Kehoe
Keyword(s):  
Clinical Practice ◽  
Patient Care ◽  
Ethnic Minority ◽  
Lessons Learned ◽  
Minority Leadership ◽  
Department Of Health ◽  
Original Action ◽  
Quality Of Patient Care ◽  
The Subject

Recommendation 195 of the Francis report suggested that the introduction of supervisory ward managers into clinical practice could improve the quality of patient care in England. The Department of Health and NHS Commissioning Board's vision and strategy Compassion in Practice in 2012 restated the recommendation in action area four, with trusts required to publish progress. With the aim of identifying whether the lessons of the Francis report had been learned, a review of the published literature since 2012 retrieved only five articles on the subject, with many anecdotal accounts of its implementation in local trusts. The three subsequent update reports of Compassion in Practice stopped backing recommendation 195 and promoted black and ethnic minority leadership, a laudable initiative, but not a recommendation of the Francis report. The authors suggest recommendation 195 and Compassion in Practice's original action area four should be promoted again to ensure public safety and address the notion that lessons learned are less likely to be repeated.

scholarly journals Strategies for Reducing Rationed Nursing Care: Qualitative Secondary Analysis

2021 ◽  
Vol 21 (3) ◽  
pp. 110-117
Author(s):  
Kalankova Dominika ◽  
Bartonickova Daniela ◽  
Ziaková Katarina ◽  
Kosutova Dominika
Keyword(s):  
Clinical Practice ◽  
Nursing Students ◽  
Nursing Care ◽  
Professional Training ◽  
Secondary Analysis ◽  
Work Place ◽  
Preventive Strategies ◽  
Structured Interviews ◽  
Qualitative Secondary Analysis

Abstract Introduction: Nursing students spend a meaningful part of their professional training in clinical practice. However, to a significant extent, they actively or passively contribute to the occurrence of rationed nursing care in clinical practice. Therefore, it is crucial that they actively participate in implementing targeted strategies to reduce rationed nursing care. Aim: To explore nursing students′ experience with strategies focusing on the reduction of rationed nursing care. Methods: We chose a qualitative secondary analysis to address unpublished data related to nursing students′ experience with strategies focusing on reducing rationed nursing care. The data included a set comprising of 148 pages with transcribed verbatim of 18 semi-structured interviews. The data were analyzed by a deductive content analysis. Results: Based on the outcome of the secondary analysis, we identified two meaningful categories: Preventive strategies in clinical practice and Importance and meaning of preventive strategies. These two categories reflected nursing students′ experience with targeted strategies to reduce rationed nursing care in clinical practice. Conclusion: Proposal and subsequent implementation of preventive strategies are essential for reducing rationed nursing care phenomenon from the clinical practice environment. The perspective of nursing students is vital due to their intensive perception of rationed nursing care in clinical practice. Students may identify areas that work-place staff may not explicitly focus on and consider important but jeopardize the quality of care or patient safety.

Job satisfaction and perceptions of quality of patient care, collaboration and teamwork in acute care hospitals

2009 ◽  
Vol 65 (9) ◽  
pp. 1946-1955 ◽  
Author(s):  
Wen-Yin Chang ◽  
Jui-Chu Ma ◽  
Hsiao-Ting Chiu ◽  
Kuan-Chia Lin ◽  
Pi-Hsia Lee
Keyword(s):  
Job Satisfaction ◽  
Patient Care ◽  
Acute Care ◽  
Acute Care Hospitals ◽  
Quality Of Patient Care

scholarly journals Quality of Patient Care in Hospital Administration: A Review

2021 ◽  
pp. 1-7
Author(s):  
Hamed Salem S. Albalwei ◽  
Nazim Faisal Hamed Ahmed
Keyword(s):  
Health Care ◽  
Health Services ◽  
Patient Care ◽  
Health Care Quality ◽  
Hospital Management ◽  
Care Quality ◽  
Current Evidence ◽  
Quality Of Patient Care ◽  
Quality Of Health Services

Patients in need of healthcare expect high quality personalized care, which is also the primary goal of service providers. The main objective of our study was to synthesize the current evidence on the quality of patient care in hospital management. Methods: MEDLINE, Embase, CINAHL, PsycInfo, and ASSIA were searched from 2000 to April 2021, and reference lists of included studies were searched. The included studies describe the current evidence for the quality of patient care in hospital management. No software was used to analyze the data. The data are extracted on the basis of a specific form containing (Name of the author, year of publication, country, method and results). Results and Conclusions: Communicating a better understanding of health care quality is an important preliminary step towards health care quality research and initiatives. Without clear meaning, quality improvement can be sporadic or ineffective. Competent authorities should consider shaping the curriculum to provide training for future professionals to increase patient satisfaction. Improving the quality of health services requires strong leadership from national governments, targeted local support and action at the health facility level. At all levels, there is a need to engage and empower the communities served by the health system. Improving the quality of health services requires special attention to the creation and learning of knowledge. Lessons on the delivery of quality care should be systematically documented, documented and shared within and across countries. 

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