Kontakt 2023, 25(2):93-99 | DOI: 10.32725/kont.2023.011

Rationing of nursing care and nurses' perception in acute inpatient care in selected regions of the Czech RepublicNursing - Original article

Iva Marková *, Darja Jarošová
University of Ostrava, Faculty of Medicine, Department of Nursing and Midwifery, Ostrava, Czech Republic

Introduction: Rationing of nursing care in clinical practice is related to the global shortage of nurses. Based on the assessment of nursing interventions, nurses confirmed the occurrence rate of assigned care, which is closely related to the nurses' satisfaction and turnover in clinical practice. Goal: This research aims to discover the occurrence of and reasons for rationing of nursing care in selected hospitals in the Czech Republic.

Design: Cross-sectional descriptive study.

Methods: The sample group included 629 nurses working in standard inpatient wards at 11 hospitals in the Czech Republic. The data was collected between June 2020 and June 2021 using the PIRNCA questionnaire.

Results: The most frequently assigned interventions included: early response, emotional support, and patient education. The reasons mentioned were the patients' composition, condition, and sufficient staff. Significant differences were found among nurses according to age group (p = 0.0183) and education (p < 0.001). Only 14.47% of the interviewed nurses intended to leave their jobs.

Conclusions: Czech nurses confirmed the occurrence of rationing of nursing care and the reasons that led them to it. The obtained evidence should be used as the basis for changes that positively influence the situation, as well as for the prevention of rationing of nursing care. The phenomenon should also be included in the training of future nurses. Further research and evaluation can bring valuable findings.

Keywords: Intervention; PIRNCA; Rationing of nursing care
Conflicts of interest:

The authors have no conflict of interests to declare.

Received: November 8, 2022; Revised: January 22, 2023; Accepted: April 24, 2023; Prepublished online: April 27, 2023; Published: June 26, 2023  Show citation

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Marková I, Jarošová D. Rationing of nursing care and nurses' perception in acute inpatient care in selected regions of the Czech Republic. Kontakt. 2023;25(2):93-99. doi: 10.32725/kont.2023.011.
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    References

    1. DOI: 10.1111/jonm.12514. Go to original source...
    2. Cho SH, Lee JY, You SJ, Song KJ, Hong KJ (2019). Nurse staffing, nurses prioritization, missed care, quality of nursing care and nurse outcomes. Int J Nurs Parct 26(1): e12803. DOI: 10.1111/ijn.12803. Go to original source... Go to PubMed...
    3. Dutra CKDR, Guirardello EB (2021). Nurse work environment and its impact oon reasons for missed care, safety climate and job satisfaction: A cross-sectional study. J Adv Nurs 77(5): 2398-2406. DOI: 10.1111/jan.14764. Go to original source... Go to PubMed...
    4. Emiralioğlu R, Sönmez B (2021). The relationship of nursing work environment ans innovation support with nurses' innovative behaviours and outputs. J Nurs Manag 29(7): 2132-2141. DOI: 10.1111/jonm.13354. Go to original source... Go to PubMed...
    5. Friganovic A, Režić S, Kurtović B, Vidmanić S, Zelenikova R, Rotim C, et al. (2020). Nurses' perception of implicit nursing care rationing in Croatia - A cross-sectional multicentre study. J Nurs Manag 28(8): 2230-2239. DOI: 10.1111/jonm.13002. Go to original source... Go to PubMed...
    6. Gurková E, Adamkovič M, Jones T, Kurucová R, Kalánková D, Žiaková K (2019). Factor analysis, validity of the perceived implicit rationing of nursing care instrument and prevalence and patterns of unfinished nursing care in Slovakia. J Nurs Manag 28(8): 2036-2047. DOI: 10.1111/jonm.12887. Go to original source... Go to PubMed...
    7. Gurková E, Bartoníčková D, Mikšová Z, Labutíková M, Chocholková D (2021a). Reasons for unfinished nursing care from the perspective of nurses from regional and university hospitals. Kontakt 23(4): 281-288. DOI: 10.32725/kont.2021.06. Go to original source...
    8. Gurková E, Mikšová Z, Šateková L (2021b). Missed nursing care in hospital environment during the COVID-19 pandemic. Int Nurs Rev 69(2): 175-184. DOI: 10.1111/inr.12710. Go to original source... Go to PubMed...
    9. Harvey CL, Baret C, Rochefort CM, Meyer A, Ausserhofer D, Ciutene R, Schubert M (2018). Discursive practice - lean thinking, nurses' responsibilities and the cost to care. J Health Organ Manag 32(6): 762-778. DOI: 10.1108/JHOM-12-2017-0316. Go to original source... Go to PubMed...
    10. Jarošová D, Zeleníková R (2017). Škála pracovního prostředí ošetřovatelské péče (PES-NWI) [Practice Environment Scale of the Nursing Work Index (PES-NWI)]. [online] [cit. 2022-01-22]. Available from: https://dokumenty.osu.cz/lf/uom/uom-
    11. Jarošová D, Zeleníková R (2019). Unfinished nursing care - the first pilot study in the Czech Republic. Kontakt 21(4): 388-394. DOI: 10.32725/kont.2019.048. Go to original source...
    12. Jarošová D, Gurková E, Zeleníková R, Plevová I, Janíková E (2021). Hospital and unit variables in missed nursing care in acute care Hospital: A cross-sectional study. J Clin Nurs 30(7-8): 1099-1110. DOI: 10.1111/jocn.15655. Go to original source... Go to PubMed...
    13. Jones TL (2014). Validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) Instrument. Nurs Forum 49(2): 77-87. DOI: 10.1111/nuf.12076. Go to original source... Go to PubMed...
    14. Jones TL, Drach-Zahavy A, Sermeus W, Willis E, Zeleníková R (2021). Understanding Missed Care: Definitions, Measures, Conceptualizations, Evidence, Prevalence and Challenges. In: In: Papastavrou, E, Suhonen R (Eds). Impacts of Rationing and Missed Nursing Care: Challenges and Solutions. Springer, Cham. DOI: 10.1007/978-3-030-71073-6_2. Go to original source...
    15. Jones TL, Willis E, Amorim-Lopes M, Drach-Zahavy A (2019). Advancing the science unfinished nursing care: Exploring the benefits of cross-disciplinary knowledge exchange, knowledge integration and transdisciplinary. J Adv Nurs 75: 905-917. DOI: 10.1111/jan.13948. Go to original source... Go to PubMed...
    16. Kalánková D, Bartoníčková D, Žiaková K, Kurucová R (2020a). Missed and rationed care: What do we know? - Review of qualitative studies. Ošetrovateľstvo: teória, výskum, vzdelávanie 10(1): 18-23.
    17. Kalánková D, Kurucová R, Bartoníčková D, Žiaková K (2019). Factors contributing to implicit rationing of nursing care: Qualitative responses to a survey of Slovak nurses. Kontakt 21(3): 248-253. DOI: 10.32725/kont. 2019.027. Go to original source...
    18. Kalánková D, Suhonen R, Stolt M, Kurucová R, Katajisto J, Žiaková K, et al. (2020b). Psychometric testing of perceived implicit rationing of nursing care (PIRNCA). J Adv Nurs 76(6): 1469-1482. DOI: 10.1111/jan.14351. Go to original source... Go to PubMed...
    19. Mandal L, Seethalakshmi A, Rajendrababu A (2020). Rationing of nursing care, a deviation from holistic nursing: A systematic review. Nurs Philos 21(1): e12257. DOI: 10.1111/nup.12257. Go to original source... Go to PubMed...
    20. Palese A, Longhini J, Danielis M (2021). To what extent Unfinished Nursing Care tools coincide with the discrete elements of The Fundamentals of Care Framework? A comparative analysis based on a systematic review. J Clin Nurs 30(1-2): 239-265. DOI: 10.1111/jocn.15543. Go to original source... Go to PubMed...
    21. Sanner-Stiehr E, Stevanin S, Mikkonen S, Kvist T (2021). Job satisfaction and generational nursing characteristics among registered nurses in the United States, Italy and Finland:
    22. Schubert M, Ausserhofer D, Bragadóttir H, Rochefort CM, Bruyneel L, Stemmer R, et al. (2021). Interventions to prevent or reduce rationing or missed nursing care: A scoping review. J Adv Nurs 77(2): 550-564. DOI: 10.1111/jan.14596. Go to original source... Go to PubMed...
    23. Schubert M, Glass TR, Clarke SP, Schaffert-Witvliet B, De Geest S (2007). Validation of the Basel extent of rationing of nursing care instrument. Nurs Res 56(6): 416-424. DOI: 10.1097/01.NNR.0000299853.52429.62. Go to original source... Go to PubMed...
    24. Scott AP, Harvey C, Felzmann H, Suhonen R, Habermann M, Halvorsen K, et al. (2019). Resource allocation and rationing in nursing care: A discussion paper. Nurs Ethics 26(5): 1528-1539. DOI: 10.1177/0969733018759831. Go to original source... Go to PubMed...
    25. Uchmanowicz I, Kołtuniuk A, Młynarska A, Łagoda K, Witczak I, Rosińczuk J, Jones T (2020). Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study. BMJ Open 10(4): e031994. DOI: 10.1136/bmjopen-2019-031994. Go to original source... Go to PubMed...
    26. Willis EB, Zeleníková R, Bail K, Papastavrou E (2021). The globalization of missed nursing care terminology. Int J Nurs Pract 27: e12859. DOI: 10.1111/ijn.12859. Go to original source... Go to PubMed...
    27. Witczak I, Rypicz Ł, Karniej P, Młynarska A, Kubielas G, Uchmanowicz I (2021). Rationing of Nursing Care and Patient Safety. Front Psychol 12: 676970. DOI: 10.3389/fpsyg.2021.676970. Go to original source... Go to PubMed...
    28. Zeleníková R, Drach-Zahavy A, Gurková E, Papastavrou E (2019). Understanding the concept of missed nursing care from a cross-cultural perspective. J Adv Nurs 75(11): 2995-3005. DOI: 10.1111/jan.14189. Go to original source... Go to PubMed...
    29. Zeleníková R, Gurková E, Friganovic A, Uchmanowicz I, Jarošová D, Žiaková K, et al. (2020). Unfinished nursing care in four central European countries. J Nurs Manag 28(8): 1888-1900. DOI: 10.1111/jonm.12896. Go to original source... Go to PubMed...
    30. ZhaoY, Ma D, Wan Z, Sun D, Li H, Sun J (2020). Associations between work environment and implicit rationing of nursing care: A systematic review. J Nurs Manag 28(8): 1841-1850. DOI: 10.1111/jonm.12895. Go to original source... Go to PubMed...
    31. publikace/pracovni-prostredi-spoluprace-kompetence/pes-nwi-cz.pdfBlackman I, Papastavrou E, Palese A, Vryonides S, Henderson J, Willis E (2018). Predicting variations to missed nursing care: A three-nation comparison. J Nurs Manag 26(1): 33-4 Go to original source... Go to PubMed...

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