Volume 28, Issue 8 pp. 2185-2195
SPECIAL ISSUE PAPER

The relationship between burnout, job satisfaction and the rationing of nursing care—A cross-sectional study

Izabella Uchmanowicz RN, PhD, FESC

Corresponding Author

Izabella Uchmanowicz RN, PhD, FESC

Full Professor

Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland

Correspondence

Izabella Uchmanowicz, Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Bartla 5, 51-618 Wroclaw, Poland.

Email: [email protected]

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Piotr Karniej MSC, MBA, PhD

Piotr Karniej MSC, MBA, PhD

Assistant Professor

Department of Organization and Management, Wroclaw Medical University, Wroclaw, Poland

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Magdalena Lisiak RN, PhD

Magdalena Lisiak RN, PhD

Assistant Professor

Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland

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Anna Chudiak RN, PhD

Anna Chudiak RN, PhD

Assistant Professor

Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland

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Katarzyna Lomper RN, PhD

Katarzyna Lomper RN, PhD

Assistant Professor

Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland

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Alicja Wiśnicka RN, PhD

Alicja Wiśnicka RN, PhD

Assistant Professor

Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland

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Marta Wleklik RN, PhD

Marta Wleklik RN, PhD

Assistant Professor

Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland

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Joanna Rosińczuk RN, PhD

Joanna Rosińczuk RN, PhD

Full Professor

Department of Nervous System Diseases, Wroclaw Medical University, Wroclaw, Poland

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First published: 17 August 2020
Citations: 43

Funding information

This study was supported by the Ministry of Science and Higher Education of Poland as a part of a statutory grant of the Wroclaw Medical University for maintaining research potential (no. SUB.E140.19.042).

Abstract

Aims

To assess the impacts of burnout and job satisfaction on the rationing of care in the professional group of nurses.

Background

The shortage of nursing staff is currently one of the most significant health care problems. It is not clear how burnout and job satisfaction affect the rationing of nursing care.

Methods

We included 594 nurses, and we used the Basel Extent of Rationing of Nursing Care-R (BERNCA-R), the Maslach Burnout Inventory (MBI) and the Job Satisfaction Scale (JSS).

Results

The average scores were 1.72 ± 0.87 points for the BERNCA-R, 36.08 ± 21.25 for the MBI and 19.74 ± 5.57 for the JSS. A statistically significant positive correlation between the BERNCA-R and the MBI (p < .05) and a negative correlation between the BERNCA-R and the JSS (p < .05) were observed. Independent predictors of the BERNCA-R were the result of emotional exhaustion of the MBI and the assessment of the impact of independence on job satisfaction (p < .05).

Conclusion

Occupational burnout can decrease job satisfaction in nursing staff and result in adverse outcomes of rationing care. Nursing managers should pay more attention to individual differences in nursing-care workers linked with nursing burnout, job satisfaction and the rationing of care.

Implications for Nursing Management

Interventions aimed at counteracting burnout are the key to improving job satisfaction in nurses.

CONFLICT OF INTEREST

No conflict of interest has been declared by the authors.

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