A new approach to the prevention of nursing care rationing: Cross-sectional study on positive orientation
Corresponding Author
Izabella Uchmanowicz RN, PhD, FESC
Associate 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]
Search for more papers by this authorIzabela Witczak MSc, PhD
Assistant Professor
Division of Economics and Quality in Health Care, Wroclaw Medical University, Wroclaw, Poland
Search for more papers by this authorŁukasz Rypicz MSc, PhD
Assistant Professor
Division of Economics and Quality in Health Care, Wroclaw Medical University, Wroclaw, Poland
Search for more papers by this authorRemigiusz Szczepanowski MSc, PhD
Associate Professor
Research Unit for Clinical Psychology, University of Lower Silesia, Wroclaw, Poland
Search for more papers by this authorMariusz Panczyk RN, PhD
Associate Professor
Department of Education and Research in Health Sciences, Medical University of Warsaw, Warsaw, Poland
Search for more papers by this authorAlicja Wiśnicka RN, PhD
Assistant Professor
Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland
Search for more papers by this authorRaul Cordeiro RN, PhD
Associate Professor
Comprehensive Health Research Centre (CHRC), Nova University of Lisbon, Lisbon, Portugal
VALORIZA—Research Centre for Endogenous Resource Valorization, Portalegre, Portugal
Polytechnic Institute of Portalegre (IPP), Portalegre, Portugal
Search for more papers by this authorCorresponding Author
Izabella Uchmanowicz RN, PhD, FESC
Associate 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]
Search for more papers by this authorIzabela Witczak MSc, PhD
Assistant Professor
Division of Economics and Quality in Health Care, Wroclaw Medical University, Wroclaw, Poland
Search for more papers by this authorŁukasz Rypicz MSc, PhD
Assistant Professor
Division of Economics and Quality in Health Care, Wroclaw Medical University, Wroclaw, Poland
Search for more papers by this authorRemigiusz Szczepanowski MSc, PhD
Associate Professor
Research Unit for Clinical Psychology, University of Lower Silesia, Wroclaw, Poland
Search for more papers by this authorMariusz Panczyk RN, PhD
Associate Professor
Department of Education and Research in Health Sciences, Medical University of Warsaw, Warsaw, Poland
Search for more papers by this authorAlicja Wiśnicka RN, PhD
Assistant Professor
Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland
Search for more papers by this authorRaul Cordeiro RN, PhD
Associate Professor
Comprehensive Health Research Centre (CHRC), Nova University of Lisbon, Lisbon, Portugal
VALORIZA—Research Centre for Endogenous Resource Valorization, Portalegre, Portugal
Polytechnic Institute of Portalegre (IPP), Portalegre, Portugal
Search for more papers by this authorFunding information
This article was prepared within the framework of the COST Action RANCARE CA15208 and was supported by the European Cooperation in Science and Technology (COST).
Abstract
Aims
To assess the effects of nurses’ life satisfaction and life orientation on the level of nursing care rationing.
Background
Best practice within human resource management argues that striving for a positive orientation within the workforce may create a friendly work environment that could promote the employee's development and job satisfaction in a health care organisation.
Methods
A total of 547 nurses were enrolled and assessed using three self-report scales: the Basel Extent of Rationing of Nursing Care-R (BERCA-R), the Satisfaction with Life Scale (SWLS) and the Life Orientation Test (LOT-R). Then, the data were submitted into bivariate analyses.
Results
More pessimistic nurses with low and moderate levels of life satisfaction, and those with a neutral life orientation, presented with significantly higher BERCA-R scores than those who were more optimistic and who had high levels of life satisfaction.
Conclusions
Nursing care rationing depends on psychological factors of life satisfaction and life orientation. Low levels of satisfaction with life and a more pessimistic life orientation negatively contribute towards a higher prevalence of nursing care rationing.
Implications for nursing management
Nursing management policies, including intervention management, should consider ensuring positive orientation is in place to increase job satisfaction and optimism in health care workers.
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