The variables in the rationing of nursing care in cardiology departments

BMC Nurs. 2023 Mar 3;22(1):59. doi: 10.1186/s12912-023-01222-y.

Abstract

Background: The rationing of nursing care is a complex process that affects the quality of medical services.

Purpose: An assessment of the impact of nursing care rationing on burnout and life satisfaction in cardiology departments.

Methods: The study included 217 nurses working in the cardiology department. The Perceived Implicit Rationing of Nursing Care, the Maslach Burnout Inventory, and the Satisfaction with Life Scale were used.

Results: A greater emotional exhaustion, the more frequently the rationing of nursing care (r = 0.309, p < 0.061) and the lower the job satisfaction (r=-0.128, p = 0.061). Higher life satisfaction was associated with less frequent rationing of nursing care (r=-0.177, p = 0.01), better quality of care provided (r = 0.285, p < 0.001), and higher job satisfaction (r = 0.348, p < 0.01).

Conclusion: Higher levels of burnout contribute to more frequent rationing of nursing care, poorer evaluation of the quality of care provided, and lower job satisfaction. Life satisfaction is associated with less frequent rationing of care, better evaluation of the quality of care provided, and greater job satisfaction.

Keywords: Burnout; Maslach Burnout Inventory (MBI); Nurses; Perceived implicit rationing of nursing care (PIRNCA); Rationing of nursing care; Satisfaction with Life Scale (SWLS).