Rationing of Nursing Care and Professional Burnout Among Nurses Working in Cardiovascular Settings
Introduction: Nursing needs close interpersonal contact with the patient and emotional involvement, therefore can contribute to professional burnout and rationing of nursing care.Aim: Assessing the relationship between the rationing of nursing care and professional burnout in nursing staff.Materials and Methods: The study included a group of 219 nurses working in cardiovascular facilities. This was a cross-sectional study designed to investigate the relationship between factors of the care rationing and professional burnout. The survey data was collected with standardised and research instruments such as the revised Basel Extent of Rationing of Nursing Care questionnaire (BERNCA-R) and the …
Analysis of the Impact of Disease Acceptance, Demographic, and Clinical Variables on Adherence to Treatment Recommendations in Elderly Type 2 Diabetes Mellitus Patients
This project aimed to analyze the impact of disease acceptance and selected demographic and clinical factors on the adherence to treatment recommendations in elderly type 2 diabetes mellitus patients. The observational study was performed using standardized research questionnaires: the Acceptance of Illness Scale (AIS), the Self-Care of Diabetes Inventory (SCODI), and the Adherence in Chronic Diseases Scale (ACDS). Two hundred patients with T2DM were studied (age M = 70.21 years, SD = 6.63 years). The median degree of disease acceptance was 29 (min–max = 8–40) and the median level of adherence was 24 (min–max = 13–28). Disease acceptance was a significant (p = 0.002) independent predictor o…
Factors Affecting Occupational Burnout Among Nurses Including Job Satisfaction, Life Satisfaction, and Life Orientation: A Cross-Sectional Study
Agnieszka Zborowska,1 Piotr Jerzy Gurowiec,2 Agnieszka Młynarska,3,4 Izabella Uchmanowicz1,5 1Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland; 2Institute of Health Sciences, University of Opole, Opole, Poland; 3Department of Gerontology and Geriatric Nursing, Medical University of Silesia, Katowice, Poland; 4Department of Electrocardiology, Upper Silesian Heart Centre, Katowice, Poland; 5Centre for Heart Diseases, Wroclaw Medical University, Wroclaw, PolandCorrespondence: Izabella UchmanowiczDepartment of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Bartla 5, Wroclaw, 51-618, PolandTel +48 71 784 18 05Fax +48 71 345 93 24Em…
Patient safety and nurse managers' competencies in decision making relating to rationing of care - the state of the art
To prevent potential health- or life-threatening events during patient care at every stage of hospitalisation, all possible causes that could lead to adverse events should be recognised by the highly qualified medical staff who are responsible for patient safety. The aim of this state-of-the-art paper is to summarise the issue of patient safety in the hospital and nurse managers’ competencies relating to rationing of care, and to discuss implementation of the evidence-based practice as the key foundation for the development and knowledge management of nursing care. Research evidence does not provide any innovative solutions to direct knowledge management in clinical settings. Therefore, we …
Socio-clinical variables affecting the level of self-care in elderly patients with heart failure
Background: Promoting self-care is the cornerstone of heart failure management. The number of hospitalizations and unscheduled visits could be reduced in elderly patients with heart failure by the patients’ active involvement in self-care. Aims: The aim of this study was to measure the level of self-care in elderly patients with heart failure, to examine the influence of socio-clinical variables on the level of self-care, and identify the socio-clinical variables that are predictors of self-care. Methods: The study included 100 heart failure patients (48 female, 52 male) aged between 60 and 88 years, treated at the Oleśno Health Care Center (Poland). The European Heart Failure Self-care Beh…
Optimistic thinking, satisfaction with life and job and nursing care rationing: Multicentre study in Poland
Aims: The aim was to examine whether the level of optimism and job and life satisfaction is a differentiating factor from the level of implicit rationing of nursing care in a sample of Polish registered nurses. Background: Satisfaction with life and job is reflected by greater effectiveness of nurses at work and creates a positive work environment, which in turn may modulate the level of implicit rationing of nursing care. Methods: A cross-sectional multicentre research design was adopted, employing a representative sample of 1,010 registered Polish nurses identified between the beginning of January and the end of June 2019. Four self-report scales were used in this study: Basel Extent of R…
Adherence to Medication in Older Adults with Type 2 Diabetes Living in Lubuskie Voivodeship in Poland: Association with Frailty Syndrome
Purpose: Diabetic patients aged 65 years or older are more likely to be frail than non-diabetic older adults. Adherence to therapeutic recommendations in the elderly suffering from diabetes and co-existent frailty syndrome may prevent complications such as micro- or macroangiopathy, as well as significantly affect prevention and reversibility of frailty. The study aimed at assessing the impact of frailty syndrome (FS) on the level of adherence to medication in elderly patients with type 2 diabetes (DM2). Patients and Methods: The research was carried out among 175 DM2 patients (87; 49.71% women and 88; 50.29% men) whose average age amounted to 70.25 ± 6.7. Standardized research instr…