A new approach to the prevention of nursing care rationing: Cross‐sectional study on positive orientation. (24th September 2020)

• Record Type: Journal Article
• Authors: Uchmanowicz, Izabella; Witczak, Izabela; Rypicz, Łukasz; Szczepanowski, Remigiusz; Panczyk, Mariusz; Wiśnicka, Alicja; Cordeiro, Raul
• Is Part Of: Journal of nursing management. Volume 29:Number 2(2021)
• Page Start: 317
• Page End: 325
• Publication Date: 2020-09-24
• Subjects: care rationing -- life orientation -- life satisfaction -- nurses; Nursing services -- Administration -- Periodicals; Nursing services -- Business management -- Periodicals; 610.73068
• DOI: 10.1111/jonm.13156
• Languages: English
• ISSNs: 0966-0429

Abstract

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.