Introduction: The rationalization of nursing care can be a direct consequence of the low employment rate or unfavorable working environment of nurses. Aim: The aim of the study was to learn about the factors influencing the rationing of nursing care. Methods: The study group consisted of 209 nurses working in internal medicine departments. The study used the method of a diagnostic survey, a survey technique with the use of research tools: the BERNCA-R questionnaire and the PES-NWI questionnaire (which includes the occupational burnout questionnaire). Results: The mean total BERNCA score for rationing nursing care was 1.94 ± 0.75 on a scale from 0 to 4. A statistically significant relationship was demonstrated between the work environment and the rationing of nursing care. The results of the BERNCA-R scale correlated statistically significantly and positively (r ˃ 0) with two (out of three) subscales of the occupational burnout questionnaire (MBI—Maslach Burnout Inventory): emotional exhaustion and depersonalization (p < 0.001), and with all types of adverse events analyzed (p < 0.05). Conclusions: The higher the frequency of care rationing, the worse the assessment of working conditions by nurses, and, therefore, more frequent care rationing determined the more frequent occurrence of adverse events. The more frequent the care rationing, the more frequent adverse events occur.
For a couple of years, Europe has been observing changes in the structure of the age of its population, which include a growing participation of elderly people and a decreasing percentage of people at productive age. The demand for care services is increasing, which results not only from the ageing society, but also from the large number of disabled people at post-productive age. The GivingCare project -Empowering caregivers and personal assistants by developing technical, soft, and digital skills -has taken place from the year 2020 to 2023 within the Erasmus+ programme, funded by the European Commission. The participants comprise 7 institutions from 5 European countries, namely Portugal, Spain, Slovenia, Poland, and Belgium. The leader of the project is the Santa Maria Health School in Portugal. The tasks realised within the GivingCare project are of international dimension. The area of the studies are target-chosen institutions from the participating countries, including healthcare facilities and universities. The main goal of the project was to strengthen the position of formal and informal caregivers for care-dependent people as well other healthcare workers by developing technical, soft, and digital skills. The project fulfils the deficiency of higher education programmes by creating and implementing innovative training programmes, as well as developing materials/resources, based on independent modules. The results and methodology of the GivingCare project aim at promotion of a holistic approach and popularisation of influence in particular target groups, i.e. the group of formal and informal caregivers.
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