Keywords
employment standards
paediatric haematology and oncology
How to Cite
Abstract
Background. The rationing of nursing care is faced when the number of staff on one shift is insufficient to ensure an adequate level of care for all patients. The causes of this phenomenon include a reduction in employment, increased demand for care due to new technologies, new treatment options, or a higher level of knowledge among patients, which increases the time and labour input of care workers. Objectives. Evaluation of the degree of rationing of nursing care in the department of paediatric haematology and oncology. Material and methods. In order to assess the degree of rationing of care by nurses working in the department of paediatric haematology and oncology, a proprietary questionnaire and a standardized BERNCA sheet were used. The study was conducted in 2018 in a group of 99 nurses employed in the Department of Paediatric Transplantation, Oncology and Haematology of the University Clinical Hospital in Wrocław. Results. The obtained data was analyzed statistically in the R Core Team program (2018). R: A language and environment for statistical computing. R: Foundation for Statistical Computing, Vienna, Austria. Comparison of quantitative variables in two groups was performed using Student’s t-test (when the variable had normal distribution in these groups) or Mann– Whitney’s test. The values of quantitative variables in three or more groups were compared using ANOVA variance analysis (when the variable had normal distribution in these groups) or Kruskal–Wallis test. Correlations between quantitative variables were analysed using the Pearson correlation coefficient (when both had normal distribution) or Spearman correlation coefficient (when both had normal distribution). The results obtained indicate a high degree of rationing of care by nurses in the department of paediatric oncology and haematology. Conclusions. The determinants that influence the rationing of nursing care based on the results of the whole BERNCA questionnaire were the age of nurses (the older they get, the more they are rationing care), longer service life and lack of time to eat.References
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