当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF NURSING STUDIES期刊下所有文献 > Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals--a cross sectional study.

Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals--a cross sectional study.

Abstract：

OBJECTIVES:(1) To describe the levels of implicit rationing of nursing care in Swiss acute care hospitals; (2) to explore the associations between nine selected potential rationing predictors and implicit rationing of nursing care. DESIGN:Cross sectional multi-center study. SETTINGS:A quota sample of 35 acute care hospitals from the German, French and Italian speaking regions of Switzerland participating in RN4CAST (Registered Nurse Forecasting) study. PARTICIPANTS:1633 registered nurses working in randomly selected medical, surgical or medical-surgical units. METHODS:Implicit rationing of nursing care, i.e., the withholding of any of 32 necessary nursing measures due to a lack of nursing resources, was measured using the revised Basel Extent of Rationing of Nursing Care (BERNCA) instrument. Nine potential rationing predictors, e.g., staffing and resource adequacy, patient-to-nurse ratio, nurse education, and confounding variables, e.g., nurse gender and age, hospital typology, were assessed with validated instruments or single items of the RN4CAST study. Descriptive statistical procedures were used as appropriate. Three level regression models were used to investigate the effect of the selected nine predictors on rationing at the nurse, unit and hospital levels. RESULTS:Ninety-eight percent of the participating nurses reported that, in their last seven working days, they had to ration at least one of the 32 nursing tasks listed in the BERNCA. The mean rationing level of 1.69 (SD=0.571) indicates that on average the nurses reported 'rarely' being unable to perform the nursing tasks listed in the BERNCA. Multilevel regression analysis confirmed two of the nine tested predictors: better unit level staff resource adequacy and a more favorable hospital level safety climate were both consistently significantly associated with lower rationing levels. Counter to our assumptions, the other two nurse practice environment dimensions, the three workload measures, nurse experience and nurse education were not associated with rationing. CONCLUSIONS:Rationing frequency varied among the 32 BERNCA items, indicating differing prioritizations of necessary nursing tasks. The identified rationing predictors, staff resource adequacy and safety climate, can determine starting points for interventions, i.e., proactive changes to improve staff resource adequacy when rationing exceeds predefined thresholds, increasing the risk of negative effects on patient outcomes.

journal_name

Int J Nurs Stud

journal_title

International journal of nursing studies

authors

Schubert M,Ausserhofer D,Desmedt M,Schwendimann R,Lesaffre E,Li B,De Geest S

doi

10.1016/j.ijnurstu.2012.09.016

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

230-9

issue

2

eissn

0020-7489

issn

1873-491X

pii

S0020-7489(12)00326-4

journal_volume

50

pub_type

杂志文章

相关文献

INTERNATIONAL JOURNAL OF NURSING STUDIES文献大全
  • The effectiveness of a relaxation training program for women with preterm labour on pregnancy outcomes: a controlled clinical trial.

    abstract：BACKGROUND:Prenatal maternal stress is associated with adverse birth outcomes. Few studies have been published on the effectiveness of relaxation techniques focusing on women with preterm labour. OBJECTS:The object of this study was to examine the effectiveness of a relaxation training program on pregnancy outcomes in...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2011.09.007

    authors： Chuang LL,Lin LC,Cheng PJ,Chen CH,Wu SC,Chang CL

    更新日期：2012-03-01 00:00:00

  • The prevalence and incidence of pressure ulcers in hospitalised patients in the Netherlands: a prospective inception cohort study.

    abstract：BACKGROUND:Pressure ulcers frequently occur in hospitalised patients. The prevalence of pressure ulcers grade 2 or worse varies from 3% to 12% in hospitalised patients. Incidence figures are not frequently reported. While incidence and prevalence are both measures of disease frequency, they provide different perspectiv...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ijnurstu.2006.02.011

    authors： Schoonhoven L,Bousema MT,Buskens E,prePURSE-study group.

    更新日期：2007-08-01 00:00:00

  • Management of childhood diarrhea by healthcare professionals in low income countries: An integrative review.

    abstract：BACKGROUND:The significant drop in child mortality due to diarrhea has been primarily attributed to the use of oral rehydration solutions, continuous feeding and zinc supplementation. Nevertheless uptake of these interventions have been slow in developing countries and many children suffering from diarrhea are not rece...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijnurstu.2016.08.014

    authors： Diallo AF,Cong X,Henderson WA,McGrath J

    更新日期：2017-01-01 00:00:00

  • Effectiveness of a discharge-planning pilot program for orthopedic patients in Taiwan.

    abstract：:The purpose of this pilot project was to establish a discharge-planning model and evaluate its effectiveness. Orthopedic patients who scored 7 or above on a high-risk screening form were recruited for the project. Case managers served as discharge planners, and handled the following procedures: screening of patients, ...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2004.10.006

    authors： Lin PC,Wang JL,Chang SY,Yang FM

    更新日期：2005-09-01 00:00:00

  • Psychometric properties of instruments used to measure the cultural competence of nurses: A systematic review.

    abstract：BACKGROUND:Cultural competence is a key component of culturally congruent nursing care. In order to reduce healthcare inequalities and to identify potentials for improvement in nursing practice, researchers need to be able to assess cultural competence properly. Although many instruments for the assessment of cultural ...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijnurstu.2020.103789

    authors： Osmancevic S,Schoberer D,Lohrmann C,Großschädl F

    更新日期：2021-01-01 00:00:00

  • Do smokers with chronic obstructive pulmonary disease report their smoking status reliably? A comparison of self-report and bio-chemical validation.

    abstract：BACKGROUND:Chronic obstructive pulmonary disease (COPD) is predominantly caused by cigarette smoking and is considered a worldwide preventable chronic illness. Smoking cessation is considered the primary intervention for disease management and nurses should play a major role in assisting patients to stop smoking. Curre...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2011.01.002

    authors： Wilson JS,Elborn JS,Fitzsimons D,McCrum-Gardner E

    更新日期：2011-07-01 00:00:00

  • The work setting of diabetes nursing specialists in the Netherlands: a questionnaire survey.

    abstract：AIM:The aim of this study is to explore whether the work organisation of diabetes specialist nurses (DSNs) differs significantly from nurses working in hospital and nursing home and if so, does this difference result in positive or negative consequences regarding work and health. BACKGROUND:In traditional health care ...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2007.12.003

    authors： van den Berg TI,Vrijhoef HJ,Tummers G,Landeweerd JA,van Merode GG

    更新日期：2008-10-01 00:00:00

  • Older husbands as caregivers of their wives: a descriptive study of the context and relational aspects of care.

    abstract：:The purpose of this study was to describe the context and relational aspects that characterize male caregiving. The sample comprised 323 older husbands caring for their wives in Quebec (Canada). Nearly 60% of them spent at least 84 h/week caregiving and about 40% regularly performed personal care and instrumental task...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2005.07.007

    authors： Ducharme F,Lévesque L,Lachance L,Zarit S,Vézina J,Gangbè M,Caron CD

    更新日期：2006-07-01 00:00:00

  • Fatigue in patients with cancer and chronic obstructive airways disease: a phenomenological enquiry.

    abstract：:Fatigue is frequently experienced by patients with chronic illnesses, and especially by patients with cancer and chronic obstructive airways disease. However, there is a paucity of qualitative research into the experiences of fatigued individuals and, consequently, definitions of fatigue have, to date, been based sole...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/s0020-7489(96)00032-6

    authors： Ream E,Richardson A

    更新日期：1997-02-01 00:00:00

  • Children's participation in consultations and decision-making at health service level: a review of the literature.

    abstract：BACKGROUND:The past decade has seen a growing recognition in Ireland and internationally that children and young people have a right to participate in matters that affect their lives. OBJECTIVES:To critique the research literature on children's, parents and healthcare professionals' experiences of children's participa...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijnurstu.2008.05.002

    authors： Coyne I

    更新日期：2008-11-01 00:00:00

  • Clinical prediction of violence among inpatients with schizophrenia using the Chinese modified version of Violence Scale: a prospective cohort study.

    abstract：BACKGROUND:A standard measure to assess and predict violence is important for psychiatric services. No prospective study has examined the history of violence and heterogeneity of violence in predicting specific types of violence among inpatient with schizophrenia. OBJECTIVES:This study aimed to prospectively examine t...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2013.06.002

    authors： Chen SC,Hwu HG,Hu FC

    更新日期：2014-02-01 00:00:00

  • The work of auxiliary nurses in Mexico: stressors, satisfiers and coping strategies.

    abstract：:Recruitment and retention of nursing personnel is a major problem in many parts of the world, particularly developing countries. Strategies for promoting job satisfaction can help reduce the costs of high turnover and increase the quality of patient care. As part of a larger international study on women's health, a co...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,多中心研究

    doi：10.1016/0020-7489(96)00001-6

    authors： Douglas MK,Meleis AI,Eribes C,Kim S

    更新日期：1996-10-01 00:00:00

  • The Strain of Care for Delirium Index: a new instrument to assess nurses' strain in caring for patients with delirium.

    abstract：:This study evaluated content validity, internal consistency and construct validity of the Strain of Care for Delirium Index (SCDI), a newly constructed instrument to measure the strain nurses experience in caring for patients with delirium. Content validity, evaluated by eight experts, reduced the initial pool of item...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2004.03.005

    authors： Milisen K,Cremers S,Foreman MD,Vandevelde E,Haspeslagh M,Geest SD,Abraham I

    更新日期：2004-09-01 00:00:00

  • The antecedents, attributes and consequences of trust among nurses and nurse managers: a concept analysis.

    abstract：BACKGROUND:Although trust has been investigated in the health context, limited research explores nurse and nurse manager perceptions of trust. OBJECTIVE:To explore the concept of trust amongst nurses and nurse managers at individual, interpersonal and organisational levels. DESIGN:Our paper reports the findings from ...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2013.10.003

    authors： McCabe TJ,Sambrook S

    更新日期：2014-05-01 00:00:00

  • Safety, effectiveness and costs of different models of organising care for critically ill patients: literature review.

    abstract：:New ways of working in critical care are emerging in response to increasing demands for care in the context of a limited critical care workforce. This review appraised the comparative safety, effectiveness and costs of new ways of working in critical care. All papers published in peer reviewed journals during 1990-200...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijnurstu.2006.01.006

    authors： Coombs M,Lattimer V

    更新日期：2007-01-01 00:00:00

  • What patient characteristics guide nurses' clinical judgement on pressure ulcer risk? A mixed methods study.

    abstract：BACKGROUND:Nurses' clinical judgement plays a vital role in pressure ulcer risk assessment, but evidence is lacking which patient characteristics are important for nurses' perception of patients' risk exposure. OBJECTIVES:To explore which patient characteristics nurses employ when assessing pressure ulcer risk without...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2013.09.005

    authors： Balzer K,Kremer L,Junghans A,Halfens RJ,Dassen T,Kottner J

    更新日期：2014-05-01 00:00:00

  • Influences on length of stay in intermediate care: lessons from the nursing-led inpatient unit studies.

    abstract：:A recent study found that intermediate care in a nursing-led in-patient unit (NLIU) led to dramatically increased hospital stay when compared to usual care in a hospital. This is despite a large body of work across a variety of settings, including the pilot for that same study, which suggests that the NLIU is effectiv...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/s0020-7489(99)00068-1

    authors： Griffiths P,Wilson-Barnett J

    更新日期：2000-06-01 00:00:00

  • Current practice in the management of wound odour: an international survey.

    abstract：AIM:To determine from a multi-disciplinary and international perspective current practice in the management of wound odour. BACKGROUND:Malodour is cited by patients and carers as one of the most distressing and socially isolating aspects of their wounds. The absence of a standardised approach to assessment and managem...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2013.10.013

    authors： Gethin G,Grocott P,Probst S,Clarke E

    更新日期：2014-06-01 00:00:00

  • Nurses' reasoning process during care planning taking pressure ulcer prevention as an example. A think-aloud study.

    abstract：BACKGROUND:Nurses' clinical reasoning is of great importance for the delivery of safe and efficient care. Pressure ulcer prevention allows a variety of aspects within nursing to be viewed. OBJECTIVE:The aim of this study was to describe both the process and the content of nurses' reasoning during care planning at diff...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2006.04.016

    authors： Funkesson KH,Anbäcken EM,Ek AC

    更新日期：2007-09-01 00:00:00

  • Prevalence of deep tissue injuries in hospitals and nursing homes: two cross-sectional studies.

    abstract：BACKGROUND:Deep tissue injuries are severe damages underneath the intact skin caused by long-endured, unrelieved pressure or shear forces. Empirical evidence regarding the magnitude of this health problem is limited. OBJECTIVE:Investigation of the prevalence, characteristics of persons affected and identification of t...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2009.11.003

    authors： Kottner J,Dassen T,Lahmann N

    更新日期：2010-06-01 00:00:00

  • Experience of persistent psychological symptoms and perceived stigma among people with HIV on antiretroviral therapy (ART): a systematic review.

    abstract：BACKGROUND:Advances in HIV care have resulted in increasing numbers of HIV patients receiving antiretroviral therapy and achieving viral control. This has led to a focus on the biomedical aspects of care, leaving the data on psychological and social problems relatively neglected; in fact they have never before been sys...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijnurstu.2014.01.015

    authors： Lowther K,Selman L,Harding R,Higginson IJ

    更新日期：2014-08-01 00:00:00

  • The Lively Legs self-management programme increased physical activity and reduced wound days in leg ulcer patients: Results from a randomized controlled trial.

    abstract：OBJECTIVE:Investigating the effectiveness of the Lively Legs program for promoting adherence with ambulant compression therapy and physical exercise as well as effects on leg ulcer recurrence. DESIGN:A randomized controlled trial. SETTING:Eleven outpatient clinics for dermatology in the Netherlands participated in th...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.ijnurstu.2011.09.005

    authors： Heinen M,Borm G,van der Vleuten C,Evers A,Oostendorp R,van Achterberg T

    更新日期：2012-02-01 00:00:00

  • Factors contributing to registered nurse medication administration error: a narrative review.

    abstract：OBJECTIVE:To explore the factors contributing to Registered Nurse medication administration error behaviour. DESIGN:A narrative review. DATA SOURCES:Electronic databases (Cochrane, CINAHL, MEDLINE, BNI, EmBase, and PsycINFO) were searched from 1 January 1999 to 31 December 2012 in the English language. 1127 papers we...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijnurstu.2014.07.003

    authors： Parry AM,Barriball KL,While AE

    更新日期：2015-01-01 00:00:00

  • Adolescents' and young adults' transition experiences when transferring from paediatric to adult care: a qualitative metasynthesis.

    abstract：OBJECTIVES:The objective of this study was to synthesize qualitative studies of how adolescents and young adults with chronic diseases experience the transition from paediatric to adult hospital care. DESIGN:The review is designed as a qualitative metasynthesis and is following Sandelowski and Barroso's guidelines for...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.ijnurstu.2013.02.001

    authors： Fegran L,Hall EO,Uhrenfeldt L,Aagaard H,Ludvigsen MS

    更新日期：2014-01-01 00:00:00

  • A model for nursing using anthropological literature.

    abstract：:This paper describes the usefulness of the incorporation of medical anthropology into the nursing process. It suggests that in order to plan comprehensive patient care, much more attention needs to be paid to lay concepts of illness and causation of illness. This must take place at the assessment stage. If it does not...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/0020-7489(89)90003-5

    authors： Littlewood J

    更新日期：1989-01-01 00:00:00

  • Views of the Therapeutic Environment (VOTE): stakeholder involvement in measuring staff perceptions of acute in-patient care.

    abstract：BACKGROUND:The impact of staff perceptions of daily work pressures on burnout requires further exploration because both issues may be adversely affecting the quality of staff interactions with service users. OBJECTIVES:To use a model of 'stakeholder involvement' to develop and test a self-report instrument capturing n...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2012.06.001

    authors： Laker C,Rose D,Flach C,Csipke E,McCrone P,Craig T,Kelland H,Wykes T

    更新日期：2012-11-01 00:00:00

  • Effects of life review on mental health and well-being among cancer patients: A systematic review.

    abstract：BACKGROUND:Cancer patients often experience psychological distress. Life review has increasingly been used to enhance their mental health and well-being. However, no systematic review has synthesized the evidence, and its effects remain unclear. OBJECTIVE:To examine and synthesize the best available evidence on the ef...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijnurstu.2017.06.012

    authors： Zhang X,Xiao H,Chen Y

    更新日期：2017-09-01 00:00:00

  • Utility of the Oswestry Disability Index for studies of back pain related disability in nurses: evaluation of psychometric and measurement properties.

    abstract：BACKGROUND:Disability due to back pain in nurses results in reduced productivity, work absenteeism and attrition from the nursing workforce internationally. Consistent use of outcome measures is needed in intervention studies to enable meta-analyses that determine efficacy of back pain preventive programs. OBJECTIVE:T...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2009.10.013

    authors： Dawson AP,Steele EJ,Hodges PW,Stewart S

    更新日期：2010-05-01 00:00:00

  • The association of eating performance and environmental stimulation among older adults with dementia in nursing homes: A secondary analysis.

    abstract：BACKGROUND:Nursing home residents with dementia experience increased risk for compromised eating performance due to intrapersonal, interpersonal, and environmental factors. Environmental stimulation is physical, social, and/or sensory stimulation present in the environment that can potentially trigger individuals' emot...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2017.03.004

    authors： Liu W,Jao YL,Williams K

    更新日期：2017-06-01 00:00:00

  • A study of stress and burnout in nursing students in Hong Kong: a questionnaire survey.

    abstract：BACKGROUND:Stress in nursing students may be related to attrition from nursing programmes and lead to a shortage of nurses entering clinical careers. In addition, stress leads to psychological morbidity which may have profound adverse consequences for individual nursing students. OBJECTIVES:To follow a cohort of nursi...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2007.11.003

    authors： Watson R,Deary I,Thompson D,Li G

    更新日期：2008-10-01 00:00:00