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      Rationing of Nursing Care and Professional Burnout Among Nurses Working in Cardiovascular Settings

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          Abstract

          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 Maslach Burnout Inventory (MBI).

          Results: The total mean BERNCA-R score was 1.38 (SD = 0.62), while the total MBI score amounted to 38.14 (SD = 22.93). The specific components of professional burnout yielded the values: emotional exhaustion ( M = 44.8), job dissatisfaction ( M = 40.66), and depersonalisation ( M = 28.95). Multiple linear regression showed that independent predictors of BERNCA-R score were emotional exhaustion, depersonalisation, job dissatisfaction, and multi-jobs activity ( p < 0.001).

          Conclusion: The level of rationing of nursing care in cardiovascular facilities increases along with emotional exhaustion, depersonalisation and job dissatisfaction, and multi-jobs activity.

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          Most cited references44

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          World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.

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            Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.

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              Job burnout.

              Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job, and is defined by the three dimensions of exhaustion, cynicism, and inefficacy. The past 25 years of research has established the complexity of the construct, and places the individual stress experience within a larger organizational context of people's relation to their work. Recently, the work on burnout has expanded internationally and has led to new conceptual models. The focus on engagement, the positive antithesis of burnout, promises to yield new perspectives on interventions to alleviate burnout. The social focus of burnout, the solid research basis concerning the syndrome, and its specific ties to the work domain make a distinct and valuable contribution to people's health and well-being.
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                06 October 2021
                2021
                : 12
                : 726318
                Affiliations
                [1] 1Department of Clinical Nursing, Faculty of Health Sciences, Wrocław Medical University , Wrocław, Poland
                [2] 2Department of Healthcare, Higher School of Applied Sciences in Ruda Śląska , Ruda Śląska, Poland
                [3] 3Laboratory of Ergonomics and Biomedical Monitoring, Wrocław Medical University , Wrocław, Poland
                [4] 4Faculty of Health Sciences, University of Opole , Opole, Poland
                [5] 5Department of Gerontology and Geriatric Nursing, Faculty of Health Sciences, Medical University of Silesia , Katowice, Poland
                Author notes

                Edited by: Krystyna Kowalczuk, Medical University of Bialystok, Poland

                Reviewed by: Luigi Isaia Lecca, University of Cagliari, Italy; Dragan Mijakoski, Institute of Occupational Health of RNM, North Macedonia

                *Correspondence: Izabella Uchmanowicz, izabella.uchmanowicz@ 123456umed.wroc.pl

                This article was submitted to Health Psychology, a section of the journal Frontiers in Psychology

                Article
                10.3389/fpsyg.2021.726318
                8527187
                34690885
                e387aa6c-90b0-4ca9-9d02-a3de795ada50
                Copyright © 2021 Uchmanowicz, Kubielas, Serzysko, Kołcz, Gurowiec and Kolarczyk.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 16 June 2021
                : 27 August 2021
                Page count
                Figures: 0, Tables: 5, Equations: 0, References: 44, Pages: 9, Words: 7589
                Categories
                Psychology
                Original Research

                Clinical Psychology & Psychiatry
                rationing of nursing care,burnout,nurses,bernca-r,mbi,job satisfaction,emotional exhaustion,depersonalisation

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