Nurses' perception of implicit nursing care rationing in Croatia—A cross‐sectional multicentre study

Journal of Nursing ManagementVolume 28, Issue 8 p. 2230-2239 SPECIAL ISSUE PAPER Nurses' perception of implicit nursing care rationing in Croatia—A cross-sectional multicentre study Adriano Friganovic RN, BSN, MSN, Corresponding Author Adriano Friganovic RN, BSN, MSN Head Nurse, Senior Lecturer adriano@hdmsarist.hr orcid.org/0000-0002-9528-6464 University Hospital Centre Zagreb, Zagreb, Croatia University of Applied Health Sciences, Zagreb, Croatia Correspondence Adriano Friganović, Department of Anaesthesiology and Intensive Care, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia. Email: adriano@hdmsarist.hrSearch for more papers by this authorSlađana Režić RN, BSN, MSN, Slađana Režić RN, BSN, MSN Head Nurse, Lecturer University Hospital Centre Zagreb, Zagreb, Croatia University of Applied Health Sciences, Zagreb, CroatiaSearch for more papers by this authorBiljana Kurtović RN, BSN, MSN, PhD, Biljana Kurtović RN, BSN, MSN, PhD Lecturer University of Applied Health Sciences, Zagreb, CroatiaSearch for more papers by this authorSandro Vidmanić RN, BSN, MSN, Sandro Vidmanić RN, BSN, MSN Nurse Anesthetists University Hospital Centre Rijeka, Rijeka, CroatiaSearch for more papers by this authorRenata Zelenikova RN, PhD, Renata Zelenikova RN, PhD Lecturer orcid.org/0000-0003-1491-6696 Faculty of Medicine, Department of Nursing and Midwifery, University of Ostrava, Ostrava, Czech RepublicSearch for more papers by this authorCecilija Rotim RN, BSN, MSN, Cecilija Rotim RN, BSN, MSN Head Nurse University of Applied Health Sciences, Zagreb, Croatia Teaching Institute of Public Health Andrija Stampar, Zagreb, CroatiaSearch for more papers by this authorVesna Konjevoda RN, BSN, MSN, Vesna Konjevoda RN, BSN, MSN Head Nurse University Hospital Sveti Duh, Zagreb, CroatiaSearch for more papers by this authorBiserka Režek RN, BSN, MSN, Biserka Režek RN, BSN, MSN Head Nurse University Hospital Centre Sestre milosrdnice, Zagreb, CroatiaSearch for more papers by this authorSanja Piškor RN, BSN, MSN, Sanja Piškor RN, BSN, MSN Head Nurse University Hospital Dubrava, Zagreb, CroatiaSearch for more papers by this author Adriano Friganovic RN, BSN, MSN, Corresponding Author Adriano Friganovic RN, BSN, MSN Head Nurse, Senior Lecturer adriano@hdmsarist.hr orcid.org/0000-0002-9528-6464 University Hospital Centre Zagreb, Zagreb, Croatia University of Applied Health Sciences, Zagreb, Croatia Correspondence Adriano Friganović, Department of Anaesthesiology and Intensive Care, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia. Email: adriano@hdmsarist.hrSearch for more papers by this authorSlađana Režić RN, BSN, MSN, Slađana Režić RN, BSN, MSN Head Nurse, Lecturer University Hospital Centre Zagreb, Zagreb, Croatia University of Applied Health Sciences, Zagreb, CroatiaSearch for more papers by this authorBiljana Kurtović RN, BSN, MSN, PhD, Biljana Kurtović RN, BSN, MSN, PhD Lecturer University of Applied Health Sciences, Zagreb, CroatiaSearch for more papers by this authorSandro Vidmanić RN, BSN, MSN, Sandro Vidmanić RN, BSN, MSN Nurse Anesthetists University Hospital Centre Rijeka, Rijeka, CroatiaSearch for more papers by this authorRenata Zelenikova RN, PhD, Renata Zelenikova RN, PhD Lecturer orcid.org/0000-0003-1491-6696 Faculty of Medicine, Department of Nursing and Midwifery, University of Ostrava, Ostrava, Czech RepublicSearch for more papers by this authorCecilija Rotim RN, BSN, MSN, Cecilija Rotim RN, BSN, MSN Head Nurse University of Applied Health Sciences, Zagreb, Croatia Teaching Institute of Public Health Andrija Stampar, Zagreb, CroatiaSearch for more papers by this authorVesna Konjevoda RN, BSN, MSN, Vesna Konjevoda RN, BSN, MSN Head Nurse University Hospital Sveti Duh, Zagreb, CroatiaSearch for more papers by this authorBiserka Režek RN, BSN, MSN, Biserka Režek RN, BSN, MSN Head Nurse University Hospital Centre Sestre milosrdnice, Zagreb, CroatiaSearch for more papers by this authorSanja Piškor RN, BSN, MSN, Sanja Piškor RN, BSN, MSN Head Nurse University Hospital Dubrava, Zagreb, CroatiaSearch for more papers by this author First published: 12 March 2020 https://doi.org/10.1111/jonm.13002Citations: 10Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Aim To examine Croatian nurses’ perception of implicit nursing care rationing and the patient safety culture from the perspective of acute care hospital staff. Background In the past three decades, the Croatian health system has undergone numerous transformations driven by geopolitical, legal, financial, demographic, scientific and technological progress. These changes have led to systemic changes in the structure, organisation, financing and delivery of health care, and thus, of nursing care. Methods A cross-sectional study of 438 nurses was conducted at four university hospitals in Croatia, based on the Perceived Implicit Rationing of Nursing Care Questionnaire. Results A lower assessment of the quality of care in the unit is associated with a higher score on the Perceived Implicit Rationing of Nursing Care Questionnaire, r = –.379, p < .001. A lower satisfaction with the current workplace is associated with a higher score on the Perceived Implicit Rationing of Nursing Care Questionnaire, r = −.432, p < .001. Conclusion The perception of nurses in Croatia indicates that the implications of nursing care rationing and dissatisfaction with their post in acute care hospital units are closely related to poor quality of nursing care provided to patients. Implications for Nursing Management Based on these results, nurse managers should take their nurses’ perceptions of implicit nursing care rationing into consideration in order to develop strategies to improve nursing care delivery, nursing satisfaction and, consequently, better nursing care quality. Citing Literature Volume28, Issue8November 2020Pages 2230-2239 RelatedInformation