Evidence map›Paper›PMID 41695550›Full record

ArticleJournal of nursing management2026

The Relationship Between the Rationing of Nursing Care, Job Satisfaction, and Burnout Among Nurses in Northwestern Poland.

Małgorzata Szkup, Daria Schneider-Matyka, Kamila Rachubińska, Marzanna Stanisławska, Ewa Kupcewicz, Elżbieta Grochans, Anna Maria Cybulska

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Małgorzata SzkupDepartment of Social Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St 71-210, Szczecin, Poland, pum.edu.pl.ORCID https://orcid.org/0000-0002-1349-8069
Daria Schneider-MatykaDepartment of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St, Szczecin, 71-210, Poland, pum.edu.pl.ORCID https://orcid.org/0000-0002-0303-9504
Kamila RachubińskaDepartment of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St, Szczecin, 71-210, Poland, pum.edu.pl.ORCID https://orcid.org/0000-0003-2200-3766
Marzanna StanisławskaDepartment of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St, Szczecin, 71-210, Poland, pum.edu.pl.ORCID https://orcid.org/0000-0002-4867-9732
Ewa KupcewiczDepartment of Nursing, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland, uwm.edu.pl.ORCID https://orcid.org/0000-0002-0641-3979
Elżbieta GrochansDepartment of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St, Szczecin, 71-210, Poland, pum.edu.pl.ORCID https://orcid.org/0000-0002-3679-7002
Anna Maria CybulskaDepartment of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St, Szczecin, 71-210, Poland, pum.edu.pl.ORCID https://orcid.org/0000-0002-6912-287X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rationing of nursing care, understood as the omission or inadequate performance of professional activities, is a phenomenon observed in medical care facilities around the world. It results not only in the risk of reducing patient trust and satisfaction with the care provided but also in adverse events that can significantly reduce patient safety. Aim: The aim of this study was to search for factors contributing to the rationing of care by Polish nurses. Material and Methods: This survey-based study, which involved 528 nurses from northwestern Poland, was performed in 2023. It was performed using a tool of our own design and three standardized questionnaires: the Basel Extent of Rationing of Nursing Care-Revised (BERNCA-R), the Satisfaction with Job Scale (SWJS), and the Maslach Burnout Inventory (MBI). Results: The average BERNCA-R score was 1.52 points (SD = 0.95), which indicates a low level of rationing care by the surveyed nurses. Analysis of the SWJS results revealed that the respondents were rather dissatisfied with their work. The MBI confirmed high levels of burnout in all three subscales: emotional exhaustion (58.33%), depersonalization (55.3%), and personal accomplishment (83.5%). Linear regression analysis showed that in both univariate and multivariate models, the MBI emotional exhaustion subscale score, working 12 or 24 h shifts, and caring for a group of 11-20 patients were direct, independent predictors of rationing of nursing care as measured by the BERNCA-R. Job satisfaction, due to its statistical significance verified by multivariate analysis, was an independent predictor ( Conclusions: The phenomenon of nursing care rationing is associated with increased workload, low job satisfaction, and emotional exhaustion.

Indexed as

Burnout, ProfessionalHealth Care RationingJob SatisfactionNursesNursing CareAdultEmotional ExhaustionFemaleHumansMaleMiddle AgedPolandPsychometricsSurveys and QuestionnairesBERNCA-Rjob burnoutjob satisfactionnursing carerationing of nursing care

Identifiers

PMID41695550
PMCPMC12903534

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.