The nursing practice refers to a wide range of tasks and responsibilities. In a situation where there is a problem of limited resources, nurses are forced to ration the patient’s care—that is, minimize and skip some tasks. The main purpose of this work was to assess the rationing level of nursing care among staff in the intensive care units. Methods: The research included 150 anaesthesiological nurses in the Silesian Region in Poland. The research was conducted from July to October 2019 using the standardized Perceived Implicit Rationing of Nursing Care (PRINCA) questionnaire on rationing nursing care, assessing the quality of patient care, and job satisfaction. The Modified Fatigue Impact Scale (MFIS) standardized questionnaire was used to assess the level of fatigue of respondents in the physical, cognitive, and psychosocial spheres. Results: Sociodemographic factors, such as gender, age, place of residence, education, seniority, and type of employment were not found to affect the rationing level of nursing care in the intensive care unit. The average quality of patient care was 6.05/10 points, while the average job satisfaction rating was 7.13/10 points. Analysis of the MFIS questionnaire showed that respondents experienced fatigue between “rare” and “sometimes”, and nursing staff fatigue was the main factor for rationing care. Conclusions: The higher the level of fatigue, the greater the rationing of care and the less satisfaction from work.

中文翻译：

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重症监护病房的定量护理

护理实践涉及各种各样的任务和职责。在存在资源有限的问题的情况下，护士被迫对患者的护理进行定量分配，即减少并跳过某些任务。这项工作的主要目的是评估重症监护室工作人员的护理定量配给水平。方法：研究包括波兰西里西亚地区的150名麻醉护士。该研究于2019年7月至2019年10月进行，采用了标准化的护理人员隐性定量配给量（PRINCA）调查表，用于定量配给护理，评估患者护理质量和工作满意度。改良疲劳影响量表（MFIS）标准化问卷用于评估受访者在身体，认知和社会心理领域的疲劳程度。结果：没有发现社会人口统计学因素，例如性别，年龄，居住地点，受教育程度，资历和工作类型，不会影响重症监护病房的护理配给水平。病人护理的平均质量为6.05 / 10分，而平均工作满意度为7.13 / 10分。对MFIS问卷的分析表明，受访者在“稀有”和“有时”之间经历了疲劳，而护理人员的疲劳是配给护理的主要因素。结论：疲劳程度越高，护理分配就越多，工作满意度就越低。05/10分，而平均工作满意度为7.13 / 10分。对MFIS问卷的分析表明，受访者在“稀有”和“有时”之间经历了疲劳，而护理人员的疲劳是配给护理的主要因素。结论：疲劳程度越高，护理分配就越多，工作满意度就越低。05/10分，而平均工作满意度为7.13 / 10分。对MFIS问卷的分析表明，受访者在“稀有”和“有时”之间经历了疲劳，而护理人员的疲劳是配给护理的主要因素。结论：疲劳程度越高，护理分配就越多，工作满意度就越低。