A Newly Developed Egyptian Tool for Evaluating Rationing of Nursing Care: Relation to Organization Attributes and Patient Outcomes

Abstract

Background and PurposeManagers have diverted their attention to developing strategies for managing nursing work. Develop an Egyptian tool for evaluating rationing of nursing care in critical units and its association with nursing organization attributes and six nurse-sensitive patient outcomes.MethodsRationing of the nursing care questionnaire and concurrent record review were conducted to collect data.ResultsDeveloped Egyptian tool of rationing of nursing care contained 36 items in six components. Adverse patient outcomes were detected as medication administration errors (27.9%), pulmonary infection (24.5%), pressure ulcer (20.3%), bloodstream infections (12.6%), urinary tract infections (10.3%), and patient falls (4.7%). The mild level of rationing of nursing care was positively associated with negative patient outcomes and negatively correlated with fair nursing organization attributes.ConclusionThe valid and reliable Egyptian tool for evaluating the rationing of nursing care was developed.