Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study

Objectives To develop a Polish adaptation of the Perceived Implicit Rationing of Nursing Care (PIRNCA)questionnaire.Design Cross-sectional validation study.Settings Nurses working in surgical and cancer wards in Poland.Participants A sample of 513 professionally active nurses was enrolled in the stu...

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Main Authors: Izabella Uchmanowicz, Joanna Rosińczuk, Aleksandra Kołtuniuk, Agnieszka Młynarska, Katarzyna Łagoda, Izabela Witczak, Terry Jones
Format: Article
Language:English
Published: BMJ Publishing Group 2020-04-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/4/e031994.full
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author Izabella Uchmanowicz
Joanna Rosińczuk
Aleksandra Kołtuniuk
Agnieszka Młynarska
Katarzyna Łagoda
Izabela Witczak
Terry Jones
author_facet Izabella Uchmanowicz
Joanna Rosińczuk
Aleksandra Kołtuniuk
Agnieszka Młynarska
Katarzyna Łagoda
Izabela Witczak
Terry Jones
author_sort Izabella Uchmanowicz
collection DOAJ
description Objectives To develop a Polish adaptation of the Perceived Implicit Rationing of Nursing Care (PIRNCA)questionnaire.Design Cross-sectional validation study.Settings Nurses working in surgical and cancer wards in Poland.Participants A sample of 513 professionally active nurses was enrolled in the study.Intervention To complete a Polish translation of the full original PIRNCA questionnaire.Primary and secondary outcome measures The primary outcome was translation and adaptation of the full original PIRNCA tool and its validation to the Polish conditions. The secondary outcome was determination of relationships between sociodemographic variables, nurses’ assessment of patient care quality and their overall job satisfaction on the one hand, and PIRNCA scores on the other.Results The respondents’ mean score was 1.27 points (SD=0.68) on a scale from 0 to 3. Cronbach’s alpha for the entire instrument was 0.957. All items of the questionnaire were found to have a positive item-total correlation. The developed linear regression model showed that nurses’ assessment of patient care quality and their overall job satisfaction were independent predictors of PIRNCA scores (p<0.05). 94.15% of nurses reported rationing at least one of the 31 care activities.Conclusions The present findings indicate a high level of reliability and validity of the translated PIRNCA questionnaire, fully comparable to that of the original. The questionnaire can be used for the assessment of PIRNCA in Polish hospitals.
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spelling doaj-art-8a516605d4ba497e8c7e440178a60b792024-12-03T16:15:09ZengBMJ Publishing GroupBMJ Open2044-60552020-04-0110410.1136/bmjopen-2019-031994Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation studyIzabella Uchmanowicz0Joanna Rosińczuk1Aleksandra Kołtuniuk2Agnieszka Młynarska3Katarzyna Łagoda4Izabela Witczak5Terry Jones6Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, PolandDepartment of Nervous System Diseases, Wroclaw Medical University, Wroclaw, PolandDepartment of Nervous System Diseases, Wroclaw Medical University, Wroclaw, PolandDepartment of Gerontology and Geriatric Nursing, Medical University of Silesia, Katowice, PolandDepartment of Clinical Medicine, Medical University of Bialystok, Bialystok, PolandDepartment of Economics and Quality in Health Care, Wroclaw Medical University, Wroclaw, PolandDepartment of Adult Health and Nursing Systems, Virginia Commonwealth University School of Nursing, Richmond, Virginia, USAObjectives To develop a Polish adaptation of the Perceived Implicit Rationing of Nursing Care (PIRNCA)questionnaire.Design Cross-sectional validation study.Settings Nurses working in surgical and cancer wards in Poland.Participants A sample of 513 professionally active nurses was enrolled in the study.Intervention To complete a Polish translation of the full original PIRNCA questionnaire.Primary and secondary outcome measures The primary outcome was translation and adaptation of the full original PIRNCA tool and its validation to the Polish conditions. The secondary outcome was determination of relationships between sociodemographic variables, nurses’ assessment of patient care quality and their overall job satisfaction on the one hand, and PIRNCA scores on the other.Results The respondents’ mean score was 1.27 points (SD=0.68) on a scale from 0 to 3. Cronbach’s alpha for the entire instrument was 0.957. All items of the questionnaire were found to have a positive item-total correlation. The developed linear regression model showed that nurses’ assessment of patient care quality and their overall job satisfaction were independent predictors of PIRNCA scores (p<0.05). 94.15% of nurses reported rationing at least one of the 31 care activities.Conclusions The present findings indicate a high level of reliability and validity of the translated PIRNCA questionnaire, fully comparable to that of the original. The questionnaire can be used for the assessment of PIRNCA in Polish hospitals.https://bmjopen.bmj.com/content/10/4/e031994.full
spellingShingle Izabella Uchmanowicz
Joanna Rosińczuk
Aleksandra Kołtuniuk
Agnieszka Młynarska
Katarzyna Łagoda
Izabela Witczak
Terry Jones
Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study
BMJ Open
title Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study
title_full Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study
title_fullStr Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study
title_full_unstemmed Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study
title_short Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study
title_sort polish adaptation and validation of the perceived implicit rationing of nursing care pirnca questionnaire a cross sectional validation study
url https://bmjopen.bmj.com/content/10/4/e031994.full
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