Joanna Rosinczuk
Wroclaw Medical Univeristy, Poland
Abstract Title: Factors Influencing the Rationing of Nursing Care
Biography: Prof. Dr. Joanna Rosińczuk is a specialist in neurological nursing, conservative nursing, and public health. She completed postgraduate studies in research methodology and an Executive MBA in healthcare. Dean of the Faculty of Health Sciences at the Medical University of Wrocław, Head of the Department of Internal Medicine Nursing. Professor Department of Nursing University in Presov. Her scientific achievements include 504 publications, an IF of 243,473 points, and an IH of 24. She has supervised 25 defended doctoral dissertations and three ongoing dissertations. She is a member of the Senate of the Medical University of Wrocław and a member of the Disciplinary Council for Health Sciences. Professor Rosińczuk is also the Vice President of ISSA. From 2021 to 2024, she ranked among the top 2% of scientists in the world – the most frequently cited scientists. She actively participated in over 100 international and national conferences and numerous training courses and workshops.
Research Interest: Rationing of nursing care is a significant challenge in modern healthcare systems, directly affecting both patient safety and the well-being of nursing staff. The aim of this study was to identify factors influencing the level of nursing care rationing and to examine the role of job and life satisfaction in this process. The study included 403 nurses participating in postgraduate training courses in Wrocław. Data were collected using the BERNCA-R questionnaire, the Job Satisfaction Scale (SSP), the Satisfaction with Life Scale (SWLS), and an author-designed sociodemographic survey. The mean BERNCA-R score was 1.61, indicating that rationing occurred between “never” and “rarely.” Significantly lower levels of rationing were observed among nurses over 50 years of age, those with more than 20 years of professional experience, working in an 8-hour shift system, and caring for 1–5 patients per shift. Higher job satisfaction was significantly associated with less frequent rationing of nursing care, while life satisfaction showed no direct influence. Linear regression models identified education level, monthly income, and scores from the SSP and SWLS as independent predictors of rationing. Overall, the nurses reported moderate levels of job and life satisfaction, with the highest values found among older nurses, those with higher education, and those caring for fewer patients. The results indicate that greater satisfaction with work and life corresponds to a lower frequency of care rationing. These findings highlight the need for continuous monitoring of workload, strengthening mental well-being among nurses, and implementing organizational strategies that support job satisfaction and help minimize the risk of nursing care rationing.