The problem of rationing nursing care is common and present all over the world, which is a direct threat to the health and life of patients. The aim of the study was to assess the level of rationing care, fatigue, job satisfaction and occupational burnout and to assess the relationship between them and age, length of service and the number of jobs. A survey was performed among 130 Polish nurses in urology departments using the following questionnaires: Link Burnout Questionnaire, Job Satisfaction Scale, Nursing Care Rationing Scale and Modified Fatigue Impact Scale. Nursing care is rarely rationed—1.11 points; the experience of fatigue ranges between sometimes and often—52.58 points; and job satisfaction is at an average level—17.23 points. The level of rationing nursing care in urology departments is similar to that in other departments. This requires minor changes to the work of nurses to reduce the workload. Employers should develop implementation programs for young workers in order to avoid burnout and also invest in factors increasing nurses’ satisfaction, such as the atmosphere at work.

Background: The problem of care rationing is widespread all over the world and results from many factors affecting nurses. These factors may result from the environment in which the nurses work, e.g., the atmosphere at work, or may not be related to work, e.g., place of residence. The aim of this study was to examine the impact of sociodemographic factors (place of residence, satisfaction with the financial situation, number of forms of postgraduate education, work system, number of patients per nurse, number of diseases) on care rationing, job satisfaction and quality of nursing care. Methods: The study is a cross-sectional study which includes 130 nurses from all over Poland who work in urology wards. The criteria for inclusion were consent to the examination, practicing the profession of a nurse, work in the urology department and work experience of at least 6 months, regardless of the number of hours worked (full-time/part-time). The study was conducted using the standardized PIRNCA (Perceived Implicit Rationing of Nursing Care) questionnaire. Results: The average rationing nursing care was 1.11/3 points which means nursing care was rarely rationed. The average job satisfaction was 5.95/10 points, and the assessment of the quality of patient care was 6.88/10 points, which means a medium level of the job satisfaction and the quality of patient care. The rationing of care was affected by the number of nurse illnesses; job satisfaction was influenced by the place of residence and satisfaction with the financial situation, while the quality of care was not influenced by any of the analyzed factors. Conclusions: The result of care rationing is at a similar level as the results in Poland and abroad. Despite the rare rationing of care, employers should take corrective action, especially in terms of increasing the staff and health prevention of nurses.

(1) Background: Job satisfaction and professional burnout directly impact human life, depending on various professional, non-professional, and private determinants. Nurses, in particular, are highly susceptible to experiencing professional burnout, which, when combined with job satisfaction, significantly affects the quality of their services. This study aimed to assess the level of job satisfaction and job burnout among nurses working in urology departments, as well as the impact of sociodemographic factors. (2) Methods: The study involved 130 nurses working in urology departments in Poland. Researchers conducted an anonymous questionnaire comprising a sociodemographic section and two standardized questionnaires: the Link Burnout Questionnaire (LBQ) and the Scale of Job Satisfaction (SSP). (3) Results: The study group demonstrated an average level of job satisfaction (17.23 points) and an average level of professional burnout, indicating potential symptoms of professional burnout such as psychophysical exhaustion (22.29 points), lack of commitment to patient relationships (20.02 points), feelings of professional ineffectiveness (17.37 points), and disappointment (19.66 points). (4) Conclusions: The levels of job satisfaction and professional burnout among nurses in urology departments are comparable to those in other departments and countries. Medical facilities should take into account factors influencing job satisfaction and the risk of professional burnout when addressing employment conditions.

Introduction: Nursing as a profession is still changing, developing and seeking a place in the healthcare system. It also defines a new tasks and competencies in response to increasing patients’ needs and changing environment. Nursing tasks include not only strictly clinical tasks, but also non-nursing tasks that are necessary to carry out the treatment process such as logistics processes. The main aim of the study was to assess the level of knowledge of nurses about logistics processes and to assess the perception of the role of a nurse in selected hospital logistics processes. An additional objective was to assess the frequency of application of the 7R principle (the right product, in the right quantity, in the right condition, to the right place, at the right time, for the right customer/patient, at the right cost). Materials and methods: This is a cross-sectional study. In the study, 152 nurses participated. The original questionnaire included a sociodemographic and logistical section, which consisted of questions about the definition of the logistics process and its understanding, respondents’ participation in logistics processes, and the occurrence of logistics processes in the workplace. The nurses’ knowledge was assessed through five questions, and the results could range from 1 to 6 points. Four questions were used to analyze the role of nurses in logistics processes, with possible scores ranging from 2 to 9 points. The frequency of the 7Rs principle usage ranged from 0 to 35 points. Results: The level of respondents’ knowledge was moderate, with an average score of 4.67 points, and more than half of the nurses were characterized by a high level of knowledge about logistics processes (51.32%). The role of the nurse in the logistics process was assessed as moderately important, with a score of 5.91 points. The 7Rs principle was applied ‘sometimes,’ achieving a score of 26.67 points. Conclusions: Although logistics as a science is not widely included in nursing education and practice, respondents reported a moderate level of knowledge and assessed the role of nurses in logistics processes as moderately significant, suggesting that logistics is important in the work of nurses.

Background: Fatigue is a multifaceted and intricate condition resulting from high demands at work and within the healthcare system, as well as from personal factors and inadequate energy recovery. It can be triggered by a variety of predictors, including lifestyle choices, environmental conditions, and both physical and mental health issues. A particularly significant factor contributing to fatigue among nurses has been the COVID-19 pandemic, which has profoundly impacted their lives, work, and perspectives on their profession.Purpose: The aim of the study was to examine the fatigue levels among nurses working in urological wards and the sociodemographic factors related to them.Methods: This is a cross-sectional study among 130 urological nurses. The questionnaire included the modified fatigue impact scale (MFIS) and metrics.Results: In our study, the mean fatigue rating was 52.68 (±16.06) points, and in the individual areas of the MFIS questionnaire, it was 24.10 (±7.34) points in physical functioning, 25.46 (±8.44) points in cognitive functions, and 5.76 (±2.13) points in psychosocial functions, suggesting that fatigue levels range between “sometimes” and “often” factors such as marital status, the number of illnesses among nurses, and the patient-to-nurse ratio are associated with the level of fatigue.Conclusion: There is a need to conduct more studies that will penetrate the fatigue experienced by nurses and the factors associated with it, especially the components related to marital status and health conditions among nurses. There is still a serious problem with nurse shortages, which cause fatigue and require more systemic solutions than just legal regulations.

Introduction: Prostate benign hyperplasia affects a significant number of men over 50 years, often causing symptoms in the lower urinary tract. While, prostate cancer is the most common cancer in recent decades. Aim: The aim of the study was assessment of the level of illness acceptance, sexual, and urinary disorders among men with prostate cancer or benign prostatic hyperplasia. Methods: In the study, 100 patients who have been treated in the urology departments because of benign hyperplasia or prostate cancer participated. The Acceptance of Illness Scale (AIS), International Index of Erectile Function (IIEF-15), and International Prostate Symptom Scale (IPSS) were used in the research. Results: The respondents weakly accepted their illness (26.9 points). The intensity of symptoms accompa-nying prostate diseases was moderate (18.8 points), and they were mainly characterized by moderate disor-ders in the IIEF-15 scale (erectile function — 9.3 pts, orgasmic function — 2.9 pts, sexual desire — 5.1 pts, intercourse satisfaction — 3.7 pts, overall satisfaction — 4.4 pts). There are statistically significant differences in the acceptance of illness due to marital status and treatment method. There is also a statistically significant correlation between the level of symptoms accompanying prostate diseases (IPSS), illness acceptance (AIS), and the level of sexual disorders in overall satisfaction (OS). Conclusions: A low level of illness acceptance, moderate severity of symptoms related to urination, and serious sexual disorders suggest the implementation of broader help for patients, including psychological, sexological, urological, and other specialists. The outcomes showed how difficult the condition of prostate disease is for men, including sexual and urination disorders.