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Resource allocation and rationing in nursing care: A discussion paper
- Source :
- Nursing Ethics, Nursing Ethics, London : SAGE, 2019, Vol. 26, iss. 5, p. 1528-1539
- Publication Year :
- 2018
-
Abstract
- Driven by interests in workforce planning and patient safety, a growing body of literature has begun to identify the reality and the prevalence of missed nursing care, also specified as care left undone, rationed care or unfinished care. Empirical studies and conceptual considerations have focused on structural issues such as staffing, as well as on outcome issues – missed care/unfinished care. Philosophical and ethical aspects of unfinished care are largely unexplored. Thus, while internationally studies highlight instances of covert rationing/missed care/care left undone – suggesting that nurses, in certain contexts, are actively engaged in rationing care – in terms of the nursing and nursing ethics literature, there appears to be a dearth of explicit decision-making frameworks within which to consider rationing of nursing care. In reality, the assumption of policy makers and health service managers is that nurses will continue to provide full care – despite reducing staffing levels and increased patient turnover, dependency and complexity of care. Often, it would appear that rationing/missed care/nursing care left undone is a direct response to overwhelming demands on the nursing resource in specific contexts. A discussion of resource allocation and rationing in nursing therefore seems timely. The aim of this discussion paper is to consider the ethical dimension of issues of resource allocation and rationing as they relate to nursing care and the distribution of the nursing resource. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This article is based upon work from COST Action RANCARE CA15208, supported by COST (European Cooperation in Science and Technology). peer-reviewed
- Subjects :
- Social Sciences
Medical and Health Sciences
Nursing care
Empirical research
Surveys and Questionnaires
Social Sciences - Other Topics
missed nursig care
rationing
Resource allocation
health care economics and organizations
PUBLIC MANAGEMENT
Health Care Rationing
030504 nursing
Nursing ethics
missed nursing care
Rationing
EDUCATION
06 humanities and the arts
Workforce planning
care left undone
nursing care
resource allocation
Original Manuscripts
0305 other medical science
Psychology
Life Sciences & Biomedicine
medicine.medical_specialty
Ressursallokering
Omsorg
Staffing
Nursing
0603 philosophy, ethics and religion
03 medical and health sciences
Patient safety
Care left undone
Health Sciences
medicine
Humans
Missed nursing care
Ethics
Science & Technology
AUSTERITY
Issues, ethics and legal aspects
Covert
HOSPITALS
Nursing Care
060301 applied ethics
Ireland
Sykepleie
Subjects
Details
- Language :
- English
- ISSN :
- 09697330 and 14770989
- Database :
- OpenAIRE
- Journal :
- Nursing Ethics, Nursing Ethics, London : SAGE, 2019, Vol. 26, iss. 5, p. 1528-1539
- Accession number :
- edsair.doi.dedup.....2e3d7189666d8e8ddbef2ef0340a44ee