@article{3185057,
    title = "Resource allocation and rationing in nursing care: A discussion paper",
    author = "Scott, P. Anne and Harvey, Clare and Felzmann, Heike and Suhonen, Riitta and and Habermann, Monika and Halvorsen, Kristin and Christiansen, Karin and and Toffoli, Luisa and Papastavrou, Evridiki and Evridiki, Papastavrou and and Chryssoula, Lemonidou and Walter, Sermeus and Maria, Schubert and and Riitta, Suhonen and Olga, Riklikiene and Rengin, Acaroglu and Panayiota, and Andreou and Darijana, Antonic and Dietmar, Ausserhofer and Christophe, and Baret and Helen, Bosch-Leertouwer and Helga, Bragadottir and Luk, and Bruyneel and Karin, Christiansen and Ruta, Ciutiene and Raul, Cordeiro and and Liana, Deklava and Suzanne, Dhaini and Anat, Drach-Zahavy and and Georgios, Eftathiou and Sigal, Ezra and Fuster, Pilan and Joanna, Gotlib and and Elena, Gurkova and Monika, Habermann and Kristin, Halovsen and and Patti, Hamilton and Clare, Harvey and Saima, Hinno and Ingibjorg, and Hjaltadottir and Darja, Jarosova and Terry, Jones and Raphaela, Kane and and Marcia, Kirwan and Helena, Leino-Kilpi and Marcel, Leppee and Mario, and Amorim Lopes and Diaz Cristobal, Rengel and Christian, Rochefort and and Anne, Scott P. and Michael, Simon and Renate, Stemmer and Erna, and Tichelaar and Luisa, Toffoli and Siri, Tonnessen and Izabella, and Uchmanowicz and Jasminka, Vuckovic and Eileen, Willis and Lily, Xiao and and Renata, Zelenikova and Tatjana, Zorcec and RANCARE Consortium COST and Action-CA",
    journal = "Nursing Ethics",
    year = "2019",
    volume = "26",
    number = "5",
    pages = "1528-1539",
    publisher = "SAGE Publications Ltd",
    issn = "0969-7330, 1477-0989",
    doi = "10.1177/0969733018759831",
    keywords = "Care left undone; missed nursing care; nursing care; rationing; resource
allocation",
    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."
}