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