Περίληψη:
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.
Συγγραφείς:
Scott, P. Anne
Harvey, Clare
Felzmann, Heike
Suhonen, Riitta
and Habermann, Monika
Halvorsen, Kristin
Christiansen, Karin and
Toffoli, Luisa
Papastavrou, Evridiki
Evridiki, Papastavrou and
Chryssoula, Lemonidou
Walter, Sermeus
Maria, Schubert and
Riitta, Suhonen
Olga, Riklikiene
Rengin, Acaroglu
Panayiota,
Andreou
Darijana, Antonic
Dietmar, Ausserhofer
Christophe,
Baret
Helen, Bosch-Leertouwer
Helga, Bragadottir
Luk,
Bruyneel
Karin, Christiansen
Ruta, Ciutiene
Raul, Cordeiro
and Liana, Deklava
Suzanne, Dhaini
Anat, Drach-Zahavy and
Georgios, Eftathiou
Sigal, Ezra
Fuster, Pilan
Joanna, Gotlib
and Elena, Gurkova
Monika, Habermann
Kristin, Halovsen and
Patti, Hamilton
Clare, Harvey
Saima, Hinno
Ingibjorg,
Hjaltadottir
Darja, Jarosova
Terry, Jones
Raphaela, Kane and
Marcia, Kirwan
Helena, Leino-Kilpi
Marcel, Leppee
Mario,
Amorim Lopes
Diaz Cristobal, Rengel
Christian, Rochefort and
Anne, Scott P.
Michael, Simon
Renate, Stemmer
Erna,
Tichelaar
Luisa, Toffoli
Siri, Tonnessen
Izabella,
Uchmanowicz
Jasminka, Vuckovic
Eileen, Willis
Lily, Xiao and
Renata, Zelenikova
Tatjana, Zorcec
RANCARE Consortium COST
Action-CA
