BackgroundRationing of care in nursing is nurses' inability to complete all care activities for patients because of scarcity in time and resource. Literature suggests that rationing of care is closely related to patient safety and quality of care. The phenomena have been defined and studied from varied perspectives and contexts. A systematic review of studies related to the concept was aimed at identifying and synthesizing the finding.MethodsThe review followed Preferred Reporting Items for Systematic Reviews and Meta‐analysis guidelines, and literature searches were conducted in MEDLINE, CINAHL, PsycInfo, Web of Science and EMBASE databases. Fifty‐seven quantitative studies were included in the review.FindingsThe review observed that nursing activities addressing the emotional, educational, mobility and hygiene needs of the patients were commonly rationed. Antecedents of rationing included resource inadequacy and organizational work environment. Rationing influenced patient satisfaction, mortality and a number of adverse events and was associated with decreased job satisfaction, increased intention to leave and high turnover among nurses.DiscussionsThis review concludes that rationing in nursing is ubiquitous, embedded in the work environment and poses a threat to the professional health and philosophical base of nursing in addition to having serious implications on patients' safety. Strategies to reframe and reconsider organizational traits, and open discussion with other healthcare stakeholders can reduce rationing of nursing care. The review suggests future researchers adopt different methodological layout to study rationing.

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Background: Patient satisfaction is currently accepted as an outcome criteria and standard instrument to gauge the quality of nursing care. The aim was to assess the level of patients' satisfaction with nursing care quality in medical wards. Materials and Methods: A cross-sectional descriptive study was conducted with 124 samples in medical wards of a tertiary care teaching hospital in South India in 2016. Convenience sampling technique was adopted. Self-administered “Patient Satisfaction with Nursing Care Quality Questionnaire” (PSNCQQ) was used to collect data on the day of discharge. The analysis was done by frequency, percentage, mean, standard deviation, independent t -test, and ANOVA. Results: Out of 124 participants, the level of satisfaction was excellent for 28.23%, very good for 58.06% and good for 13.71% with regards to overall quality of nursing care in medical wards. The mean (SD) value for overall patients' satisfaction with nursing care quality was 78.88 (4.84) out of 95 with the mean percentage of 83.03% which shows excellent patient satisfaction. The patients' perception component mean (SD) 18.35 (5.09) gained highest satisfaction than nurses' communication and nursing care components. The satisfaction of nursing care mean (SD) 46.46 (3.38) was higher than satisfaction of nurses' communication mean (SD) at 32.42 (2.57). Conclusions: The patients admitted and treated in medical wards were most satisfied with nursing care quality they received. The results showed that the communication component can be improved. There was no statistically significant association between patient satisfaction of nursing care quality and background variables.

Background Missed nursing care is a global phenomenon affecting patient safety and quality of care. The working environment of nurses seems to play an important role in missed nursing care. Aims This study was conceptualized to explore the link of environmental constraints with missed nursing care in the Indian context. Method A convergent mixed‐method design was adopted, and data was collected using Kalisch's MISSCARE survey from 205 randomly selected nurses involved in direct patient care in the acute care settings of four tertiary care hospitals in India. In the qualitative phase, in‐depth interviews regarding nurses' experience of missed care were performed with 12 nurses chosen by maximum variant sampling from the quantitative sample. Results The integrated results revealed that nurses experience a sense of competing priority in the environment where curative and prescribed tasks like medication administration get more priority than activities like communication, discharge teaching, oral hygiene, and emotional support, which are frequently missed. The human resource and communication constraints together explained 40.6% of variance in missed nursing care. Human resource inadequacy in times of increased workload was the most frequently cited reason for missed care. Converging with this finding, nurses in the interviews expressed that maintaining a flexible number of staff and catering to the variable workload can effectively reduce missed nursing care. Frequent interruption of nursing activities by medical staff and lack of structure in some activities were cited as important reasons for missed care. Linking Evidence to Action Nursing leaders need to acknowledge missed care in nursing and develop policies to maintain flexible staffing based on situational workload. Methods of staffing like NHPPD (Nursing hour per patient day) which are more sensitive to nursing workload, and patient turnover, can be adopted instead of a fixed nurse–patient mandate. Mutual support from team members and multi‐professional cooperation can reduce frequent interruption of nursing tasks thereby reducing missed care.

BACKGROUND: Mobile phones have become a widely accepted learning mode due to the impact of COVID-19. This study explores the mobile technology acceptance, among nursing students at selected educational institutions in South India. MATERIALS AND METHODS: Quantitative cross-sectional descriptive design. First-year 176 B.Sc. nursing students who underwent blended learning were selected by the purposive sampling method. The tool “Technology Acceptance Model” was used to collect responses. Bivariate analysis was used to determine the relationship between the demographic and study-related variables with the mobile technology acceptance using SPSS version 25.0. RESULTS: The majority 73.9% of the students belonged to the age group of 18–19 years, females 76.7% and, 98.9% were unmarried. Among the constructs of TAM, a mean (SD) value of 22.08 (2.26) was found for material (mobile device audio/video) characteristics the mean (SD) value was 22.08 (2.26), attitude about use 17.58 (1.95), behavioral intention 17.46 (1.78) and system characteristics 17.21 (2.27). The mobile technology acceptance revealed that 126 (71.6%) strongly agreed, 49 (27.8%) agreed, and 1 (0.6%) was neutral with a mean (SD) of 105.19 (8.68), respectively. A positive correlation was found between the system characteristics, material characteristics, perceived ease to use, perceived usefulness, attitude about the use, behavioral intention with a P value <0.001. There was a statistically significant association between Mobile technology acceptance and time spent by the students for independent studies shown the Chi-square value of 12.7, with P value <0.05. CONCLUSION: Nursing students had a positive acceptance and behavior toward smartphone use.