Rationing of nursing care: A concept analysis

Moradi, Tayebeh; Adib-Hajbaghery, Mohsen; Dianati, Mansour; Moradi, Fatemeh

doi:10.1016/j.heliyon.2023.e15861

Cited by 4 publications

(4 citation statements)

References 37 publications

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“…Explicit rationing of nursing care means that decisions about resource allocation and nursing care are made openly and publicly. Implicit rationing of nursing care is a situation where decisions regarding the allocation of nursing care are made in a non-transparent or non-public manner [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Rationing of nursing care in Internal Medicine Departments—a cross-sectional study

Jędrzejczyk,

Guzak,

Czapla

et al. 2023

BMC Nurs

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Background Implicit rationing of nursing care refers to a situation in which necessary nursing care is not performed to meet all of the patients’ needs. Purpose To examine the factors influencing the rationing of nursing care, nurses’ assessment of the quality of patient care, and their job satisfaction in Internal Medicine Departments. Methods A cross-sectional descriptive study was undertaken. The study included 1164 nurses working in the Internal Medicine Departments in 8 hospitals (Lower Silesia, Poland). The Perceived Implicit Rationing of Nursing Care instrument was used. Results Respondents rarely ration nursing care, with a mean score of 1.12 (SD = 0.68). The mean score for quality of patient care was 6.99 (SD = 1.92). In contrast, the mean job satisfaction score was 6.07 points (SD = 2.22). The most important predictors of high rates of rationing of nursing care were work experience of 16–20 years (regression parameter: 0.387) and a Bachelor’s degree in nursing (regression parameter: 0.139). Nurses’ assessment of the quality of patient care ratings were increased by having a Master’s degree in nursing (regression parameter: 0.41), and significantly decreased by work experience of 16–20 years (regression parameter: -1.332). Independent predictors of job satisfaction ratings in both univariate and multivariate analysis were Master’s degree and long-shift working patterns. Conclusion The factors that influence an increased level of nursing care rationing on medical wards are nurse seniority, exceeding 16 years and female gender. Obtaining a Master’s degree in nursing indicates improved nurses’ assessment of the quality of patient care.

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Section: Introductionmentioning

confidence: 99%

Rationing of nursing care in Internal Medicine Departments—a cross-sectional study

Jędrzejczyk,

Guzak,

Czapla

et al. 2023

BMC Nurs

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“…Nurses employ strategies such as delaying care or delegating care to the next shift before omitting nursing tasks. However, any delay in the provision of nursing care diminishes its quality and have adverse consequences for the patient [29][30][31].…”

Section: Discussionmentioning

confidence: 99%

Delegating care as a double-edged sword for quality of nursing care: a qualitative study

Moradi,

Rezaei,

Alavi

2024

BMC Health Serv Res

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Background Considering the significance of care delegation in enhancing the quality of nursing care and ensuring patient safety, it is imperative to explore nurses’ experiences in this domain. As such, this study aimed to explore the experiences of Iranian nurses regarding the delegation of care. Methods This qualitative study was conducted between 2022 and 2023, employing the content analysis method with a conventional approach. The study utilized purposeful sampling method to select qualified participants. Data collection was carried out through in-depth and semi-structured interviews utilizing open-ended questions. The data analysis process followed the steps proposed by Graneheim and Lundman (2004) and involved the use of MAXQDA version 12 software. To ensure the trustworthiness of the data, the study employed the four rigor indices outlined by Lincoln and Guba (1985). Results In the present study, a total of 15 interviews were conducted with 12 participants, the majority of whom were women. The age range of the participants fell between 25 and 40 years. Through qualitative data analysis, eight subcategories and three main categories of “insourcing of care”, “outsourcing of care” and “delegating of care to non-professionals” were identified. Additionally, the overarching theme that emerged from the analysis was “delegation of care, a double-edged sword”. Conclusions The results of the study revealed that the delegation of care occurred through three distinct avenues: to colleagues within the same unit, to colleagues in other units, and to non-professionals. Delegating care was found to have potential benefits, such as reducing the nursing workload and fostering teamwork. However, it was also observed that in certain instances, delegation was not only unhelpful but also led to missed nursing care. Therefore, it is crucial to adhere to standardized principles when delegating care to ensure the maintenance of high-quality nursing care.

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“…The term was coined in 2006 by a nurse Beatrice J. Kalisch [1]. To date, it has not been standardized, is rarely analyzed, and does not have its precise definition [2].…”

Section: Introductionmentioning

confidence: 99%

Problem of Nursing Care Rationing in Intensive Care Units

Papierkowska,

Piotr Chmielewski,

Kosecka

et al. 2024

hpc

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Background. Nursing care rationing is a global problem that can pose a real threat to the health and lives of patients. The purpose of this study was to learn about the incidence of care rationing by nursing staff and to analyze the activities that are most often getting limited in patient care. Material and methods.A total of 217 nursing staff participated in the survey. The inclusion criteria consisted of working in an intensive care unit and consenting to participate in the study.A self-administered questionnaire and standardized questionnaires were used in the analysis: BERNCA, GSES, and IZZ. Statistical validity was verified at a=0.05.Results. Lack of staff was the most common reason for care rationing (47.92%). Women ration nursing care more than men (68.66%). Informing the patient about planned tests or treatment was the activity rationed most frequently (6.47%). As healthy behaviors become more frequent,

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Rationing of nursing care: A concept analysis

Cited by 4 publications

References 37 publications

Rationing of nursing care in Internal Medicine Departments—a cross-sectional study

Rationing of nursing care in Internal Medicine Departments—a cross-sectional study

Delegating care as a double-edged sword for quality of nursing care: a qualitative study

Problem of Nursing Care Rationing in Intensive Care Units

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