ArticleNursing ethics2019
Resource allocation and rationing in nursing care: A discussion paper.
Article in Nursing ethics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The integration of care ethics and nursing workload: A qualitative systematic review.Journal of nursing management · 2022Pooled it
- Generative AI Ethics Toolkit for Clinical Prioritization in Nursing Education.Nursing ethics · 2026Article
- Professional, social, and demographic correlates of nursing care rationing: insights from hospital nurses in the Czech Republic, Poland and Slovakia.Frontiers in medicine · 2026Article
- Beyond Satisfaction: Person-Centred Care and the Physical Environment Revisited-An Integrative Review.Nursing open · 2026Review
- Authentic Leadership, Psychological Safety, Missed Nursing Care, and Intention to Leave Among Hospital Nurses.International nursing review · 2025Article
- A Collective Intelligence Strategy for Evaluating and Advancing Nurse Autonomy in Primary Care.Healthcare (Basel, Switzerland) · 2025Article
- The Quality of Fundamental Care as Perceived by Nurses and Patients in a Hospital Setting: A Descriptive Comparative Study.Nursing open · 2025Article
- Medical rationing choices of laypeople and clinicians are often illogical and inconsistent with their own stated preferences.PloS one · 2025Article
- How Neighborhood Social Deprivation Is Associated With Nursing Home Quality: A Structure, Process, Outcome Model.Innovation in aging · 2025Article
- Social interaction of people living with dementia in residential long-term care: an ecological momentary assessment study.BMC health services research · 2024Article
- Negative spillover due to constraints on care delivery: a potential source of bias in pragmatic clinical trials.Trials · 2024Article
- Article
- Adaptation of the Nursing Activities Score in Latvia.International journal of environmental research and public health · 2024Article
- Bottleneck factors impacting nurses' workflow and the opportunity to prioritize improvement efforts: factor analysis.BMC nursing · 2024Article
- Exploring the complex realities of nursing work in Kenya and how this shapes role enactment and practice-A qualitative study.Nursing open · 2023Article
- Gerontechnology for better elderly care and life quality: a systematic literature review.European journal of ageing · 2023Review
- Rationing of nursing care: A concept analysis.Heliyon · 2023Review
- Assessing the Reliability and Validity of the Spanish Version of the Actual Scope of Nursing Practice Scale.Healthcare (Basel, Switzerland) · 2023Article
- The Impact of Sociodemographic Factors on the Rationing of Nursing Care in Urology Wards.Nursing reports (Pavia, Italy) · 2023Article
- Nurses' experiences of discrimination in health care: A qualitative study in Iran.Journal of education and health promotion · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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Registered trials
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