![]() Rationing of care is therefore occurring, whether or not these rationing decisions are explicit. Studies emerging internationally highlight instances of covert rationing/missed care/care left undone - suggesting that nurses, in certain contexts, are actively engaged in rationing care. The aim of this discussion paper is to consider issues of resource allocation and rationing as they relate to nursing care and the distribution of the nursing resource.Īs health systems struggle with issues of expenditure and sustainability nurse staffing is a regular focus of attention. Moreover, using a nonpunitive managerial approach and minimizing the use of an apathetic management style can be helpful. Nurse managers should create a favorable environment for reporting missed nursing care by having an open relationship with nurses by teaching and emphasizing nursing practice. They need to distribute experienced staff according to the type of ward or patients' needs. ![]() Nurse managers should reduce the effects of nursing staff shortages and increased workloads in addition to providing materials and equipment. System structure, underlying factors, and barriers to missed-care reports were identified as factors that affect missed nursing care. Data were analyzed using conventional content analysis. Data were collected through individual face-to-face and telephonic interviews using an interview guide. Twenty nurse managers working at oncology units of referral teaching hospitals in Iran participated in this study. The main objective of this study was to explore factors affecting missed nursing care in oncology units from the perspective of nurse managers. Key words: literature review qualitative research missed care rationed care nurse ![]() Studies reflected the insight of nursing students, nurse managers, patients and nurses.Ĭonclusion: According to the findings of this review, more focus should be placed on the implications for nursing students, nurse managers and patients, but also for nurses to gain a deeper understanding of the phenomenon of missed and rationed care. Farsky unfinished how to#Results: Five themes were identified in our review - elements of care regularly missed or rationed, main reasons and consequences of missed and rationed care, barriers to report the phenomena and strategies on how to prevent its occurrence. We examined 22 full-text qualitative studies using the CASP tool resulting in 16 eligible studies for further analysis. Methods: The research was conducted between March 2018 and December 2019 using three scientific databases PubMed, Scopus, and Web of Science. Aim: To review qualitative studies that examine missed and rationed care.īackground: The qualitative research of missed and rationed care is limited but offers us a perspective on this multidimensional problem. ![]()
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