Rationing – Missed Nursing care: An international and multidimensional problem
A COST Project (European Cooperation in Science and Technology)
At a glance
- Project leader : Prof. Evridiki Papastavrou
- Deputy of project leader : Prof. Chryssoula Lemonidou
- Project team : Dr. Mário Amoirn Lopes, Georgios Efstathiou, Prof. Olga Riklikiene, Prof. Dr. Maria Schubert, Prof. Walter Sermeus, Prof. Ritta Suhonen
- Project status : completed
- Funding partner : EU and other international programmes (COST Action / CA15208 - RANCARE), Internal
- Contact person : Maria Schubert
Description
Background:
Rationing of nursing care occurs when resources are not
sufficient to provide necessary care to all patients.
The reasons that lead to this phenomenon include staff reductions,
in-creased demands for care due to the technological advancements,
more treatment options, more informed service users, all requiring
more time and attention from care professionals. Rationing of
nursing care may also occur due to particular approaches of nurses’
clinical judgment and knowledge in allocating the resources, and
the wider value basis of the society on care. As a result,
fundamental patient needs may not be fulfilled and human rights
linked to discrimination may be affected.
Aims:
In view of the increasing evidence indicating a neg-ative effect of nursing rationing on patient outcomes, the fragmented work on the complexity of the topic as well as the gaps regarding issues such as ethics, methodology and patient safety, this Action will enable and facilitate internationally coordinated exchange of expertise and knowledge for both research and clinical practice at European and international level.
Method:
Four Working Groups: WG 1 Conceptualisation, Organisational, Methodological Issues, WG2 Evidence-based interventions design, WG 3 Ethical Issues of rationing of nursing care, WG 4 Educational Issues and Training.
Results:
International and national research – publications, Training Schools, Short Term Scientific Missions, International Workshops and Conferences, Consensus meetings, Training manuals
Further information
- COST-Action CA15208 - Rationing - Missed Nursing care: An international and multidimensional problem
- RANCARE Action
Publications
-
Schubert, Maria; Ausserhofer, Dietmar; Bragadóttir, Helga; Rochefort, Christian. M.; Bruyneel, Luk; Stemmer, Renate; Andreou, Panayiota; Leppée, Marcel; Palese, Alvisa,
2020.
Interventions to prevent or reduce rationing or missed nursing care : a scoping review.
Journal of Advanced Nursing.
77(2), pp. 550-564.
Available from: https://doi.org/10.1111/jan.14596
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Kirwan, Marcia; Schubert, Maria,
2020.
Missed or rationed nursing care : where to now for the nurse manager?.
Journal of Nursing Management.
28(8), pp. 1767-1769.
Available from: https://doi.org/10.1111/jonm.13078
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Mantovan, Franco; Muzzana, Chiara; Schubert, Maria; Ausserhofer, Dietmar,
2020.
International Journal of Nursing Studies.
109(103688).
Available from: https://doi.org/10.1016/j.ijnurstu.2020.103688
-
2019.
Prioritization, rationing and missed nursing care in the clinical setting and possible interventions.
In:
RANCARE COST Action Workshop : Missed Nursing Care – Impacts and Interventions, Mainz, Germany, 22 February 2019.
-
2019.
In:
RANCARE COST Action Workshop : Missed Nursing Care – Impacts and Interventions, Mainz, Germany, 22 February 2019.