Download PDF
CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2018; 08(02): 015-018
DOI: 10.1055/s-0040-1708748
Original Article

Protocol for a Systematic Review of Rationing of Nursing Care

Lata Mandal
1   PhD Research Scholar, Faculty of Nursing, Sri Ramachandra Medical Centre & Research Institute, Chennai - 600116
,
A. Seethalakshmi
2   PhD Nursing & Reader, PhD Research Scholar, Faculty of Nursing, Sri Ramachandra Medical Centre & Research Institute, Chennai - 600116
,
Anitha Rajendra Babu
3   PhD Nursing & Professor & Principal, Rajalakshmi College of Nursing, Chennai
› Author Affiliations
› Further Information
Also available at
  PDF Download Permissions and Reprints

Abstract

Purpose: To identify and synthesize the findings of studies related to “rationing of nursing care”.

Methods: Preferred Reporting Items for Systematic Reviews and Meta analysis (PRISMA) guidelines will be followed in this review and literature searches will be conducted in MEDLINE, CINAHL, Psyc Info, Web of Science and EMBASE databases. Only quantitative studies meeting the predetermined inclusion criteria, quality standards and credibility will be synthesised using narrative synthesis.

Results: A descriptive synthesis of the findings of the selected studies will be carried out which will be presented in narrative summary with statistical findings incorporated.

Conclusion: This review will provide a synthesis of up to date evidence regarding the rationing of care by nurses. It will also support the hypothesis that rationing of care has effects on patients and nurses and explore relationship of rationing of care with patients and nursing outcome.

Keywords

Rationing - nursing care - missed care - unmet care - patient outcomes


Publication History

Received: 05 February 2018

Accepted: 20 March 2018

Article published online:
20 April 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 SchubertM, AusserhoferD, Desmedt M, Schwendimann R, Lesaffre E, Li B, et al. Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals—a cross sectional study. International Journal of Nurs Stud. 2013 Feb; 50(2):230–9. https://doi.org/10.1016/j.ijnurstu.2012.09.016
  • 2 Beatrice J Kalisch. Missed Nursing care:a qualitative study. J Nurs Care Qual. 2006;21(4):306–13. DOI:10.1097/00001786-200610000-00006
  • 3 Kalisch BJ, Landstrom GL, Hinshaw AS. Missed nursing care:a concept analysis. J Adv Nurs. 2009;65(7):1509–17. https://doi.org/10.1111/j.1365-2648.2009.05027.x
  • 4 Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs.2010;(19): 2185–2195. https://doi.org/10.1111/j.1365-2702.2010.03250.x
  • 5 Schubert M, Glass Tr, Clarke SP, et al. Rationing of Nursing care and its relationship to patient outcomes:the swiss extension of the International hospital outcomes study.Int J Qual health Care 2008;20(4):227-237
  • 6 Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, Giovannetti P,Hunt J, Rafferty AM, Shamian, J. Nurses' reports on hospital care in five countries. Health Affairs.2001; 20:43–53. https://doi.org/10.1377/hlthaff.20.3.43
  • 7 Callen BL, Mahoney JE, CB G, TJ W, Enloe M. Frequency of hallway ambulation by hospitalized older adults on units of an academic hospital. Geriatr Nurse. 2004;25(4):212–7. https://doi.org/10.1016/j.gerinurse.2004.06.016
  • 8 Rasmussen HH et al. Prevalence of patients at nutritional risk in Danish hospitals. Clin Nutr. 2004;23(5):1009–15. https://doi.org/10.1016/j.clnu.2004.01.001
  • 9 Forster AJ et al. The Incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003;138:161–7. DOI: 10.7326/0003-4819-138-3-200302040-00007
  • 10 Kalisch BJ,Landstrom G,Williams RA.Missed nursing care:errors of omission.Nursing Outlook.2009;57(1):3-9 https://doi.org/10.1016/j.outlook.2008.05.007
  • 11 Kalisch BJ, Tschannen D, Lee KH. Missed nursing care, staffing, and patient falls. J Nurs Care Qual. 2012 Mar; 27(1):6–12. https://doi.org/10.1097/NCQ.0b013e318225aa23
  • 12 Kalisch BJ, Gosselin K, Choi SH. A comparison of patient care units with high versus low levels of missed nursing care. Health Care Manage Rev. 2012 Dec; 37(4):320–8. https://doi.org/10.1097/HMR.0b013e318249727e
  • 13 Winsett RP, Rottet K, Schmitt A, Wathen E, Wilson D, Missed Nursing Care Collaborative Group. Medical surgical nurses describe missed nursing care tasks-Evaluating our work environment.AppliedNursRes. 2016Nov;32:128–33 https://doi.org/10.1016/j.apnr.2016.06.006
  • 14 Harvey C, Thompson S, Pearson M, Willis E, Toffoli L. Missed nursing care as an “art form”: The contradictions of nurses as carers. Nurs Inq. 2017; 24(3). https://doi.org/10.1111/nin.12180
  • 15 Schubert M, Clarke SP, Glass TR, Schaffert-Witvliet B,De Geest S. Identifying the thresholds for relationships between impacts of rationing of nursing care and nurse and patient reported outcomes in Swiss hospitals:a correlational study. Int J Nurs Stud.2009;46(7): 884-893. https://doi.org/10.1016/j.ijnurstu.2008.10.008
  • 16 Schubert M, Clarke SP, Aiken LH, de Geest S.Association between rationing of nursing care and inpatient mortality to Swiss hospitals. Int J Qual Health Care. 2012; 24(3):230-238. https://doi.org/10.1093/intqhc/mzs009
  • 17 Hendry C, Walker A.Priority setting in clinical nursing practice:literature review. J Adv Nurs.2004;47(4):427-436
  • 18 Lake S, Moss C, Duke J.Nursing prioritization of the patient need for care:a tacit knowledge embedded in the clinical decision making literature. Int J Nurs Prac 2009;15:376-388
  • 19 Arvidsson E, Andre M, Borgquist L, Carlsson P. Priority setting in Primary health care-dilemmas and opportunities' focus group study. BMC Family Pract.2010;11:71. http://dx.doi.org.manchester.idm.oclc.org/10.1186/1471-2296-11-71
  • 20 Halvorsen K, Forde R, Nortvedt P. The principle of justice in patient priorities in the intensive care unit:the role of significant others. J Med Ethics.2009;35(8):483-587. http://dx.doi.org.manchester.idm.oclc.org/10.1136/jme.2008.028183
  • 21 Nortvedt P, Hem MH, Skirbekk H. The ethics of care: role obligations and moderate partiality in health care. Nurs Ethics.2011;18(2): 192-200
  • 22 Evridiki Papastavrou, Panayiota Andreou, Georgios Efstathiou. Rationing of nursing care and nurse-patient outcomes systematic review of quantitative studies. Int J of health planning & management.2014;29:3-25. https://doi.org/10.1002/hpm.2160
  • 23 Van Fosson CA, Jones TL, Yoder LH. Unfinished nursing care:an important measure for nursingcaresystems. NursOutlook.2016;64:124–36. https://doi.org/10.1016/j.outlook.2015.12.010
  • 24 Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015 02; 350:g7647. doi: 10.1136/bmj.g764
  • 25 The Joanna Briggs Institute. Joanna Briggs Institute Reviewer's Manual.2014. The University of Adelaide.