Nursing Management and Leadership
An Analysis of Healthcare Rationing
While nursing, and healthcare in general, often gets negative publicity for the idea of rationing care, in many cases it is a necessity. Hospitals and nurses only have so much time and so many resources available to them and have to decide where these resources are best invested in an ethical manner. Deciding where to ration care due to limited resources is a perplexing moral and ethical challenge in many situations, and one that is more common than most people think. Nurses must make judgements, sometimes on the spot, about where best to allocate their time consistent with their professional values. This analysis will consider the role of rationing in healthcare and nursing as well as how this challenge can be approached from an ethical perspective.
Issue
Recent studies into nursing care rationing indicate that nurses always ration their time and care, resulting to serious threats to the quality of care and patient safety; for example patient mobilization, hygiene, feeding, communication, patient support, teaching and discharge planning, surveillance and care documentation are regularly lacking or omitted (Papastavrou, 2013). Most of the rationing stems for the simple fact of scarcity in time or available resources and resources are inevitably either explicitly...
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