[Diagnosis related groups and nursing: what effect on the quality of care? Ethical-deontological implications]

Each health system adopts distribution patterns of its available resources, establishing the kind, the amount and the quality of health care accessible for individuals. In this way people's state of health is directly affected. Nurses must know moral implications of these choices and have to be able to interpret them not only at a political/institutional level, but also at an operative one, inside each care intervention. Such a behaviour is determined by the possibility of conflict between the administration choices and the guarantees nurses are engaged to offer to persons in need of nursing care. Its moral aim is the achievement of the best nursing care to individuals.