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Rationing home-based nursing care: professional ethical implications.
Siri Tønnessen1, Per Nortvedt, Reidun Førde
1Department of Health and Social Sciences, Harstad University College, Harstad – N-9480, Norway. siri.tonnessen@hih.no
Nursing Ethics
|May 12, 2011
Summary
Nurses in home-based care ration services due to extensive workloads and staff shortages. This impacts individualized care and raises questions about nursing standards and responsibilities amid limited resources.
Area of Science:
- Nursing
- Healthcare Management
- Sociology of Health
Background:
- Home-based nursing care is essential but faces resource challenges.
- Understanding nurses' decision-making processes is crucial for quality care delivery.
Purpose of the Study:
- To investigate how nurses prioritize care in home-based nursing settings.
- To explore the factors influencing clinical priority decisions.
Main Methods:
- Qualitative research interviews were conducted with 17 home-based care nurses.
- Data analysis employed a hermeneutic methodology for interpretation.
Main Results:
- Nurses describe rationing care to manage extensive workloads and staff shortages.
- Tight time schedules are used to maximize patient coverage.
- Legal norms influence priority decisions, potentially marginalizing some care.
- Rationing jeopardizes individualized and inclusive nursing care values.
Conclusions:
- Findings highlight the tension between resource limitations and quality nursing care values.
- The study has significant implications for clinical practice and healthcare policy.
- It revives debates on protecting care standards and nurses' roles in resource-constrained environments.
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