Care workers in nursing homes cannot always carry out all necessary nursing interventions
because of time constraints, lack of resources, or other organizational or personal
factors. This failure is included within the concept of unfinished nursing care, which
comprises missed care, implicit rationing of nursing care, and care left undone.
1
In nursing homes, residents' pronounced dependency on physical, psychological, and
sociocultural care makes them especially vulnerable to implicit rationing, which intensifies
with cognitive impairment and social isolation. Based on previous studies in nursing
homes, psychosocial care and mobilization are often omitted when resources are scarce.
2
,
3
,
4
,
5
To date, though, most studies of unfinished nursing care have focused on nurses'
perspectives in acute care. Few have explored how care workers' and residents' experiences
are affected by implicit rationing in nursing homes.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the American Medical Directors AssociationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Unfinished nursing care, missed care, and implicitly rationed care: State of the science review.Int J Nurs Stud. 2015; 52: 1121-1137
- Factors associated with rushed and missed resident care in western Canadian nursing homes: A cross-sectional survey of health care aides.J Clin Nurs. 2015; 24: 2815-2825
- Clinical prioritisation of healthcare for the aged—Professional roles.J Med Ethics. 2008; 34: 332-335
- Clinical prioritizations and contextual constraints in nursing homes—A qualitative study.Scand J Caring Sci. 2010; 24: 533-540
- The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes—A cross-sectional study.Int J Nurs Stud. 2015; 52: 1463-1474
Pelz C, Schmitt A, Meis M. Knowledge Mapping als Methode zur Auswertung und Ergebnispräsentation von Fokusgruppen in der Markt- und Evaluationsforschung. Forum Qualitative Sozialforschung 2004;5(2):Art. 35.
- Using thematic analysis in psychology.Qual Res Psychol. 2006; 3: 77-101
Article info
Publication history
Published online: October 15, 2018
Identification
Copyright
© 2018 Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
