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International Nursing Review
Article . 2025 . Peer-reviewed
License: CC BY NC ND
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Rationing of nursing care in a developing country: A cross‐sectional study

Authors: Çiğdem Torun Kılıç; Aysel Özsaban; Aysun Bayram; Emel Altuntaş;

Rationing of nursing care in a developing country: A cross‐sectional study

Abstract

AbstractAimThis study aimed to determine the effect of nurses’ work environment, individual and work schedule features on the rationing of nursing care.IntroductionRationing of nursing care is a concern in healthcare settings worldwide, as it is associated with negative outcomes for both patients and nursing staff.BackgroundLittle is known about the precursors of rationing of nursing care in developing countries.MethodsThis descriptive, correlational and cross‐sectional study was conducted with 405 nurses in Türkiye. Data were collected Nurse Information Form, Basel Extent of Rationing of Nursing Care‐R and Nursing Work Index–The Practice Work Environment Scale. The study was reported following the STROBE and RANCARE guideline.ResultsNurses’ mean rationing of nursing care score was 1.58 ± 0.59, and the mean work environment perception score was 2.58 ± 0.47, with no statistically significant relationship between the scale scores. However, working ward, working hours and working schedule significantly affected the total rationing of nursing care scores.DiscussionIn this study, contrary to the literature, no relationship was found between the rationing of nursing care and the perception of the work environment. Supporting the literature, nurses' individual/work schedule features affected the rationing of nursing care.ConclusionImproving nurses’ work schedule features and nurse staffing may help reduce the rationing of nursing care.Implications for nursing and health policyThis study emphasised the importance of nurses’ work schedule features and nurse staffing in the rationing of nursing care. The data from this study can guide nurse managers in identifying factors related to work schedules that may affect the rationing of nursing care and strategies to follow to make the necessary improvements.

Keywords

Adult, Male, Cross-Sectional Studies, Health Care Rationing, Personnel Staffing and Scheduling, Humans, Original Article, Female, Nursing Care, Middle Aged, Nursing Staff, Hospital, Developing Countries

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
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