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Identifying thresholds for relationships between impacts of rationing of nursing care and nurse- and patient-reported outcomes in Swiss hospitals: A correlational study

International Journal of Nursing StudiesPublished 26 December 2008Open access
Maria Schubert, Sean P. Clarke, Tracy R. Glass, Bianca Schaffert-Witvliet, Sabina De Geest
Citations125
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TL;DR

Rationing scores generated using the BERNCA instrument provide a clinically meaningful method for tracking the correlates of low resources or difficulties in resource allocation on patient outcomes and provide parameters for administrators to respond to whenever rationing reports exceed the determined level of '0.5' or '1'.

Abstract

Rationing scores generated using the BERNCA instrument provide a clinically meaningful method for tracking the correlates of low resources or difficulties in resource allocation on patient outcomes. Thresholds identified here provide parameters for administrators to respond to whenever rationing reports exceed the determined level of '0.5' or '1'. Since even very low levels of rationing had negative consequences on three of the six studied outcomes, it is advisable to treat consistent evidence of any rationing as a significant threat to patient safety and quality of care.

Keywords

Economics, Econometrics and FinanceHealth Professions