Undergraduate nursing students' experiences of rationed nursing care - A qualitative study. 2021

Dominika Kalánková, and Daniela Bartoníčková, and Marcia Kirwan, and Elena Gurková, and Katarína Žiaková, and Dominika Košútová
Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, 03601 Martin, Slovak Republic. Electronic address: kalankova1@uniba.sk.

BACKGROUND Nursing students are required to spend a significant portion of their educational preparation in clinical practice. Because of the prevalence of missed or rationed care, it seems irrefutable that students are exposed to rationed care during their practice placement, or that they contribute to its prevalence either actively or passively. OBJECTIVE The study aimed to discover how nursing students interpret the concept of rationed care, and their experiences of rationing in practice. METHODS A descriptive qualitative study. METHODS Eighteen final year nursing students from three universities within the Slovak Republic. METHODS Semistructured face-to-face interviews were conducted (n = 18). Data were analyzed using thematic analysis which resulted in the development of themes and subthemes. RESULTS We identified three meaningful themes focused on the phenomenon of rationed care from the perspective of nursing students, namely Incomplete care is normalized; Provision of impersonal patient care; and the Existence of a hidden curriculum for practice placements. CONCLUSIONS Student nurses were quite demanding about the learning experience during their clinical training. They are often frustrated by inconsistencies between their theoretical preparation and the realities of practice. They recognise difficulties for registered nurses in providing safe, high quality care in constrained circumstances, and although they are critical of this, they acknowledge their own acceptance of the situation. Based on this, students must establish an understanding of the theory behind, and reasons for rationed care before commencing clinical placement. A greater understanding would enable students to develop strategies for coping with inconsistencies and voicing concerns.

UI MeSH Term Description Entries
D009732 Nursing Care Care given to patients by nursing service personnel. Care, Nursing,Management, Nursing Care,Nursing Care Management
D004508 Education, Nursing, Baccalaureate A four-year program in nursing education in a college or university leading to a B.S.N. (Bachelor of Science in Nursing). Graduates are eligible for state examination for licensure as RN (Registered Nurse). External Degree Programs, Nursing,Nursing Education, Baccalaureate,Baccalaureate Nursing Education,Baccalaureate Nursing Educations,Education, Baccalaureate Nursing,Educations, Baccalaureate Nursing,Nursing Educations, Baccalaureate
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013338 Students, Nursing Individuals enrolled in a school of nursing or a formal educational program leading to a degree in nursing. Nurses, Pupil,Pupil Nurses,Nursing Student,Nursing Students,Student, Nursing,Nurse, Pupil,Pupil Nurse
D015276 Health Care Rationing Planning for the equitable allocation, apportionment, or distribution of available health resources. Allocation of Health Care Resources,Allocation of Healthcare Resources,Rationing, Health Care,Healthcare Rationing,Healthcare Resources Allocation,Healthcare Resources Allocations,Rationing, Healthcare,Resources Allocation, Healthcare
D018154 Slovakia Created 1 January 1993 as a result of the division of Czechoslovakia into the Czech Republic and Slovakia. Slovak Republic
D036301 Qualitative Research Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997) Research, Qualitative

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