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Missed and rationed care: What do we know? – Review of qualitative studies

Dominika Kalánková*, Daniela Bartoníčková**, Katarína Žiaková*, Radka Kurucová*
* Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Nursing
** Charles University in Prague, 2nd Faculty of Medicine, Department of Nursing


KALÁNKOVÁ, D. –  BARTONÍČKOVÁ, D. – ŽIAKOVÁ, K. – KURUCOVÁ, R. Missed and rationed care: What do we know? – Review of qualitative studies. In Ošetrovateľstvo: teória, výskum, vzdelávanie [online], 2020, vol. 10, no. 1, pp. 18-23. Available on:

Aim: To review qualitative studies that examine missed and rationed care.

Background: The qualitative research of missed and rationed care is limited but offers us a perspective on this multidimensional problem.

Methods: The research was conducted between March 2018 and December 2019 using three scientific databases PubMed, Scopus, and Web of Science. We examined 22 full-text qualitative studies using the CASP tool resulting in 16 eligible studies for further analysis. A thematic analysis was used.

Results: Five themes were identified in our review - elements of care regularly missed or rationed, main reasons and consequences of missed and rationed care, barriers to report the phenomena and strategies on how to prevent its occurrence. Studies reflected the insight of nursing students, nurse managers, patients and nurses.

Conclusion: According to the findings of this review, more focus should be placed on the implications for nursing students, nurse managers and patients, but also for nurses to gain a deeper understanding of the phenomenon of missed and rationed care.

Key words: literature review; qualitative research; missed care; rationed care; nurse

Úplný text (Anglický jazyk)


Mgr. Dominika Kalánková

Ústav ošetrovateľstva JLF UK
Malá Hora 5
036 01 Martin
Slovenská republika

Received: 21st April 2020
Accepted: 11th Maj 2020