​There is increasing evidence that the prevalence of rationing of nursing care is high in acute care hospitals internationally and is consistently associated with negative patient, nurse and organizational outcomes. The Rationing of Care (RANCARE) Action aims to facilitate discussion about rationing of nursing care based on a cross-national comparative approach with implications for practice and professional development. This will be achieved by advancing collaboration and networking, and exchange of expertise and knowledge both at European and international level, and by integrating different disciplines and approaches including nursing, ethics, health care studies in general, economics and social policy.

The chair of the project is Dr Evridiki Papastavrou, associate professor at the Cyprus University of Technology (Nursing Department); the same university is the Grant Holder.

The Action has participants from 28 countries (EU and International) from across disciplines: nursing, psychology, philosophy, ethics, health economics, health management with a range of experts such as academics, professionals, policy makers, educational trainers, and patient groups.
The activities of the Action will be run via four working groups and two horizontal committees that will oversee the various activities planned during the four-year lifetime of the project. Each working group will focus on a different area:
  • conceptualisation, organisational and methodological issues (working group 1);
  • evidence-based interventions and designs (working group 2);
  • ethical dimensions of rationing of nurse care (working group 3);
  • educational issues and training (working group 4).  

The expected outcomes include advancing the knowledge of how care is being rationed, the factors contributing to this phenomenon, and the development of policies that aim the delivery of safe care to patients.

Finland is participating in the Action through the University of Turku, Department of Nursing Science. Professor Riitta Suhonen is the Leader of the Working Group 3 that will work on the Ethical Perspective of the issue under discussion. Professor Leino-Kilpi is a member of the Management Committee of RANCARE. Vice representatives of Finland are Minna Ylönen (City of Turku, Welfare Division) and Heljä Lundgren-Laine (Turku University Hospital).

For more information:


In this network, there will be different public workshops/events. These will be announced on this webpage.

For more information: