192 bits refers to the width of the memory bus ie. it can transmit 192 bits at a time from memory to GPU. The number of times it can do this per second is based on the speed of the VRAM ie. 6GHz.
So a smaller bus is not a problem in and of itself as long as the speed of the VRAM is sufficiently high, thus looking at the bus alone isn't really helpful. This is why we're seeing smaller bus sizes these days, VRAM speed is significantly higher so there isn't a need for a super-wide bus.
Case in point.. old school top end card 8800GTX - 384 bit bus linked to 1.8 GHz VRAM, memory bandwidth = 86.4 GB/s.
GTX680 - only 256 bit bus but 6GHz VRAM, memory bandwidth = 192GB/s.
Yup theres 3 (main) components that have implications for the performance of the VRAM - the bus width (literally how many lanes it has), the bus speed (how many times a second data is transferred over it) and the bus latency (how quickly data gets from one side of the bus to the other).
For the simplest appraisal of VRAM performance you want to be looking at the bus bandwidth usually denoted in GB/s as above, latency can also have some performance implications but its a much more complicated subject.