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Managements' perception of community nurses' decision making processes when refering older patients to an emergency department
Centre for Nursing Science, Örebro University Hospital, Örebro; Nuerotec Department, Division of Gerontological Caring Science, Karolinska Institutet, Stockholm. (personcentrerad vård)ORCID iD: 0000-0002-2873-4247
Örebro University, Department of Nursing and Caring Sciences. Centre for Nursing Science, Örebro University Hospital, Örebro.
2006 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 14, no 6, 428-436 p., PMID16919120Article, review/survey (Refereed) Published
Abstract [en]

In Sweden, older adults are living and being cared for under the responsibility of their respective community. Extensive reorganizations in the community led to management having different backgrounds, which may have caused uncertainty among community nurses, especially in decision-making processes. The aim was to understand how 10 nurses, 10 doctors and 10 home care assistants as leaders for the nurses conceptualized the decision-making processes of community nurses, when referring older persons to Emergency Departments, and whether perceptual differences and/or similarities exist. Narrative interviews and content analysis were performed. The managers had differing views, but all felt there was a need to feel secure in order to trust professional decisions as being correct, thus avoiding inappropriate referrals. Management could see nursesexposed position, but had varying solutions. This might lead to different messages being given regarding what is important and might explain why the nurses reported that the managers did not understand them.

Place, publisher, year, edition, pages
West Sussex, United Kingdom: Wiley-Blackwell, 2006. Vol. 14, no 6, 428-436 p., PMID16919120
National Category
Medical and Health Sciences Nursing
Research subject
Caring sciences; Medicine
Identifiers
URN: urn:nbn:se:oru:diva-45964DOI: 10.1111/j.1365-2934.2006.00642.xPubMedID: 16919120Scopus ID: 2-s2.0-33747062695OAI: oai:DiVA.org:oru-45964DiVA: diva2:858048
Available from: 2015-09-30 Created: 2015-09-30 Last updated: 2017-10-17Bibliographically approved

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Kihlgren, AnnicaForslund, Kerstin
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CiteExportLink to record
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Citation style
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