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Managements' perception of community nurses' decision-making processes when referring older adults to an emergency department 
Mälardalens högskola.
2006 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 14, no 6, 428-436 p.Article in journal (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 nurses' exposed 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
2006. Vol. 14, no 6, 428-436 p.
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-49DOI: 10.1111/j.1365-2934.2006.00642.xOAI: oai:DiVA.org:esh-49DiVA: diva2:317102
Available from: 2010-05-03 Created: 2010-05-03 Last updated: 2011-04-06Bibliographically approved

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