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Updated: Dec 26, 2025

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The decision making process in a district nursing assessment.

Catriona Kennedy1

  • 1School of Acute and Continuing Care Nursing, Napier University, Edinburgh, Scotland, UK.

British Journal of Community Nursing
|October 26, 2002
PubMed
Summary

District nurses

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Area of Science:

  • Nursing
  • Community Health
  • Healthcare Decision-Making

Background:

  • District nursing assessment is crucial for community care but lacks empirical research.
  • Evidence-based practice necessitates a strong knowledge base for district nurses.
  • Current understanding of knowledge's role in district nursing assessment is limited.

Purpose of the Study:

  • To explore the relationship between knowledge and decision-making in district nursing assessment.
  • To examine how theoretical knowledge informs practical decision-making in district nursing.
  • To illustrate these relationships using a case study approach.

Main Methods:

  • Qualitative case study methodology.
  • In-depth analysis of one district nurse's assessment process.
  • Application of Carroll and Johnson's (1990) decision-making stages.

Main Results:

  • The case study demonstrated a complex interplay between theoretical knowledge and practical decision-making.
  • District nurses utilize various knowledge sources to navigate assessment complexities.
  • Decision-making stages were observable in the participant's assessment process.

Conclusions:

  • Understanding the knowledge-decision-making link is vital for improving district nursing practice.
  • Further research is needed to build an empirically derived knowledge base for district nursing assessment.
  • Educational strategies should integrate theoretical knowledge with practical application for nursing students and educators.

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