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Related Concept Videos

Ethical Dilemmas II01:30

Ethical Dilemmas II

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Related Experiment Video

Updated: Jun 5, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Decision making within a community provider organization.

Ingela Berggren1, Eric Carlstrom

  • 1Department of Nursing, Health and Culture, University West, Trollhättan. ingela.berggren@hv.se

British Journal of Community Nursing
|January 18, 2011
PubMed
Summary
This summary is machine-generated.

Community nurses act as troubleshooters and consultants, navigating complex decisions to meet patient needs. Their experiences highlight the importance of networking, knowledge, and administrative solutions in community healthcare settings.

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Last Updated: Jun 5, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Nursing
  • Healthcare Management
  • Qualitative Research

Background:

  • Healthcare system changes are increasing patient care outside traditional institutions.
  • This shift places significant decision-making pressure on community nurses.
  • Understanding these pressures is crucial for supporting nursing practice.

Purpose of the Study:

  • To explore community nurses' decision-making experiences.
  • To understand the challenges and strategies employed by nurses in community settings.
  • To provide insights into the professional lives of community-based registered nurses.

Main Methods:

  • Qualitative study utilizing in-depth interviews.
  • Phenomenological hermeneutics analysis approach.
  • Data collected from 6 registered nurses across two communities.

Main Results:

  • Nurses' decision-making experiences were conceptualized as 'spiders or octopuses,' 'consultants,' and 'troubleshooters.'
  • Key subthemes included networking, responsibility, knowledge, assessment power, information selection, and rule navigation.
  • Findings were discussed in the context of freedom of decision-making.

Conclusions:

  • Community nurses are dedicated to finding administrative solutions to meet patient needs.
  • Their decision-making is characterized by a commitment to patient-centered care.
  • The study underscores the multifaceted nature of nursing decision-making in community settings.