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Advances in Nursing Science:
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Decision‐Making and Nurse Case Management: A Philosophical Perspective

Fraser, Kimberly D. MA, RN; Strang, Vicki PhD, RN

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Abstract

Decision-making related to resource allocation in home care case management practice is addressed from the unique perspective of nursing. The case management process stipulates the adherence to both client-centered and system-centered goals. Issues that emerge from this process include the ethical dilemma of deciding the equitable and fair distribution of resources related to the provision of appropriate levels of service; economic factors as they relate to limited financial resources; and the variance among case managers in their decision-making. Moderate realism, as compared to critical and feminist theory, provides a philosophical perspective that allows a practical interpretation of these issues.

© 2004 Lippincott Williams & Wilkins, Inc.

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