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Western Journal of Nursing Research, Vol. 19, No. 2, 143-165 (1997)
DOI: 10.1177/019394599701900202

Public Health Nurses' Decision Making in Canada, Finland, Norway, and the United States

Sirkka Lauri

Sanna Salanterä

University of Turku, Finland

Hanna Bild

Statens Institutt för Folkehelsa, Norway

Karen Chalmers

Faculty of Nursing, University of Manitoba, Canada

Mary Duffy

College of Nursing, University of Utah

Hesook Suzie Kim

College of Nursing, University of Rhode Island.

Beverly Henry, R.N., Ph.D., F.A.A.N.

College of Nursing, University of Illinois; Department of Clinical Practice Research and Development, University of Illinois Medical Center, Chicago, IL

Diana J. Mason, Ph.D., R.N., F.A.A.N.

Lienhard School of Nursing, Pace University, New York and Pleasantville, NY

The purpose of this study was to describe the decision-making processes of 369 public health nurses in Canada, Finland, Norway, and the United States, and to discuss any differences observed among these countries. The results indicate that public health nurses used different decision-making models on the job and that these models varied considerably. Five different decision-making models were identified, each exhibiting features of different decision-making theories. The differences between decision making of public health nurses in different countries were statistically significant. The differencies in decision making appear to be due to differences in health care systems in the 4 countries and the nature of the nursing task and context.


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