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Analysis of the decision making process leading to appendectomy: A grounded theory study
Försvarshögskolan, Institutionen för ledarskap och management (ILM).ORCID-id: 0000-0001-8274-6065
2004 (engelsk)Inngår i: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 45, nr 5, s. 449-454Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The aim was to develop a theoretical understanding of the decision-making process leading to appendectomy. A qualitative interview study was performed in the grounded theory tradition using the constant comparative method to analyze data. The study setting was one county hospital and two local hospitals in Sweden, where 11 surgeons and 15 surgical nurses were interviewed. A model was developed which suggests that surgeons’ decision making regarding appendectomy is formed by the interplay between their medical assessment of the patient's condition and a set of contextual characteristics. The latter consist of three interacting factors: (1) organizational conditions, (2) the professional actors’ individual characteristics and interaction, and (3) the personal characteristics of the patient and his or her family or relatives. In case the outcome of medical assessment is ambiguous, the risk evaluation and final decision will be influenced by an interaction of the contextual characteristics. It was concluded that, compared to existing, rational models of decision making, the model presented identified potentially important contextual characteristics and an outline on when they come into play.

sted, utgiver, år, opplag, sider
2004. Vol. 45, nr 5, s. 449-454
Emneord [en]
Appendectomy, decision making, grounded theory
HSV kategori
Identifikatorer
URN: urn:nbn:se:fhs:diva-2996DOI: 10.1111/j.1467-9450.2004.00426.xISI: 000224906700010OAI: oai:DiVA.org:fhs-2996DiVA, id: diva2:574379
Tilgjengelig fra: 2012-12-05 Laget: 2012-12-05 Sist oppdatert: 2017-12-07bibliografisk kontrollert

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