Decision-making and nurse case management: a philosophical perspective

ANS Adv Nurs Sci. 2004 Jan-Mar;27(1):32-43. doi: 10.1097/00012272-200401000-00005.


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.

Publication types

  • Review

MeSH terms

  • Case Management / organization & administration*
  • Decision Making*
  • Health Care Rationing / methods
  • Home Care Services
  • Humans
  • Nursing / organization & administration*