This text is an investigation into who does what, and why on acute nursing wards. It examines the nature of the concept of decision-making at ward level, in the context of the relevant decision at different levels of the hospital hierarchy. It looks at all constraints operating at ward level such as workload, staffing levels, and upredictable disruptions to the routine and to planned care. It also examines the influence on behaviour of ward attitudes and philisophies.
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