title: Guided by priority: how clinicians manage access to opioid replacement therapy.
abstract: Access to opioid replacement therapy is a problem in some parts of Australia and it is not known how clinicians respond to this situation. The aim of this study is to develop a conceptual understanding of how clinicians apply clinical judgements in managing access to treatment. Grounded theory methodology was used to guide this study. Thirty-five clinicians were interviewed. The substantive theory presented to explain the process is Guided by Priority. By presenting this understanding of practice, clinicians can reflect on their actions related to the task and determine if they are beneficial or detrimental to consumers, which may influence their future practice.
authors.affiliation: Central Queensland University Australia, Centre for Mental Health Nursing Innovation and School of Nursing and Midwifery, Rockhampton, Australia , and Gold Coast Alcohol and Other Drugs Services.
authors.forename: Warren
authors.initials: W
authors.lastname: Harlow
authors.forename: Brenda
authors.initials: B
authors.lastname: Happell
authors.forename: Graeme
authors.initials: G
authors.lastname: Browne Rn
mesh_terms: D000328:Adult; D001315:Australia; D015400:Clinical Nursing Research; D003299:Cooperative Behavior; D005260:Female; D066296:Grounded Theory; D006292:Health Priorities / Q000458:organization & administration*; D006297:Health Services Accessibility / Q000458:organization & administration*; D006556:Heroin Dependence / Q000451:nursing / Q000534:rehabilitation; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D009720:Nurse Clinicians; D058850:Opiate Substitution Treatment / Q000451:nursing*; D009293:Opioid-Related Disorders / Q000451:nursing* / Q000534:rehabilitation*; D010348:Patient Care Team / Q000458:organization & administration*