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The study used a methodology informed by a constructivist approach to grounded theory. Based on a scenario related to two consumers seeking admission to opioid replacement therapy (ORT), participants were asked to prioritize one for preferential admission and questioned about their decision\u2010making. Clinicians were neither confident nor unanimous in their decision\u2010making. Team involvement and work experience influenced their judgment. Differences between clinicians in regard to understanding risks and protective factors were identified. To support uniformity in managing treatment requests, clearer policy direction to gui clinician practice, and further exploration of how models of care and team involvement influence consumer outcomes, are recommended.<\/jats:p>","DOI":"10.1111\/inm.12076","type":"journal-article","created":{"date-parts":[[2014,5,30]],"date-time":"2014-05-30T10:20:26Z","timestamp":1401445226000},"page":"451-459","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How clinicians manage access to opioid replacement therapy"],"prefix":"10.1111","volume":"23","author":[{"given":"Warren","family":"Harlow","sequence":"first","affiliation":[{"name":"Central Queensland University Institute for Health and Social Science Research Centre for Mental Health Nursing Innovation and School of Nursing and Midwifery  Rockhampton Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenda","family":"Happell","sequence":"additional","affiliation":[{"name":"Central Queensland University Institute for Health and Social Science Research Centre for Mental Health Nursing Innovation and School of Nursing and Midwifery  Rockhampton Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graeme","family":"Browne","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery University of Newcastle  Port Macquarie New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,5,30]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"The ACT Opioid Maintenance Treatment Guidelines","author":"ACT Health","year":"2010"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1362-1017.2006.00162.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781444316490"},{"key":"e_1_2_7_5_1","unstructured":"2007 Australian Government Publisher Service Canberra Australian Government Emergency triage education kit: Triage quick reference guide"},{"key":"e_1_2_7_6_1","volume-title":"National Opioid Pharmacotherapy Statistics Annual Data 2012 Collection: Data Guide","author":"Australian Institute of Health and Welfare","year":"2012"},{"key":"e_1_2_7_7_1","volume-title":"National Opioid Pharmacotherapy Statistics Annual Data Collection: 2012","author":"Australian Institute of Health and Welfare","year":"2013"},{"key":"e_1_2_7_8_1","unstructured":"Australian Nursing & Midwifery Council(2006).National competency standards for the registered nurse. 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