Fitzpatrick, M A Management perspectives. I am so frustrated at work because everyone seems to make decisions as if the are practicing alone in a vacuum. [electronic resource] - Nursing spectrum (D.C./Baltimore metro ed.) May 1995 - 5 p. digital Publication Type: Journal Article ISSN: 1098-9153 Subjects--Topical Terms: Decision Making, OrganizationalHumansInterprofessional RelationsNurse AdministratorsNursing Staff, Hospital