AN EXPERIMENTAL STUDY IN NURSE-PHYSICIAN RELATIONSHIPS

AN EXPERIMENTAL STUDY IN NURSE-PHYSICIAN RELATIONSHIPS
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DOI:
10.1097/00005053-196608000-00008
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发表时间:
1966-01-01
影响因子:
1.9
通讯作者:
PIERCE, CM
PIERCE, CM
中科院分区:
医学4区
文献类型:
--
作者:
HOFLING, CK;BROTZMAN, E;PIERCE, CM

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实验冲突的因素:1)护士会被要求给明显过量的药物。出于安全考虑,决定使用安慰剂。医嘱将通过电话传送,这一程序违反了医院的规定。3)这种药物是“未经授权的”,也就是说,这种药物没有被列入病房的库存清单,也没有被批准使用。命令将由一个不熟悉的声音下达给护士。总体做法:冲突局势是在一家公立医院和一家私立医院造成的,分别有12个和10个病房。对第三家医院的一组护士进行问卷调查,作为匹配的对照。对照组被问到,如果面对实验冲突的情况,他们会怎么做。一组实习护士也接受了问卷调查,以了解经验不足的护士认为他们会如何反应。
Ingredients of the experimental conflict: 1) The nurse would be asked to give an obviously excessive dose of medicine. For reasons of safety it was decided to use a placebo. 2) The medication order was to be transmitted by telephone, a procedure in violation of hospital policy. 3) The medication would be “unauthorized," ie, a drug which had not been placed on the ward stock-list and cleared for use. 4) The order would be given to the nurse by an unfamil-iar voice.Overall approach: The conflict situation was contrived at a public and a private hospital on 12 and ten wards, respectively. A questionnaire was administered to a group of nurses at a third hospital as a matched control. The control subjects were asked what they would do if confronted with the circumstances of the experimental conflict. A group of student nurses was also given the questionnaire, in order to see how less experienced nurses thought they would react.