What makes patients perceive their health care worker as an epistemic authority?
What makes patients perceive their health care worker as an epistemic authority?
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DOI：
10.1111/j.1440-1800.2011.00562.x
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发表时间：
2012-06-01
期刊：
影响因子：
2.3
通讯作者：
Bar-Tal, Yoram
中科院分区：
文献类型：
--
作者：
Barnoy, Sivia;Ofra, Levy;Bar-Tal, Yoram
Barnoy S，OFRA L和BAR-TAL Y. Nursing Inquiry 2012; 19：128133 [Epub ahead of print]是什么让患者将他们的医护人员视为知识权威？医护人员的认知权威（EA）可能会对患者的决策和依从性产生影响。本研究调查的假设，较高的EA归因于工作人员被认为是专家;医生，而不是护士; HCWs谁建议采取测试比那些谁没有建议。该研究基于析因2 x 2 x 2受试者间设计。调查问卷提出了四种情景，每一种情景都说明了一种HCW，介绍了一种毁灭性遗传疾病的信息。被操纵的三个变量是：HCW的专业知识，HCW的作用，并提出建议与否。在每个场景之后，参与者被问及关于他们归因于场景中HCW的EA的问题。结果表明，主要影响知觉的专业知识和建议/没有建议的水平EA归因。专家护士被认为具有与专家医生相同的高EA。但是，建议进行测试的专家医生被认为比没有提出建议的专家医生具有显著更高的EA。在没有提出建议的护士中，专家护士的EA显著高于新手。由于专家护士被认为具有与专家医生相同的专业知识，因此护士和医生提供的信息可以减少患者的不确定性。
BARNOY S, OFRA L and BAR-TAL Y. Nursing Inquiry 2012; 19: 128133 [Epub ahead of print] What makes patients perceive their health care worker as an epistemic authority? Health care workers (HCW) perceived epistemic authority (EA) may have an effect on patient decision-making and compliance. The present study investigated the hypotheses that higher EA is attributed to staff perceived to be experts; to physicians rather than nurses; to HCWs who recommend taking a test more than to the ones who make no recommendation. The study was based on a factorial 2 x 2 x 2 within-between subjects design. The questionnaire presented four scenarios, each illustrating a HCW presenting information on a devastating genetic disease. The three variables manipulated were: HCW expertise, HCW role, and making a recommendation or not. After each scenario participants were asked questions about the EA they attributed to the HCW in the scenario. The results show main effects for perceived expertise and recommendation/no recommendation on the level of EA attributed. Expert nurses were judged to have the same high EA as expert physicians. But expert physicians who recommended taking a test were judged as having significantly higher EA than expert physicians who made no recommendation. Among nurses who made no recommendation, expert nurses were evaluated as having significantly higher EA than novices. Since expert nurses were perceived to have equal expertise as expert physicians, it follows that information given by both nurses and physicians can reduce patient uncertainty.