An Experimental Study Of Nurse-physician Relationships Pdf
Hofling (1966) created a more realistic study of obedience than by carrying out field studies on nurses who were unaware that they were involved in an experiment. Crack Alien Shooter 2. Method The procedure involved a naturalistic field experiment involving 22 (real) night nurses.
The purpose of this study was to identify differences in nurses. A quasi-experimental design was. Nurses’ Perceptions of Nurse-Physician Relationships. NURSES’ PERCEPTIONS OF NURSE-PHYSICIAN COLLABORATION IN THE INTENSIVE. A non experimental descriptive study. 2.2 GENERAL PERCEPTIONS OF NURSE-PHYSICIAN.
Smith (a stooge) phones the nurses at hospital (on 22 separate occasions) and asks them to check to see if they have the drug astroten. When the nurse checks she can see that the maximum dosage is supposed to be 10mg. When they reported to the ‘Doctor’, they were told to administer 20mg of the drug to a patient called ‘Mr. Smith was in a desperate hurry and he would sign the authorization form when he came to see Mr.
Jones later on. The nurses were watched to see what they would do. The medication was not real, though the nurses thought it was. If the nurse administers the drug, they will have broken three hospital rules: 1.
They are not allowed to accept instructions over the phone. The dose was double the maximum limit stated on the box. The medicine itself as unauthorized, i.e.
Not on the ward stock list. The drug itself was a harmless sugar pill invented just for the experiment. Results 21 out of 22 (95%) nurses were easily influenced into carrying out the orders. They were not supposed to take instructions by phone, let alone exceed the allowed dose (The drug was a placebo).
When other nurses were asked to discuss what they would do in a similar situation (i.e. A control group), 21 out of 22 said they would not comply with the order. Conclusion Hofling demonstrated that people are very unwilling to question supposed ‘authority’, even when they might have good reason to. Critical Evaluation A strength of this study is that it has high levels of ecological validity, due to the fact it was conducted in a real life environment.
However, the study broke the ethical guideline of deception, as neither the doctor was real. Further Information.
Full Download Photomatix Pro Presets there. The purpose of this study was to explore nurses' perceptions of nurse-physician relationships in ambulatory oncology settings, which are linked to patient safety.This cross-sectional, descriptive study analyzed survey data collected in 2010 from oncology nurses employed in ambulatory settings. The sampling frame was the nurse licensure database in one state in the Southeastern United States. Nurses completed the Practice Environment Scale of the Nursing Work Index (PES-NWI), reported on the quality of care in their setting, and commented on factors that promoted or inhibited high-quality care delivery.Data analysis used three study variables: empirically derived values from the PES-NWI, a scale of nurse-reported quality of care in their setting, and open-text comments about features in their workplace that promoted or hindered high-quality care.
After categorizing open-text comments, analysis of variance was used to evaluate differences in PES-NWI subscales by comment category. Chi-square test statistics were calculated to examine differences in overall practice environment and quality of care by comment category.Nurses reported their relationships with physicians as generally favorable. Qualitative findings suggest two themes that influence how nurses characterize their working relationships with physicians: (a) physician behaviors and (b) structural factors. Both PES-NWI scores and quality of care were rated significantly higher by nurses who wrote favorably about physicians.Favorable nurse-physician relationships in ambulatory settings may reflect positive workplaces and promote high-quality care.Consistent with findings from inpatient units, nurse-physician relationships are important to the quality of ambulatory oncology care. Systematic measurement and attention to reported deficits in these relationships may promote higher quality care. Methods Data analysis used three study variables: empirically-derived values from the PES-NWI, a scale of nurse-reported quality of care in their setting, and open-text comments about features in their workplace that promoted or hindered high-quality care.