Hofling Study for Social Approach Describe and Evaluate

Everything you need to know to answer a question on Hofling's Nurse and Doctor study according to the edexcel exam board at AS level

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  • Created by: Xanthe
  • Created on: 09-03-14 07:23
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  • Hofling: Describe and Evaluate
    • Evaluate
      • Generalisability
        • High at time because nurses were female
        • Low for modern day because there were no males in the study
      • Reliability
        • High because everything was measured and controlled e.g. scripted phone call, medication, etc
      • Application
        • High because the understanding helped to change the way nurses were taught to help patients
      • Validity
        • Construct was low because they expected nurses to put patient safety first
        • Ecological was high because it was in the actual hospital where the nurses worked
        • Experimental was high because the nurses did not know they were in a study
        • High because cause and effect proved.
      • Ethics
        • No informed consent and therefore no right to withdraw because of deception
        • Hofling was competent and there was a debrief
          • Debreif showed that nurses were upset at deception
            • No informed consent and therefore no right to withdraw because of deception
    • Describe
      • Aim
        • To investigate the relationship between Dr and Nurse in terms of Obedience
      • Procedure
        • Groups of nurses from a variety of different hospitals
        • Phone call to give an unknown medicine in excessive amount to a patient
          • Phone call from an unfamiliar Dr
          • "Astroten: ususal dose 5mg, maximum 10mg
            • Placebo
        • Call ended if
          • Comply
          • Refuse
          • upset
          • Could not find medication
          • Longer than 10 minutes
          • Wanted to refer to another Dr
        • Observer to ensure safety
      • Results
        • 21/22 Nurses gave the patient the drug
        • Very few even questioned the order
      • Conclusion
        • Nurses will disobey protocol to do as a Dr asks
        • The relationship between Dr and Nurse is potentially life threatening for the patient

Comments

georgiasadler

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only 10 out of the 21 nurses said they noticed the bottle label and 22 different hospital wards were used in 3 different hospitals :)

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