Aim - would nurses obey doctors orders if it went againts hospital procedure and harmed a patient
Procedure -
- 22 female, American nurses
- 12 public, 10 private hospitals
- Dr Smith phoned ward and ordered 20mg - double daily dosage of Astrogen - placebo to patient - Mr Jones - stooge
- Written authorisation requried but Dr was running late so would sign later
- Study ended when nurses complied or spent more than 10 minutes on the phone
Results - 22 graduate nurses in survey - 21 wouldn't obey
21 nurses in study obeyed, 11 didn't notice overdose and 10 did but thought ok as Dr ordered
Conclusion - nurses obey doctors orders even if it goes against training, procedure and endangers a patient - Nurse and doctor relationship is strong
- G - lacks generalisability - female so not representative of total population
- R - scripted and standardised procedure - replicable and tested for reliability
- A - applied ot real life - nurses obey doctors orders
- V - ecological - real life setting - natural
- E - no consent, deception, no right to withdraw unless met conditions, distress
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