Tuesday, 21 May 2013

Hofling et al (1986) - Unit 1 The Social Approach



Obedience in a natural setting

Aim:

-          To discover whether nurses would obey an instruction which would involve breaking hospital regulations and endanger the lives of patients

-          To whether nurses were aware of how obedient they tended to be

Procedure:

-          Identical boxes of capsules were put in 22 wards of 3 hospitals in the USA

-          Capsules were placebos which contained glucose

-          The containers were labelled informing of the maximum daily dose of 10mg

-          While the nurse was on duty she would receive a telephone call from a Dr who told the nurse to give 20mg of the capsules to his patient

-          He told the nurse that he was in a hurry and that he would be there in ten minutes to sign the authorisation when he got there

-          Rules the nurse would break included giving above the maximum dosage of 10mg and only giving drugs after written authorisation is obtained

-          Within half an hour of the nurse receiving the instructions from the doctor she was debriefed by a researcher who was on hand

Results:

-          21 out of 22 nurses obeyed without hesitation

-          When questioned later 11 said that they had not noticed the dosage warning

Conclusion:

-          Although the nurses believed they would not obey a doctor unquestioningly if they were ordered to something that endangered patients and breached regulations they did do just that

-          That nurses will knowingly break hospital rules in a situation where a doctor tells them to, even if that means endangering a patient’s life

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