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Hofling Hospital Experiment Final Term Paper

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Hofling Hospital Experiment Final Term Paper
FINAL-TERM PAPER: HOFLING HOSPITAL EXPERIMENT
Cassandra N. Phillips
Keiser University
December 11, 2012
PSY 1012-Introduction to Psychology
Professor Balkaran

HOFLING HOSPITAL EXPERIMENT
In 1966, the psychiatrist Charles K. Hofling conducted a two-part experiment that was inspired by Milgram’s research in obedience (Milgram, S., 1963 & 1965). It consisted of a survey and field study on obedience in the nurse-physician relationship. Primarily, what happens when nurses are required to carry out a procedure which goes against her professional standards and secondly, to determine if nurses were aware of their tendencies in the level of obedience they displayed. The Method, Participants, & Materials Three psychiatric hospitals in the Midwest took part in this study, with one hospital acting as the control group. The control group consisted of a total of twenty-two nurses (twelve graduate nurses and twenty-one student nurses) who would complete the survey during the field study period. The field experiment would be conducted in twenty-one wards (twelve public and ten private) of the remaining two psychiatric hospitals. The twenty-two nurse participants were closely matched for age, sex, race, marital status, length of working week, professional experience and area of origin. An imaginary scenario was explained to the group of nurses and nursing students who were not only expected to answer what they would do, but also what they predicted the majority of other nurses would do in the same situation (Hofling, Brotzman, Dalrymple, Graves & Pierce,1966). Hofling then arranged for a memo to be sent to all of the participants to remind them of their responsibilities with regard to changes in medication for patients. The nurses were observed to see if they adhered to the guidelines provided otherwise a violation of hospital policy would have transpired. Per the memo, (1) medication orders and instructions could not be accepted over the



References: Coon, Dennis, & Mitterer, John O. (2013). Introduction to Psychology: Gateways to the Mind and Behavior, 13th Edition. Canada; Cenage Learning/Nelson Education, Ltd. Hofling, C. K., Brotzman, E., Dalrymple, S., Graves, N., & Pierce, C. M. (1966). An experimental study of nurse-physician relationships. Journal of Nervous and Mental Disease, 143, 171-180 Krackow, A., & Blass, T Blass, T. (1999). The Milgram paradigm after 35 years: Some things we now know about obedience to authority. Journal of Applied Social Psychology, 29, 955-978. Hofling, Charles K. & Leininger Madeleine M. (1960). Basic Psychiatric Concepts in Nursing McLeod, S Rank, Stephen G. & Jacobson, Cardell K. (1977). “Hospital Nurses’ Compliance with Medication Overdose Orders: A Failure to Replicate.” Journal of Health and Social Behavior 18:188-93 Milgram, S Milgram, S. (1965) Some conditions of obedience and disobedience to authority. Hum Relat 18: 57–76. doi: 10.1177/001872676501800105 Davis, A.J., Tschudin, V Fry, S.T. Veatch, R.M. and Taylor, C. (2010). Case studies in nursing ethics, 4th ed. Ontario: Jones & Bartlett Learning, LLC. Rumbold, G. (1999). Ethics in nursing practice, 3rd ed. London: Bailliere Tindall.

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