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Related Concept Videos

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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
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Responsible subversion: a study of rule-bending among nurses.

S A Hutchinson

    Scholarly Inquiry for Nursing Practice
    |January 1, 1990
    PubMed
    Summary

    Nurses sometimes bend rules through responsible subversion to benefit patients. This behavior, involving evaluation, prediction, rule-bending, and covering, is influenced by knowledge, ideology, and experience.

    Area of Science:

    • Nursing Ethics
    • Qualitative Research Methods
    • Healthcare Professionalism

    Background:

    • Understanding nurse behavior is crucial for patient care.
    • Previous studies explored unprofessional conduct, but the nuances of rule-bending for patient benefit were less understood.

    Purpose of the Study:

    • To explore and describe how nurses engage in rule-bending behaviors for patient welfare.
    • To introduce and define the construct of 'responsible subversion' in nursing practice.

    Main Methods:

    • Qualitative field research utilizing participant-observation.
    • In-depth interviews with 21 hospital-based nurses across four clinical areas.
    • Grounded theory methodology for data analysis.

    Main Results:

    Keywords:
    Bioethics and Professional EthicsEmpirical Approach

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    • Nurses engage in responsible subversion under specific conditions: knowledge, ideology, and experience.
    • Responsible subversion is a four-phase process: evaluating, predicting, rule-bending, and covering.
    • This behavior is a deliberate strategy employed by nurses to prioritize patient well-being.

    Conclusions:

    • Responsible subversion is a recognized phenomenon in nursing, distinct from unprofessional behavior.
    • The conceptualization of responsible subversion has significant implications for nursing ethics and professional socialization.
    • Further research is needed to explore the ethical boundaries and integration of responsible subversion in nursing education.