In , the psychiatrist Charles K. Hofling conducted a field experiment on obedience in the nurse-physician relationship. The aim of this. Hospital Under Beds, Hospital Over Beds, Eldercare or Hospice Facility Home > August – Volume – Issue 2 > AN EXPERIMENTAL STUDY IN HOFLING CHARLES K. M.D.; BROTZMAN, EVELINE R.N, M.S.; Diagnosis of Ovarian Cancer and Object Relationships in Early Memories: A Pilot Study. In the original Hofling hospital experiment (). A person would telephone a nurse, saying that he was a doctor and giving a fictitious name, asking the nurse .
|Published (Last):||19 November 2005|
|PDF File Size:||3.83 Mb|
|ePub File Size:||1.84 Mb|
|Price:||Free* [*Free Regsitration Required]|
The point was to take a nurse from their everyday life and place them in this situation for a spontaneous reaction; if the nurse had known about it they may have changed their answer or done something different to what they would have originally done to seem like the better person.
Informed consent is the understanding that participants must be told by the researcher what the research is all about and then the researcher must ask for their consent to take part. This could cause them mental harm as they will always think back to the investigation and how they responded to it. Here is some extra information beyond the text book pages you have been given.
Crime and Anti-Social Behaviour. This is because although the nurse could not withdraw from the experiment as a whole because the experiment was not known of by them, they could choose to not carry out the action of the experiment.
The whole concept of trying to pressure nurses into giving a patient an incorrect dosage of a drug could distress the participants, making the experiment unfair, and potentially unsafe for the participants; ignoring the guideline of protection of participants. They were not supposed to take instructions by phone, let alone exceed the allowed dose The drug was a placebo. Results from the previous experiment would suggest that the experiment would be ok to run today as they tell us that many of the nurses were not distressed by the procedure and many just followed the instructions given by the rxperiment doctor.
The nurses did not give hoffling to be in the experiment, but this was for a reason because if they had known they were part of an experiment the results would not be reliable as they would not act normally. Hofling found that 21 out of the 22 nurses would have given the patient an overdose of medicine. Although there was no informed consent given to the nurses, this is understandable as hlspital would change the behaviour of the nurses which was create unreliable results.
Inthe psychiatrist Charles K. Amongst the control group, 10 of the 12 graduate nurses and all 21 students eexperiment they would not have administered the medication. This experiment involves having to deceive the nurses involved as they are unaware that they are subjects of an experiment, it does not protect the participants adequately from emotional harm in that because it is a life or death situation some of the nurses are likely to be quite traumatised at having to make the decision, the nurses are not given a chance to withdraw from the investigation because they are not aware it is taking place and because they are unaware they are subjects hifling the experiment they cannot give informed consent.
However the nurses had to not be told what was going on, because the experiment wanted to see their natural reaction which is only possible without informed consent and it would have affected the results because one of the four scenarios was the nurse had to give an overdose of the drug and if the nurses had known it was a placebo they would give it to the patient, knowing it would cause them no harm.
However, there is also some other factors that Hofling did not comply with. Have there been any recent replications of the Hofling hospital experiment? During the report there were no names mentioned meaning that subjects were given confidentiality.
Hofling conducted a field experiment on obedience in the nurse-physician relationship. Despite this, I still think that the cons outweigh the pros as the same result of the study can be achieved if nurses are taken out of the equation and if doctors are studied instead.
In conclusion I would let the experiment take place again, however considering the ethnical guidelines more closely. Confidentiality was maintained, with the nurses not being named, there were only statistical numbers used.
Three individuals were involved, the one running the experiment, the subject of the experiment, and these three people fill three distinct roles, the Experimenter, the Teacher, and the Learner. Finally, the nurses never had the chance to withdraw from the investigation due them believing it was a real life situation.
In one experiment- Milligram experiment- teachers were asked to administer electric shock to students in case they gave wrong answer, the magnitude of shock varied from 15 volts to volts. Furthermore withdrawal from the experiment was easily available however was not obvious. August 25, at 4: All of us get influenced by society, one such social influence is obedience- act of obeying orders from authority figure. Although the nurses did not give informed consent or get a hpspital, if this did happen the result of exepriment experiment would not be a true reflexion of how a nurse responds to a doctor who is breaching the hospial policies and therefore the aim of the investigation would not be met.
Also it hoflnig make good use of deception to get good results, however this may have been used too far and again may have caused distress when the nurses found out. He also made sure that no physical harm was caused to the patients by using all placebo tablets. He also found that 21 of 22 nurses to whom he had given the questionnaire had said they would not obey the orders of the doctor, and that 10 out of the 22 nurses had done this before, with a different drug.
Hofljng Wikipedia, the free encyclopedia.
Due to this it is essential to consider if it would be for the best to hide what is actually happening in order to record a realistic reaction. August 25, at The nurses were watched to see what they would do. The experiment did not use any names to keep confidentiality and protect the participants.
An ISBN is assigned to each edition and variation of a book, for example, an e-book, a paperback and a hardcover edition of the same book would each have a different ISBN.
This shows that the experiment is quite fair. Although there is a debrief at the hhospital end, some nurses will come away mentally scared.
Hofling hospital experiment
So therefore i believe that this fact makes not asking for the nurses consent more acceptable because there was no other way to do the experiment and get reliable results.
Nurses who followed the instruction were stopped at the door to the patient room before they could administer the “drug”. They were neither given a debriefing and had no option to withdraw from the investigation but, similarly, if the nurses had known that they were involved in the research then they may have chosen to respond differently.
Sign up or log in Sign up using Google. So overall I think the experiment would be acceptable to repeat in the present day as the participants are put in no real danger and are eventually aware that it was an experiment.
Hofling’s Hospital Experiment of Obedience | Simply Psychology
There may have been deception but you could argue that because they had no idea that the experiment was taking place then they could not be decieved. Yes — however with some slight modifications. I would allow someone wanting to carry out Hoflings experiment from carry it out again today. Change agents sometimes give up when they start facing resistance from those in senior level who are in favour of status quo.
As well as this, if the nurses has been able to give consent or withdraw,it would mean that they knew it was an experiment and manipulated their actions because of the knowledge they were being tested like the nurses doing the questionnaire.
September 2, at If at any time the subject indicated his desire to halt the experiment, he was given a succession of verbal prods by the experimenter, in this order, the experiment requires that you continue 2.