Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses

Occurrence of problems with, refusals of orders and contemplated refusals of orders for risky procedures by nurses in Dutch hospitals and views on the safety of performance was studied using postal questionnaires (600 physicians and 3200 nurses, response 60–71%). Of the respondents, 11–30% experienc...

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Bibliographic Details
Published in:International journal of nursing studies 2005-09, Vol.42 (7), p.759-771
Main Authors: de Bie, J., Cuperus-Bosma, J.M., van der Jagt, M.A.B., Gevers, J.K.M., van der Wal, G.
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Delegation, Professional
Doctor-Nurse collaboration
Gynecology
Hospitals
Humans
Internal Medicine
Laws, regulations and rules
Legal aspects
Legislation
Medical treatment
Netherlands
Nurse's Role
Nurses
Nursing
Nursing Staff, Hospital - standards
Physician and patient
Physician-Nurse Relations
Physicians
Practice
Procedures
Professional delegation
Questionnaires
Refusal
Risk Management - legislation & jurisprudence
Risk taking
Surveys
Task conflict
United Kingdom
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Summary:Occurrence of problems with, refusals of orders and contemplated refusals of orders for risky procedures by nurses in Dutch hospitals and views on the safety of performance was studied using postal questionnaires (600 physicians and 3200 nurses, response 60–71%). Of the respondents, 11–30% experienced problems with and (contemplated) refusals of orders for risky procedures in the previous 12 months. Gynaecologists and internists most frequently mentioned problems concerning the practical performance of the procedure (44% and 30%, respectively). The reason for a problem or a contemplated refusal most frequently given by nurses was that they disagreed with the medication policy (34% and 35%, respectively). The reason for a refusal most frequently given by the gynaecologists, internists and nurses was that the nurses themselves were of the opinion that they did not have the necessary authorisation (95%, 67%, and 62%, respectively). With regard to certain procedures, the views of professionals are more strict than the current legal regulations.
ISSN:0020-7489
DOI:10.1016/j.ijnurstu.2004.09.022