College of Nursing

Department of Graduate Nursing

Thesis and Project Abstracts
 

Abstract

Professional Role Attitudes and Decision- Making In Medication Administration

Susan E. Bassett

1985

            This study explores the effects five selected role attitudes of frequency, complexity, importance, discretion, and search intensity have on the decision-making processes professional nurses utilize during medication administration procedures.

            Organizational and professional decision-making models developed by Hinshaw served as the theoretical framework for the study.

            The case study included 34 nurses employed in one rural north central public hospital.  The research tool, a self-administered questionnaire, included a training session in magnitude estimation procedures, a pretest, and five study scales for correlating the magnitude of the role attitude to medication administration task conditions.

            Scale means and ranges described the data.  Path analysis was used to determine possible relationships among the role attitude variables.  A limitation of the study was the uneven range of magnitude estimations which participants assigned to the role attitudes.

            The study supports the professional model (including importance, complexity, and discretion variables) as being more pertinent in describing search intensity in decision-making during medication administration that the organizational model.  This lends strength to Hinshaw’s findings.  Nineteen percent of the influence on search intensity was explained by this model.

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