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 .

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You can see this is actually true from looking at the results of the questionnaire where the nurses knew the situation compared with the experimment situation where the nurses did not know.

This would then be swopped again at the end of the experiment. Obedience is one of the biggest barriers to organisational change. By using our site, you acknowledge that you have read and understand our Cookie PolicyPrivacy Policyand our Terms of Service.

Any unethical elements of the experiment are outweighed by the information gained by the study because the data could help understand the actions taken by nurses in hospitals and help to solve any issues which hhospital cause problems and endanger lives in the future.

Fill in your details below or click an icon to log in: They were protected as no names were given and there were boundaries for example the experiment ended if the nurse became upset or if they were unsure and sought advice or if the hofljng went on longer than 10 minutes.

The nurses were also quickly debriefed, and therefore they can understand the epxeriment and why they were being investigated, in the debriefing none of the nurses were distressed, which shows that the study was acceptable. I would have removed the medication from its stand after all patients had received their medication and then replaced all of them with a placebo.

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Hofling – yes or no?

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. Informed consent, deception and withdrawal from an investigation. One point which Hofling may not have considered is that there are sometimes ingredients in placebo capsules that people are allergic to.

The second ethical issue is shown during the call. The medication was not real, though the nurses thought it was. However, they are measures to stop all of the possible problems occurring. The patients in this experiment are not harmed because the medicine was a placebo meaning that it would do nothing to affect them.

Sign up using Facebook. Post as a guest Name. These would make it more ethical and reduce the stress put on the nurses.

Nobody remembers how that cruel ritual started, what was the reason behind it etc. Furthermore withdrawal from the experiment was easily available however was not obvious. The experiment was ethical due to the face that everything was confidental. All the nurses who took a questionnaire which asked them what they would do if they were put in the situation said that they would not give the medication to the patient which is very interesting when you look and see that 21 out of the 22 nurses used in the experimental situation started to give the medicine to the patient.

The telephone conversations were generally brief without much resistance from the nurses. All nurses identities were kept confidential in the study and no-one was named, however the nurses were denied Withdrawal from an investigation as they had no i dea they were being monitored.

hofling hospital | Viv•i•fy : ( verb) : to endow with renewed life

A bottle labelled “Astroten” had been placed in the drug cabinet, but there was no drug of that name on the approved list. It is arguable that the withdrawal from the investigation guideline was kept.


Cambridge Study in Delinquent Development. However if the medication did have a affect on a patient it may put them at risk. Inthe psychiatrist Charles K. This is therefore another reason why the experiment maybe consider unethical. This was probably necessary due to the circumstances as if they had been told fully what the experiment was testing then they may have reacted differently.

After a number of voltage-level increases, the actor started to bang on the wall that separated him from the subject, after several times banging on the wall and complaining about his heart condition, all responses by the learner would cease. Another factor which was not taken into response when designing the investigation was the protection of participants.

Smith was in a desperate hurry and he would sign the authorization form when he came to see Mr. In spite of official guidelines forbidding administration in such circumstances, Hofling found that 21 out of the 22 nurses would have given the patient an overdose of medicine. 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 unknown doctor.

The results of the nurses that participated may have been surprising and alarmed us that perhaps nurses should remember their duty and the hospital rules but, in my opinion, as humans we sometimes doubt our ability and knowledge when another person who is more powerful orders us to do something which is wrong.

Inthe psychiatrist Charles K. Journal of Nervous and Mental Disease This shows that informed consent would have been ineffective, as the test results would have been biased.