Jc. Hood et Pl. Duphorne, TO REPORT OR NOT TO REPORT - NURSES ATTITUDES TOWARD REPORTING COWORKERS SUSPECTED OF SUBSTANCE-ABUSE, Journal of drug issues, 25(2), 1995, pp. 313-339
Using survey data from a stratified, random sample of New Mexico nurse
s (N=498), this study helps to explain why some nurses choose informal
rather than formal reporting strategies when confronted with substanc
e-abusing co-workers, The researchers mailed a questionnaire to male a
nd female RNs and LPNs in 1989, two years after New Mexico established
its diversion program for substance-abusing nurses, Using a combinati
on of OLS and logistic regressions, the authors test the diffusion mod
el predicting that program knowledge leads to program acceptance and i
mplementation, Finding little evidence of a link between program knowl
edge and implementation, the authors then offer two alternatives, The
vulnerability model predicts that workers in the feast secure position
s will be most likely to avoid making formal reports, whereas the occu
pational hegemony model argues that administrators will avoid formal r
eporting to maintain control over their own work settings, Because the
ir results offer most support for the latter two models, the authors r
eject the diffusion model and conclude that occupational culture and o
rganizational politics are the most important social forces intervenin
g between program diffusion and implementation.