TO REPORT OR NOT TO REPORT - NURSES ATTITUDES TOWARD REPORTING COWORKERS SUSPECTED OF SUBSTANCE-ABUSE

Citation
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
Citations number
26
Categorie Soggetti
Substance Abuse
Journal title
ISSN journal
00220426
Volume
25
Issue
2
Year of publication
1995
Pages
313 - 339
Database
ISI
SICI code
0022-0426(1995)25:2<313:TRONTR>2.0.ZU;2-O
Abstract
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.