Do nurses rate diseases according to prestige? A survey study
Aims To see whether nurses rate diseases according to prestige and, if so, how their ratings compare to the disease prestige hierarchy previously uncovered among physicians. Design Cross‐sectional survey. Methods In 2014, 122 nurses in a continuing education programme for healthcare personnel in Nor...
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Veröffentlicht in: | Journal of advanced nursing 2020-07, Vol.76 (7), p.1691-1697 |
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Sprache: | eng |
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Zusammenfassung: | Aims
To see whether nurses rate diseases according to prestige and, if so, how their ratings compare to the disease prestige hierarchy previously uncovered among physicians.
Design
Cross‐sectional survey.
Methods
In 2014, 122 nurses in a continuing education programme for healthcare personnel in Norway rated a sample of 38 diseases according to how prestigious they see these as being among healthcare workers in general.
Results
The nurses were found to rank myocardial infarction, leukaemia, and brain stroke at the top of the prestige hierarchy and depressive neurosis, anxiety neurosis, and fibromyalgia at the bottom. Their rankings overlap significantly with those previously documented for physicians and suggest that nurses assess the diseases through a ‘cure’ rather than a ‘care’ perspective on health care.
Conclusion
The nurses ordered diseases in a prestige hierarchy and their rankings are strikingly like those of physicians. The findings are of significant relevance to nursing practice and set a new course for future research into prestige and nursing culture.
Impact
The findings should encourage nurses – individually and collectively – to reflect on whether and how notions of disease prestige influence their decision‐making. By showing that nurses as well as physicians are able to rate diseases according to prestige, the study suggests new avenues for future disease prestige research.
目的
观察护士对于疾病的评价会否根据该疾病的声望。如果会的话,如何将他们的评价与之前医生中发现的疾病声望等级进行比较。
设计
横断式调查。
方法
2014年,在挪威一项针对医护人员的进修项目中,122名护士根据他们认为这些疾病在普通医务工作者中的声望对38种疾病样本做出评价。
结果
护士将心肌梗死、白血病和脑卒中排在声望等级的最高层,而将抑郁神经症、焦虑神经症和纤维肌痛排在最底层。他们的排名与之前为医生记录的声望排名存在明显的重叠,表明护士是从“治疗”的角度对疾病做出评估的,而非通过“护理”的角度。
结论
护士按名望等级排序疾病的顺序,但其排名顺序与内科医师的顺序存在明显的相似度。研究结果对护理实务有重要的参考价值,并为未来的声誉与护理文化研究提供新的课程。
影响
研究结果应该鼓励护士个人和群体思考疾病声望是否会影响其决策,以及如何影响其决策。这项研究表明,护士和医生都能够根据声望对疾病进行评价,从而为未来的疾病声望研究提供了新的切入途径。 |
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ISSN: | 0309-2402 1365-2648 |
DOI: | 10.1111/jan.14394 |