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Interventions in response to chemically dependent nurses: Effect of context and interpretation
Author(s) -
Torkelson Diane J.,
Anderson Ruth A.,
McDaniel Reuben R.
Publication year - 1996
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/(sici)1098-240x(199604)19:2<153::aid-nur7>3.0.co;2-l
Subject(s) - psychological intervention , context (archaeology) , interpretation (philosophy) , psychology , medicine , psychotherapist , nursing , computer science , paleontology , biology , programming language
Despite state laws and professional norms, administrators intervene in different ways in response to chemically dependent nurses. The purpose of this study was to examine how context and interpretation affect these interventions. Nurse administrators from 322 hospitals participated in the study. Regression analysis revealed a relationship between interpretation (threat or nonthreat) of chemically dependent nurses and the interventions. The higher the degree of threat perceived in relation to these nurses, the higher the tendency to terminate them ( p < .01), and the lower the tendency to refer them to treatment ( p < .05), reintegrate them ( p < .01), and hire them ( p < .01). Two context variables, professionalization and communication, were related to reintegration ( p < .05). Understanding the relationship between context and interpretation on decision making will allow for progress toward improved management of the health care environment. © 1996 John Wiley & Sons, Inc.