Rule Bending by Nurses: Environmental and Personal Drivers

Author: Collins Suzanne E.  

Publisher: Springer Publishing Company

ISSN: 1938-2995

Source: Journal of Nursing Law, Vol.15, Iss.1, 2012-04, pp. : 14-26

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Abstract

Rule bending by nurses is described and linked to a conceptual framework composed of two theoretical models: responsible subversion and tolerance for rule bending. An exploratory descriptive study was conducted to indirectly quantify the incidence of specific exemplars of rule bending behavior by nurses, establish reasons for rule bending, and support conclusions about rule bending based on the propositions of the theoretical models. Potential patterns of behaviors, patterns of reasoning, and related conclusions are explored. Identification of possible environmental and personal drivers of rule bending behaviors by nurses is accomplished. An understanding of the etiology and incidence of this behavior may assist defense counsel with this particular type of practice violation. Replication studies in diverse nursing populations are recommended to advance this knowledge.