Nurses' views on challenging doctors' practice in an acute hospital.
OBJECTIVE
To explore the extent to which nurses are willing to challenge doctors' practice in everyday situations in an acute NHS hospital.


METHODS
Qualitative data were collected using in-depth interviews with 12 nurses in an acute NHS hospital in England.


RESULTS
Participants believed that they challenged doctors' practice and acted as patients' advocates. However, data revealed that nurses questioned doctors' practice only under specific circumstances. Nurses would not challenge doctors if they perceived that this would result in conflict or stress, if they were afraid of the doctor or feared reprisal.


CONCLUSIONS
Nurses are discouraged from challenging doctors' practice by the structural inequality arising from the gender division of labour and doctors' expert knowledge and status (medical dominance) in the workplace.
Churchman
J J
JJ
InHealth Group, High Wycombe. jackie.churchman@inhealthgroup.com
Doherty
C
C
D000208:Acute Disease; D001242:Assertiveness; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D034462:Dissent and Disputes; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education / Q000523:psychology*; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology*; D015279:Organizational Culture; D010344:Patient Advocacy; D019555:Physician-Nurse Relations; D011209:Power, Psychological; D017009:Professional Autonomy; D036301:Qualitative Research; D012737:Sex Factors; D011795:Surveys and Questionnaires