Judging Clinical Protocols in the NHS, 1998

<P>Abstract copyright UK Data Service and data collection copyright owner.</P><br>The aims of this project were :<br>
to explore the usefulness of the typology of rule-related behaviours specified by Reason, Parker and Lawton (1998);<br>
to collect information on the reaction of medical staff to the advent of proceduralisation as a way of managing risk in the health service;<br>
to assess the differential impact of proceduralisation on a group specifically educated in the exercise of professional judgement (doctors), and a group with more highly prescribed working practices (nurses);<br>
to assess the effects of proceduralisation in the health service on public perceptions of risk and responsibility;<br>
to make a contribution to risk management policy in the health service.<br><B>Main Topics</B>:<BR><br>The dataset consists of two sample files :<br>
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The medical sample file includes the responses of 311 nurses, midwives and doctors from three English NHS trusts. Each questionnaire includes nine scenarios describing medical incidents (developed by a different group of healthcare professionals) which represent different types of rule-related behaviour. These comprised : compliance with a rule, violation of a rule, and improvisation (where no rule exists). Each questionnaire included three compliance, three violation and three improvisation items. One of each of the behaviour types described a good outcome, one a poor outcome and one a bad outcome. The dataset includes judgement of appropriateness, likelihood of challenge, likelihood of reporting and risk, for each of the nine scenarios. Respondents were also asked to assign responsibility for the outcome.<br>
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The public sample file includes the responses of 350 members of the general public to the same scenarios. They were asked to rate the appropriateness of the behaviour, the likelihood that they would speak to the person involved and the likelihood that they would make a complaint.<br>
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Twenty-seven versions of each of the questionnaires were necessary to control for order effects and to manipulate outcome in a between-subjects factor.

<P>本数据集摘要的版权归英国数据服务中心（UK Data Service）及数据采集项目的版权所有者共同所有。</P><br>本项目的研究目标如下：<br>探究Reason、Parker与Lawton（1998）所提出的规则相关行为类型学的应用价值；<br>收集医疗人员对以程序化方式开展医疗服务风险管理的反应相关信息；<br>评估程序化对两类群体的差异化影响：一类是接受过专业判断能力训练的医师群体，另一类是遵循高度标准化工作流程的护理人员群体；<br>评估医疗服务领域的程序化对公众风险认知与责任认知的影响；<br>为医疗服务领域的风险管理政策提供参考依据。<br><B>核心研究主题</B>:<BR><br>本数据集包含两份样本文件：<br><br>医疗样本文件包含了来自英国三家国民保健制度（National Health Service, NHS）信托机构的311名护士、助产士与医师的调研反馈。每份问卷包含9个描述医疗事件的情境（由不同的医疗专业团队开发），涵盖三类不同的规则相关行为：规则遵从、规则违反，以及无规则可循时的即兴处置。每份问卷中包含3个规则遵从类、3个规则违反类与3个即兴处置类题目，每类行为情境分别对应1个正向结果、1个不佳结果与1个恶劣结果。本数据集包含针对9个情境的行为恰当性判断、质疑可能性、上报可能性与风险感知数据，同时收集了受访者对事件结果的责任归属判定结果。<br><br>公众样本文件包含350名普通民众针对上述相同情境的反馈数据。调研要求受访者对行为的恰当性进行评分，并评估其与涉事人员沟通的可能性以及提出投诉的可能性。<br><br>为控制顺序效应，并通过被试间因子操控结果变量，每份问卷需要设置27种版本。