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September 1969

Nurses' and Psychiatrists' Attitudes in Relation to Implementing Policy Change

Author Affiliations

San Francisco
From the Department of Psychology, Fresno State College, Fresno, Calif (Dr. Coe) and the Langley Porter Neuropsychiatric Institute, California Department of Mental Hygiene and the Department of Psychiatry, University of California School of Medicine, San Francisco (Mr. Curry, Miss Huels, Dr. Kessler).

Arch Gen Psychiatry. 1969;21(3):320-327. doi:10.1001/archpsyc.1969.01740210064008

IN THIS study we examine the impact of a major change in program policy and goals on a psychiatric inpatient ward. The study focused on changes in nurses' attitudes, ward administrators' attitudes, and the interrelationships between the two.

Establishing new programs including lower level personnel in decision making has been investigated in (1) industrial settings1 and (2) the "therapeutic community" approach in mental hospitals. Grold3 found that greater satisfaction and more efficient performance followed the inclusion of ward personnel in establishing new therapeutic procedures. Parloff4 studied the relationship between the ward chief's (psychiatrist) attitudes and the nurses' attitudes as it affected program establishment. In that study, the attitudes of the new ward administrators toward the "ideal nursing role" under their program philosophy was compared to the nurses' conception of this role before the new chief took charge of the ward. Measurements were again taken

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