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
Coe WC, Huels MA, Curry AE, Kessler DR. Nurses' and Psychiatrists' Attitudes in Relation to Implementing Policy Change. Arch Gen Psychiatry. 1969;21(3):320-327. doi:10.1001/archpsyc.1969.01740210064008