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Obedience and conformity in clinical practice

Hollins Martin, Caroline Joy and Bull, Peter 2008, 'Obedience and conformity in clinical practice' , British Journal of Midwifery, 16 (8) , pp. 504-509.

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    Abstract

    This study analyzes the psychological processes involved when a midwife accepts directions from a senior person. A representative sample of 20 midwives were recruited from 7 maternity units in North Yorkshire. An inductive thematic analysis was used to interpret interview data. Results showed that midwives respond to social influence from senior people using two processes: obedience and/or conformity. Thirteen (65%) excerpts informed that participants’ interpreted direction from the senior person as instructions they were expected to follow (obedience) and seven (35%) showed that others voluntarily changed their viewpoint to agree with the one offered by the senior person (conformity). Participants’ behaviour has been explained in terms of ‘legitimacy’, ‘perceived obligation to the organization’ and ‘social identification’. These pressures create conflict between the midwives’ knowledge of how they would prefer to behave and concern to please authority or fit into the social group. Consequently, it may be difficult for midwives to support safe requests from women that conflict with what a senior person.

    Item Type: Article
    Themes: Health and Wellbeing
    Schools: Colleges and Schools > College of Health & Social Care
    Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences > Centre for Nursing, Midwifery & Social Work Research
    Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences
    Journal or Publication Title: British Journal of Midwifery
    Publisher: Mark Allen Healthcare
    Refereed: Yes
    ISSN: 0969-4900
    Depositing User: CJ Hollins-Martin
    Date Deposited: 22 Dec 2011 16:39
    Last Modified: 17 Feb 2014 13:53
    URI: http://usir.salford.ac.uk/id/eprint/19205

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