Attributions for illness and treatment interventions by community nurses

Authors

  • Jane Ogden PhD,

    Corresponding author
    1. Lecturer in Health Psychology, Department of General Practice, United Medical and Dental School of Guy's and St Thomas's Hospitals, London Senior Lecturer in Nursing Studies, University of Hertfordshire, Hatfield, Hertfordshire, England
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  • Denise Knight BSc(Hons) MSC RGN RHV

    1. Lecturer in Health Psychology, Department of General Practice, United Medical and Dental School of Guy's and St Thomas's Hospitals, London Senior Lecturer in Nursing Studies, University of Hertfordshire, Hatfield, Hertfordshire, England
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Dr J Ogden, Lecturer In Health Psychology Department Of General Practice United Medical and Dental School Of Guy's and St Thomas's Hospitals,80 Kennington Road, London SE11 6SP, England

Abstract

The present study evaluated community nurses’attributions for a case patient's heart attack and their recommendations for treatment Eighty-nine district nurses and health visitors completed a set of rating scales following a case vignette describing a patient who had suffered a heart attack and prior to which had either adopted a healthy lifestyle (n=47) or had maintained unhealthy behaviours (n= 42) The results suggest that subjects in the unhealthy-behaviour condition rated the case patient as less likely to follow advice, more responsible for his/her condition and rated the heart attack as more preventable In addition, the results suggest that subjects were more likely to offer recommendations for behavioural change to the unhealthy case patient and that these recommendations were significantly related to internal attributions of patient responsibility The results are discussed in terms of theories of health professionals’beliefs and behaviours

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