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Taking Another View: How Nurses Perceive Infusion Pumps as Demanding for Both Themselves and Their Patients

Perrigino, Matthew B. BBA; Dunford, Benjamin B. PhD; Berndt, Dawn DNP, RN, CRNI®; Gaston, Cynthia L. PharmD, BCPS

doi: 10.1097/NAN.0000000000000177
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Based on an organization theory perspective, this study proposes that nurses not only consider how infusion pumps place demands on themselves but also consider how infusion pumps place demands on patients. Results from a sample of nurses in a large, public authority, nonprofit teaching hospital located in the midwestern United States indicate that “demanding formalization for nurses” and “demanding formalization for patients” are 2 empirically distinct constructs. Demanding formalization for patients was a stronger predictor of infusion pump-related attitudes, in addition to trust and pay satisfaction. Demanding formalization for nurses was a stronger predictor of job satisfaction, turnover intention, and burnout.

Krannert School of Management, Regenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, Indiana (Mr Perrigino and Dr Dunford); University of Wisconsin Hospital and Health Systems, Madison, Wisconsin (Dr Berndt and Dr Gaston); and University of Wisconsin School of Pharmacy, Madison, Wisconsin (Dr Gaston).

Matthew B. Perrigino, BBA, is a doctoral candidate in the organizational behavior and human resources program at Purdue University's Krannert School of Management in West Lafayette, Indiana. He is also a research fellow at Purdue's Regenstrief Center for Healthcare Engineering.

Benjamin B. Dunford, PhD, is an associate professor at the Krannert School of Management and a Regenstrief Center for Healthcare Engineering Scholar at Purdue University. His research focuses on how the management of people has an impact on organizational effectiveness and patient safety in the health care industry.

Dawn Berndt, DNP, RN, CRNI®, is a clinical nurse specialist at University of Wisconsin Hospital and Health Systems. Within her facility, she is an infusion pump advocate and champion.

Cynthia L. Gaston, PharmD, BCPS, is a medication use policy analyst at University of Wisconsin Hospital and Health Systems. She also serves as a clinical assistant professor at the University of Wisconsin School of Pharmacy in Madison, Wisconsin.

Corresponding Author: Matthew B. Perrigino, BBA, Purdue University, Krannert School of Management, Regenstrief Center for Healthcare Engineering, 403 W State St, West Lafayette, IN 47907 (mperrigi@purdue.edu).

The authors have no conflicts of interest to disclose.

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