Bullying and Its Prevention Among Intensive Care Nurses

Ganz, Freda DeKeyser; Levy, Hadassa; Khalaila, Rabia; Arad, Dana; Bennaroch, Kochav; Kolpak, Orly; Drori, Yardena; Benbinishty, Julie; Raanan, Ofra

doi:10.1111/jnu.12167

Cited by 52 publications

(55 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, hospitals were the most frequently assessed healthcare setting. Nurses’ workplace‐unit specification has been also indicated in previous studies as a potential factor that may affect exposure to bullying (Fang et al, 2016; Ganz et al, 2015; Oh et al, 2016b; Spector, Zhou, & Che, 2014). Furthermore, Oh et al (2016b) and Yun et al (2014) revealed that working in more specialized units is significantly predictive of a higher risk of being bullied.…”

Section: Discussionmentioning

confidence: 81%

“…In total, seven studies comprising 2,284 participants that calculated a mean score for the entire NAQ‐R scale were included: Trepanier, Fernet, and Austin (2016), Ganz et al (2015), Yun et al (2014), Laschinger et al (2010), Topa and Moriano (2013), Purpora and Blegan (2015) and Oh, Uhm, and Yoon (2016a). A total of 42.9% ( N = 3) of the studies was performed in North America, with the same number ( N = 3) in Asia; only one study (14.3%) was performed in Europe.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Bullying in nursing evaluated by the Negative Acts Questionnaire‐Revised: A systematic review and meta‐analysis

Serafin

Sak‐Dankosky

Czarkowska–Pączek

2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims:To report a synthesis of the empirical studies that used the Negative Acts Questionnaire-Revised (NAQ-R) to assess bullying among nurses based on evaluation of the psychometric properties and use and usability of the instrument and identification of the variables associated with bullying.Design: Systematic review and meta-analysis. Data sources: Four databases were used in the literature search: PubMed, CINAHL, PsycINFO and Scopus. The search was limited to original publications describing results of empirical studies written in English or Polish and published in peer-reviewed journals between 2002 and 2018.Review methods: Two reviewers independently assessed eligibility, extracted data and conducted quality assessment. Based on the extracted data, three separate meta-analyses were conducted.Results: Thirty-one articles were included in the review, 13 of which were selected for meta-analysis. In studies where participants reported bullying (N = 19), its prevalence ranged from 17-94%. Variables most often associated with bullying were age, educational level and years of professional experience. Usability of this instrument in different countries was supported by a high reliability in each study. In two metaanalyses, which included 12 studies with mean NAQ-R and item scores, the heterogeneity of data was calculated as high and moderate respectively. Conclusion:The good quality of the NAQ-R in determining variables related to bullying is endorsed. Variables related to bullying identified in this review could be used to map out a model of a potential bullying victim for preventative measures. Impact:The NAQ-R is a useful and reliable tool for measuring bullying among nurses; however, there remains a strong need to assure that a verified, standardized and updated bullying taxonomy is used in future studies to ensure reliable and comparable data. A model of a potential bullying victim may help nursing directors foster a healthier workplace environment, thereby improving patient outcomes in the long-term. K E Y W O R D Sbullying, management, meta-analysis, nursing practice, systematic review

show abstract

Section: Discussionmentioning

confidence: 81%

Section: Resultsmentioning

confidence: 99%

Bullying in nursing evaluated by the Negative Acts Questionnaire‐Revised: A systematic review and meta‐analysis

Serafin

Sak‐Dankosky

Czarkowska–Pączek

2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…Other research supports the differences in reported exposure found within this study. Studies (DeKeyser et al, 2015;Lee, Bernstein, Lee, & Nokes, 2014) have shown that while uncivil behaviors existed across healthcare settings and professions, nurses were more likely to be victims. Others (Carayon & Gurses, 2008;Dellasega, 2011;Roche, Diers, Duffield, & Catling-Paull, 2010;Vessey, Demarco, Gaffney, & Budin, 2009) found that healthcare providers working in acute care arenas, or areas within high patient acuity levels, were more likely to experience incivility, stress, and burnout than their counterparts working in areas deemed less stressful.…”

Section: Discussionmentioning

confidence: 99%

Categorizing the Magnitude and Frequency of Exposure to Uncivil Behaviors: A New Approach for More Meaningful Interventions

Evans

2017

J of Nursing Scholarship

View full text Add to dashboard Cite

Purpose: To examine turnover intentions, as well as the prevalence and frequency of uncivil behaviors, from the perspective of registered nurses, respiratory therapists, and imaging professionals, using a new method to categorize exposure magnitude. Design and Methods: Data were collected using the 22-item Negative Acts Questionnaire-Revised (NAQ-R). Additional items, informed by Price and Mueller's causal model of turnover, were included, as were select demographic variables. The final sample included 170 healthcare professionals. Descriptive statistics were used to describe the sample, a chi-square test was constructed to test for significant differences in exposure to uncivil behavior based on demographics, and Cochran-Mantel-Haenszel statistics were used to test associations between variables and calculation of raw sum scores to implement a new method of analysis for the NAQ-R, allowing for categorization of exposure magnitude. Findings: Exposure to uncivil behavior was reported more often among nursing staff than other healthcare professionals. Lack of exposure to uncivil behavior was a significant predictor of intention to stay. Perceptual differences were found between nurses prepared at the baccalaureate and associate degree levels. Lastly, no significant correlations between exposure to uncivil behavior and selected demographic variables were found, suggesting that exposure is not dependent upon age, race, unit type, or educational level. Conclusions: Findings support prior research associating negative organizational climate with higher turnover intentions. Uncivil behavior was reported across the organization, most predominantly among units staffed with nurses. Finally, use of newly defined cutoff points for the NAQ-R provide organizations with the ability to use both subjective and objective data to identify targets of uncivil behaviors to construct meaningful interventions. Clinical Relevance: There is a need to develop more meaningful interventions to support targets of uncivil behaviors. Use of the NAQ-R, coupled with the proposed cutoff scores, allows for the identification of targets, the magnitude of exposure, and the construction of meaningful primary, secondary, and tertiary intervention programs that may improve turnover and quality of care.

show abstract

“…Intensive care nurses are exposed to various psychological risks with the potential of psychological harm, such as burnout, compassion fatigue, moral distress, and bullying . These harms have been the focus of a large body of international research exploring illbeing or the “negative side” of well‐being .…”

Section: Introductionmentioning

confidence: 99%

Conceptual model for intensive care nurse work well‐being: A qualitative secondary analysis

Jarden¹,

Sandham

Siegert

et al. 2019

Nursing in Critical Care

View full text Add to dashboard Cite

Background There had been little focus on the well‐being of intensive care nurses until a recent programme of research found work well‐being to be best described as a collection of elements, a multifaceted construct. Strengtheners of intensive care nurses' work well‐being were found to extend across individual, relational, and organizational resources. Actions such as simplifying their lives, giving and receiving team support, and accessing employee assistance programmes were just a few of the intensive care nurses' identified strengtheners. Aims and objectives To synthesize intensive care nurse perceptions of work well‐being characteristics and strengtheners to identify opportunities for job crafting and redesign. Design This was a qualitative secondary analysis. Methods Intensive care nurse work well‐being characteristics and strengtheners were explored using applied thematic analysis and pre‐design, open card‐sort technique. Results Five facets were identified in the analysis: (a) healthy, (b) authentic, (c) meaningful, (d) connected, and (e) innovative. These five facets were described from a theoretical perspective and illustrated as a conceptual model for intensive care nurse job crafting and redesign. Conclusions The proposed conceptual model contributes new knowledge to be explored in meaningful discussions about intensive care nurse work well‐being and empirically investigated in terms of construct validity and theory development. Furthermore, the model provides practical opportunities to explore individual and collaborative ways to enhance intensive care nurse work well‐being across a range of levels. Relevance to clinical practice Opportunities for job crafting and redesign were identified and presented in a conceptual model of intensive care nurse work well‐being. This model provides individual nurses, intensive care teams, health care organizations, and workers' well‐being programme and policy developers practical opportunities to explore individual and collaborative ways to enhance intensive care nurse work well‐being.

show abstract

Bullying and Its Prevention Among Intensive Care Nurses

Abstract: More measures must be taken to prevent bullying. Nurses must be educated to accept only a zero tolerance to bullying and to report bullying when confronted by bullying.

Cited by 52 publications

References 30 publications

Bullying in nursing evaluated by the Negative Acts Questionnaire‐Revised: A systematic review and meta‐analysis

Bullying in nursing evaluated by the Negative Acts Questionnaire‐Revised: A systematic review and meta‐analysis

Categorizing the Magnitude and Frequency of Exposure to Uncivil Behaviors: A New Approach for More Meaningful Interventions

Conceptual model for intensive care nurse work well‐being: A qualitative secondary analysis

Contact Info

Product

Resources

About