Lateral Hostilities Among Nurses Employed in Intensive Care Units, Emergency Departments, Operating Rooms, and Emergency Medical Services

Abstract

Lateral hostility is a frequent occurrence that calls for implementation of management policies to achieving an overall improvement of the work environment climate.

Systematic review of the prevalence, impact and mitigating strategies for bullying, undermining behaviour and harassment in the surgical workplace

“…). A summary of the key findings from each of the 32 included papers is shown in Table S1 (supporting information).…”

“…Countries of study origin included Australia, Canada, China, Greece, Italy, Japan, New Zealand, Nigeria, Pakistan, Ireland, South Korea, Sweden, Taiwan, the UK and the USA. The studies were published between 1996 and 2017 inclusive.…”

“…The mean sample size was 1268 (range 20–21 095), and included nurses, allied health professionals, medical students and surgeons. In terms of methodology, 29 studies used cross‐sectional surveys, one used semistructured interviews, and two tested interventions. Twenty‐two studies reported the prevalence of BUBH, 11 investigated the impact of these behaviours and six considered strategies to tackle them.…”

“…The effect of BUBH on surgical nurses may be particularly strong. Evidence suggests that those working in operating rooms are more likely to suffer adverse health effects in response to negative behaviour, compared with nurses working in intensive care or emergency rooms (85·7 per cent; χ = 6·82, P < 0·01), and are also more likely to try to leave their post (16·8 per cent, χ 2 = 13·43, P < 0·01). Emotional exhaustion and job dissatisfaction are correlated with bullying.…”

Stressors in the Working Environment of Registered Nurses

“…Forty-nine percent of RNs report verbal abuse, condescending language, and insufficient responses of nurse colleagues most frequent; of those, 50% reported minimal occurrences every three months [5]. Acute care (operating room, emergency room, and critical care) nurses report high levels of verbal abuse from nurse colleagues compared to other units with significant lower levels of autonomy, poor supervisor and mentor support, and reduced workgroup cohesion (p = .0001) [6]. Evidence-based identification and plans to address the most common stressors of workplace aggression, incivility, violence, harassment, insults and vulnerability are vital.…”