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整合个体、工作群体和组织因素:检验护理工作场所中欺凌的多维模型。

Integrating individual, work group and organizational factors: testing a multidimensional model of bullying in the nursing workplace.

机构信息

Department of Nursing, School of Health and Human Sciences, Southern Cross University, Lismore, NSW Australia.

出版信息

J Nurs Manag. 2010 Mar;18(2):173-81. doi: 10.1111/j.1365-2834.2009.01035.x.

Abstract

AIM

The aim of the present study was to test a multidimensional model of bullying in the nursing workplace.

BACKGROUND

This paper is part of a larger study of bullying in the Australian nursing workforce. While a number of studies have documented the frequency and consequences of bullying among nurses, there have been few attempts to develop integrated theoretical models that identify individual, work group and organizational factors.

METHOD

In the third stage of this sequential mixed methods study, data were collected from a randomized survey of Australian nurses. Structural equation modelling and confirmatory factor analysis on 370 completed surveys was used to test a multidimensional model of bullying.

RESULTS

Organizational characteristics were confirmed to be critical antecedents of bullying, influencing both the occurrence of bullying and the resultant consequences.

CONCLUSIONS

The findings have important implications for the management and prevention of bullying, suggesting that, if they are to be effective, strategies to address the problem need to focus upon work group and organizational factors.

IMPLICATIONS FOR NURSING MANAGEMENT

The findings draw in question the usefulness of current approaches to managing bullying and will be of use to nurse managers, particularly those tasked with providing safer and more productive workplaces.

摘要

目的

本研究旨在检验工作场所护理欺凌的多维模型。

背景

本文是对澳大利亚护理人员中欺凌行为的更大规模研究的一部分。尽管许多研究都记录了护士中欺凌行为的频率和后果,但很少有尝试开发综合理论模型来确定个人、工作群体和组织因素的。

方法

在这项顺序混合方法研究的第三阶段,从澳大利亚护士的随机调查中收集了数据。对 370 份完成的调查进行了结构方程建模和验证性因子分析,以检验欺凌的多维模型。

结果

组织特征被确认为欺凌的关键前提条件,影响欺凌的发生和产生的后果。

结论

这些发现对欺凌的管理和预防具有重要意义,表明如果要有效,解决问题的策略需要侧重于工作群体和组织因素。

对护理管理的启示

这些发现对管理欺凌行为的当前方法的有效性提出了质疑,对护理管理人员,特别是那些负责提供更安全、更高效工作场所的管理人员将非常有用。

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