Methodist Sugar Land Hospital, Sugar Land, Texas, USA.
J Nurs Adm. 2011 Jan;41(1):41-7. doi: 10.1097/NNA.0b013e3182002a4c.
The objective of the study was to investigate the impact of workplace incivility (WPI) on staff nurses related to cost and productivity.
Healthful practice environments are one of the goals of the American Organization of Nurse Executives 2010 to 2012 Strategic Plan. Healthy work environments are linked to patient safety and quality.
A postal survey was sent to 2,160 staff nurses (n = 659 completed) and included the Nursing Incivility Scale and Work Limitation Questionnaire.
Although almost 85% (n = 553) reported experiencing WPI in the past 12 months, nurses working in healthy work environments(defined as Magnet®, Pathway to Excellence, and/or Beacon Unit recognition) reported lower WPI scores compared with nurses working in the standard work environment (P < .001). Workplace incivility scores varied between types of unit. Nurses' perception of their manager's ability to handle WPI was negatively associated with WPI scores (P < .001). Lost productivity as a result of WPI was calculated at $11,581 per nurse per year.
Not only does WPI exist at high rates, but also it is costly. Nursing leaders play a vital role ensuring a healthy work environment.
本研究旨在探讨工作场所不文明行为（WPI）对与成本和生产力相关的员工护士的影响。
健康实践环境是美国护士管理人员 2010 年至 2012 年战略计划的目标之一。健康的工作环境与患者安全和质量有关。
向 2160 名员工护士（n=659 名完成）发送了一份邮政调查，其中包括护理不文明量表和工作限制问卷。
尽管近 85%（n=553）的护士在过去 12 个月中报告经历过 WPI，但在健康工作环境（定义为磁铁、卓越之路和/或灯塔单位认可）工作的护士报告的 WPI 得分低于在标准工作环境（P<0.001）工作的护士。单位类型之间的工作场所不文明评分存在差异。护士对其经理处理 WPI 能力的看法与 WPI 评分呈负相关（P<0.001）。由于 WPI 而导致的生产力损失，每位护士每年计算为 11581 美元。
WPI 不仅发生率高，而且代价高昂。护理领导者在确保健康工作环境方面发挥着至关重要的作用。
