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新护士遭受职场欺凌后的工作效率。

Novice nurse productivity following workplace bullying.

机构信息

College of Nursing, University of Cincinnati, Cincinnati, OH 45221–0038, USA.

出版信息

J Nurs Scholarsh. 2012 Mar;44(1):80-7. doi: 10.1111/j.1547-5069.2011.01436.x. Epub 2012 Feb 16.

Abstract

PURPOSE

To determine the prevalence and effects of workplace bullying (WPB) on the work productivity of novice nurses (NNs).

DESIGN

Internet-based descriptive cross-sectional survey design.

METHODS

One hundred ninety seven NNs (91.4% female, 8.6% male) in practice less than 2 years completed the Healthcare Productivity Survey, Negative Acts Questionnaire, and a demographic survey.

FINDINGS

The majority (72.6%, n= 147) of NNs reported a WPB event within the previous month, with 57.9% (n= 114) the direct targets and another 14.7% (n= 29) witnesses of WPB behaviors. Using a weighted Negative Acts Questionnaire score, 21.3% (n= 43) of NNs were bullied daily over a 6-month period. When asked if bullied over the past 6 months, approximately 44.7% (n= 88) of NNs reported repeated, targeted WPB, with 55.3% (n= 109) reporting no WPB. WPB acts were primarily perpetrated by more experienced nursing colleagues (63%, n= 126). Further, work productivity regression modeling was significant and NN productivity was negatively impacted by workplace bullying (r=-.322, p= .045).

CONCLUSIONS

WPB continues in the healthcare environment and negatively affects bullied NNs' productivity by affecting cognitive demands and ability to handle or manage their workload.

CLINICAL RELEVANCE

Healthcare facilities should continue to measure WPB in the work environment after policy implementation as well as eliminate negative behaviors through root-cause analysis to correct environmental factors associated with WPB.

摘要

目的

确定工作场所欺凌(WPB)对新手护士(NN)工作生产力的影响和流行率。

设计

基于互联网的描述性横断面调查设计。

方法

197 名实践经验不足 2 年的 NN(91.4%女性,8.6%男性)完成了医疗保健生产力调查、负面行为问卷和人口统计学调查。

发现

大多数(72.6%,n=147)NN 在过去一个月内报告了 WPB 事件,其中 57.9%(n=114)是 WPB 行为的直接目标,另有 14.7%(n=29)是 WPB 行为的目击者。使用加权负面行为问卷得分,21.3%(n=43)的 NN 在过去 6 个月内每天都受到欺凌。当被问及在过去 6 个月是否受到欺凌时,约 44.7%(n=88)的 NN 报告称反复受到针对性的 WPB,而 55.3%(n=109)则报告称没有 WPB。WPB 行为主要由经验更丰富的护理同事(63%,n=126)实施。此外,工作生产力回归模型具有统计学意义,NN 的生产力受到工作场所欺凌的负面影响(r=-.322,p=.045)。

结论

WPB 在医疗保健环境中持续存在,并通过影响认知需求和处理或管理工作量的能力,对受欺凌的 NN 的生产力产生负面影响。

临床相关性

医疗机构在实施政策后,应继续在工作环境中衡量 WPB,并通过根本原因分析消除负面行为,以纠正与 WPB 相关的环境因素。

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