工作场所虐待对患者安全风险和护士评估的患者结局的影响。
Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes.
机构信息
Author Affiliations: Distinguished University Professor and Arthur Labatt Family Nursing Research Chair in Health Human Resources Optimization, The University of Western Ontario, London, Ontario, Canada.
出版信息
J Nurs Adm. 2014 May;44(5):284-90. doi: 10.1097/NNA.0000000000000068.
OBJECTIVE
The aim of this study was to investigate the impact of subtle forms of workplace mistreatment (bullying and incivility) on Canadian nurses' perceptions of patient safety risk and, ultimately, nurse-assessed quality and prevalence of adverse events.
BACKGROUND
Workplace mistreatment is known to have detrimental effects on job performance and in nursing may threaten patient care quality.
METHODS
A total of 336 nurses from acute care settings across Ontario responded to a questionnaire that was mailed to their home address in early 2013, with a response rate of 52%.
RESULTS
Bullying and incivility from nurses, physicians, and supervisors have significant direct and indirect effects on nurse-assessed adverse events (R = 0.03-0.06) and perceptions of patient care quality (R = 0.04-0.07), primarily through perceptions of increased patient safety risk.
CONCLUSIONS
Bullying and workplace incivility have unfavorable effects on nurse-assessed patient quality through their effect on perceptions of patient safety risk.
目的
本研究旨在探讨加拿大护士所经历的轻微形式的工作场所虐待（欺凌和粗野行为）对其感知的患者安全风险的影响，最终影响护士评估的护理质量和不良事件的发生率。
背景
工作场所虐待会对工作表现产生不利影响，在护理领域可能会威胁到患者护理质量。
方法
2013 年初，安大略省急性护理环境中的 336 名护士通过邮寄方式回复了一份问卷，回复率为 52%。
结果
护士、医生和主管的欺凌和粗野行为对护士评估的不良事件（R = 0.03-0.06）和对患者护理质量的感知（R = 0.04-0.07）有显著的直接和间接影响，主要是通过增加患者安全风险的感知。
结论
欺凌和工作场所粗野行为通过对患者安全风险的感知对护士评估的患者质量产生不利影响。
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