Quinlan Elizabeth, Robertson Susan, Miller Natasha, Robertson-Boersma Danielle
University of Saskatchewan, Saskatchewan, Canada
University of Saskatchewan, Saskatchewan, Canada.
Health Serv Manage Res. 2014 Feb-Jun;27(1-2):33-44. doi: 10.1177/0951484814547236. Epub 2014 Aug 22.
The problem of staff-to-staff bullying and its consequences in the health care sector has given rise to urgent knowledge needs among health care employers, union representatives, and professional associations. The purpose of this scoping review is to increase the uptake and application of synthesized research results of interventions designed to address bullying among coworkers within health care workplaces. The scoping review's methodology uses an adapted version of the Arksey and O'Malley framework to locate and review empirical studies involving interventions designed to address bullying in health care workplaces. The findings of the review reveal eight articles from three countries discussing interventions that included educative programming, bullying champions/advocates, and zero-tolerance policies. The reported evaluations extend beyond bullying to include organizational culture, trust in management, retention rates, and psychosocial health. The most promising reported outcomes are from participatory interventions. The results of the review make a compelling case for bullying interventions based on participatory principles.
医护人员之间的欺凌问题及其在医疗保健领域的后果，引发了医疗保健雇主、工会代表和专业协会对紧迫知识的需求。本范围综述的目的是促进对旨在解决医疗保健工作场所同事间欺凌问题的干预措施综合研究结果的吸收和应用。该范围综述的方法采用了经改编的阿克西和奥马利框架，以查找和审查涉及旨在解决医疗保健工作场所欺凌问题的干预措施的实证研究。综述结果显示，来自三个国家的八篇文章讨论了包括教育项目、反欺凌倡导者和零容忍政策在内的干预措施。报告的评估范围超出了欺凌行为，涵盖了组织文化、对管理层的信任、留用率和心理健康。报告中最有前景的结果来自参与式干预措施。综述结果有力地证明了基于参与原则的欺凌干预措施的合理性。
