Skarbek Anita J, Johnson Sandra, Dawson Christina M
Author Affiliations: Clinical Assistant Professor (Dr Skarbek), School of Nursing & Health Studies, University of Missouri-Kansas City; Associate Professor (Dr Johnson), SUNY Empire State College, Olean, New York; and Contributing Faculty (Dr Dawson), Doctoral Programs, Walden University, Minneapolis, Minnesota.
J Nurs Adm. 2015 Oct;45(10):492-7. doi: 10.1097/NNA.0000000000000240.
The aim of this study was to acquire nurse managers' perspectives as to the scope of workplace bullying, which interventions were deemed as effective and ineffective, and what environmental characteristics cultivated a healthy, caring work environment.
Research has linked workplace bullying among RNs to medical errors, unsafe hospital environments, and negative patient outcomes. Limited research had been conducted with nurse managers to discern their perspectives.
Six nurse managers from hospital settings participated in in-depth, semistructured interviews. Ray's theory of bureaucratic caring guided the study.
These themes emerged: (a) awareness, (b) scope of the problem, (c) quality of performance, and (d) healthy, caring environment. Findings indicated mandated antibullying programs were not as effective as individual manager interventions.
Systems must be in place to hold individuals accountable for their behavior. Communication, collective support, and teamwork are essential to create environments that lead to the delivery of safe, optimum patient care.
本研究旨在了解护士长对于工作场所欺凌行为的范围、哪些干预措施被认为有效和无效，以及哪些环境特征有助于营造一个健康、关爱的工作环境的看法。
研究表明，注册护士之间的工作场所欺凌行为与医疗差错、不安全的医院环境以及负面的患者结局有关。针对护士长的观点进行的研究有限。
来自医院的六位护士长参与了深入的半结构化访谈。雷的官僚关怀理论指导了本研究。
出现了以下主题：（a）意识，（b）问题范围，（c）绩效质量，以及（d）健康、关爱的环境。研究结果表明，强制性的反欺凌计划不如个别管理人员的干预措施有效。
必须建立相应制度，让个人对自己的行为负责。沟通、集体支持和团队合作对于营造能够实现安全、优质患者护理的环境至关重要。
