1 University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
2 Michigan State University, East Lansing, Michigan, USA.
Qual Health Res. 2017 Oct;27(12):1870-1881. doi: 10.1177/1049732317723889. Epub 2017 Aug 14.
This grounded theory study examined how the certified nursing assistant (CNA) understands and responds to bullying in the workplace. Constant comparative analysis was used to analyze data from in-depth telephone interviews with CNAs ( N = 22) who experienced bullying while employed in a nursing home. The result of the analysis is a multistep model describing CNA perceptions of how, over time, they recognized and responded to the "toxic" work environment. The strategies used in responding to the "toxic" environment affected their care provision and were attributed to the development of several resident and worker safety outcomes. The data suggest that the etiology of abuse and neglect in nursing homes may be better explained by institutional cultures rather than individual traits of CNAs. Findings highlight the relationship between worker and patient safety, and suggest worker safety outcomes may be an indicator of quality in nursing homes.
本扎根理论研究探讨了注册护士助理 (CNA) 如何理解和应对工作场所中的欺凌行为。采用不断比较分析的方法，对在养老院工作时经历过欺凌行为的 22 名 CNA 进行深入的电话访谈，以分析数据。分析的结果是一个多步骤的模型，描述了 CNA 对他们如何随着时间的推移认识和应对“有毒”工作环境的看法。应对“有毒”环境所采用的策略影响了他们的护理提供，并归因于几个居民和工人安全结果的发展。这些数据表明，养老院中虐待和忽视的病因可能更好地用机构文化来解释，而不是用 CNA 的个体特征来解释。研究结果强调了工人和患者安全之间的关系，并表明工人安全结果可能是养老院质量的一个指标。
