Department of Psychology, University of Turin, Turin, Italy.
Department of Family Medicine, Michigan State University, East Lansing, MI, USA.
J Nurs Manag. 2018 Jul;26(5):597-604. doi: 10.1111/jonm.12587. Epub 2018 Jan 10.
To examine the relationship of co-worker incivility with organisational efficiency, workload and intention to leave in nursing samples from two different countries, the USA and Italy.
Organisational efficiency has received little attention as a possible correlate of co-worker incivility in the nursing management literature. Studies on co-worker incivility have primarily been carried out in North America and no cross-national studies are available.
Data were collected by a self-report questionnaire involving nurses from the USA (n = 341) and Italy (n = 313).
Organisational efficiency was negatively associated with workload, co-worker incivility and intention to leave in both samples. The path from co-worker incivility to intention to leave was also positive and significant in both samples. Workload was positively associated with co-worker incivility and intention to leave in the US sample, but not in the Italian sample.
The present study suggests that organisational efficiency is central to understanding both co-worker incivility and intention to leave among nurses.
Nurse administrators should adopt interventions aimed at fostering organisational efficiency in an effort to reduce nurse co-worker incivility.
在美国和意大利的两个不同国家的护理样本中，研究同事不文明行为与组织效率、工作量和离职意向的关系。
在护理管理文献中，组织效率作为同事不文明行为的一个可能相关因素，很少受到关注。关于同事不文明行为的研究主要在北美进行，目前还没有跨国研究。
通过自我报告问卷收集了来自美国（n=341）和意大利（n=313）的护士的数据。
在两个样本中，组织效率与工作量、同事不文明行为和离职意向呈负相关。在两个样本中，同事不文明行为与离职意向之间的路径也是正向且显著的。工作量与美国样本中的同事不文明行为和离职意向呈正相关，但与意大利样本无关。
本研究表明，组织效率是理解护士同事不文明行为和离职意向的核心。
护理管理人员应采取干预措施，努力提高组织效率，以减少护士同事的不文明行为。
