护士报告的欺凌行为与记录的不良患者事件：美国医院的一项探索性研究。
Nurse-Reported Bullying and Documented Adverse Patient Events: An Exploratory Study in a US Hospital.
机构信息
Department of Family Medicine, Michigan State University College of Human Medicine, Grand Rapids (Drs J. E. Arnetz and B. B. Arnetz and Mr Sudan); Department of Statistics and Probability, Michigan State University, East Lansing (Drs Neufcourt, Maiti, and Viens); and Facility for Rare Isotope Beams, Michigan State University, East Lansing (Dr Neufcourt).
出版信息
J Nurs Care Qual. 2020 Jul/Sep;35(3):206-212. doi: 10.1097/NCQ.0000000000000442.
BACKGROUND
Negative nurse work environments have been associated with nurse bullying and poor nurse health. However, few studies have examined the influence of nurse bullying on actual patient outcomes.
PURPOSE
The purpose of the study was to examine the association between nurse-reported bullying and documented nursing-sensitive patient outcomes.
METHODS
Nurses (n = 432) in a large US hospital responded to a survey on workplace bullying. Unit-level data for 5 adverse patient events and nurse staffing were acquired from the National Database of Nursing Quality Indicators. Generalized linear models were used to examine the association between bullying and adverse patient events. A Bayesian regression analysis was used to confirm the findings.
RESULTS
After controlling for nurse staffing and qualification, nurse-reported bullying was significantly associated with the incidence of central-line-associated bloodstream infections (P < .001).
CONCLUSIONS
Interventions to address bullying, a malleable aspect of the nurse practice environment, may help to reduce adverse patient events.
背景
负面的护士工作环境与护士欺凌和护士健康状况不佳有关。然而，很少有研究调查护士欺凌对实际患者结果的影响。
目的
本研究旨在探讨护士报告的欺凌与记录的护理敏感患者结果之间的关联。
方法
美国一家大型医院的护士（n=432）对工作场所欺凌行为进行了调查。从国家护理质量指标数据库中获取了 5 例不良患者事件和护士人员配备的单位级数据。使用广义线性模型来检查欺凌与不良患者事件之间的关联。使用贝叶斯回归分析来确认研究结果。
结果
在控制护士人员配备和资格后，护士报告的欺凌与中心静脉相关血流感染的发生率显著相关（P<0.001）。
结论
针对欺凌行为的干预措施，这是护士工作环境中一个可塑的方面，可能有助于减少不良患者事件。
Zotero 插件