The School of Nursing & Midwifery, The University of Newcastle, Taree, New South Wales, Australia.
The School of Nursing & Midwifery, The University of Newcastle, Ourimbah, New South Wales, Australia.
Nurs Health Sci. 2021 Mar;23(1):123-135. doi: 10.1111/nhs.12769. Epub 2020 Sep 25.
Negative workplace behavior affecting nurses is an internationally recognized problem. This study examines the types and extent of negative workplace behavior experienced by nurses in non-metropolitan, regional acute care settings and their ways of coping when subject to that behavior. A cross-sectional study was conducted involving 74 nurse participants in four regional hospitals in Australia. The structured questionnaire consisted of four parts: demographic questions, the Negative Acts Questionnaire - Revised, questions on exposure to bullying and/or incivility and policy awareness and use of pathways, and the Ways of Coping Questionnaire. Overall, 34% of participants were exposed to bullying and 49% to incivility over the previous month. The most common type of negative workplace behavior reported was "work-related bullying," which included exposure to excessive workloads, unrealistic deadlines, and information being withheld. Nurses reported the use of a variety of coping mechanisms, including problem-focused coping strategies and seeking social support. The findings imply that negative workplace behaviors occur not only at individual nurses' level but also derive from the broader contexts of organizational management and systemic factors.
影响护士的负面工作行为是一个国际公认的问题。本研究调查了非大都市、地区急症护理环境中护士所经历的负面工作行为的类型和程度,以及他们在遭受这种行为时的应对方式。本研究采用横断面研究,涉及澳大利亚四个地区医院的 74 名护士参与者。结构化问卷包括四部分:人口统计学问题、负面行为问卷修订版、关于遭受欺凌和/或粗野行为以及政策意识和使用途径的问题,以及应对方式问卷。总体而言,34%的参与者在过去一个月中经历过欺凌,49%经历过粗野行为。报告的最常见的负面工作行为是“与工作相关的欺凌”,包括工作量过大、不切实际的最后期限和信息被隐瞒。护士报告使用了各种应对机制,包括问题焦点应对策略和寻求社会支持。研究结果表明,负面工作行为不仅发生在个别护士层面,而且还源于组织管理和系统因素的更广泛背景。