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哪些护士是欺凌行为的受害者:负面情绪、核心自我评价、角色冲突及欺凌行为在护理人员中的作用

Which nurses are victims of bullying: the role of negative affect, core self-evaluations, role conflict and bullying in the nursing staff.

作者信息

Homayuni Atefeh, Hosseini Zahra, Aghamolaei Teamur, Shahini Shirin

机构信息

Health Education and Promotion, Student Research Committee, Faculty of Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Health Education and Promotion, Tobacco and Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

出版信息

BMC Nurs. 2021 Apr 9;20(1):57. doi: 10.1186/s12912-021-00578-3.

Abstract

BACKGROUND

Bullying among nurses is a universally recognized problem that has important consequences for nurses, patients and health institutions. This research was conducted with the aim of studying the relationship between role conflict, negative affect and core self-evaluations with bullying in nurses.

METHODS

In this cross-sectional study, 329 nurses were selected by census method. Data were collected using PANAS Scale (negative affect), role conflict questionnaire, Core Self-Evaluations Scale (CSES), and the Negative Acts Questionnaire-Revised (NAQ-R). Data were analyzed using t-test, one way analysis of variance, Pearson correlation coefficient and multiple regression analysis with SPSS software (v. 22).

RESULTS

The results showed that there is a significant difference between the mean bullying scores in according to gender and ward of affiliation. The influence of other variables (marital status, education level, years of experience, age group and work position) was not meaningful. Pearson correlation analysis results indicated that there is a significant positive relationship between role conflict (r = 0.47) and negative affect (r = 0.56) with bullying. Also there is a significant negative relationship between core self-evaluations and bullying (r = - 0.39). Moreover, regression analysis results revealed that negative affect, role conflict and gender can predict 44% of bullying variance significantly.

CONCLUSIONS

Based on these findings, core self-evaluations, negative affect and role conflict are good factors in predicting bullying among nurses. Consequently, hiring nurses with low negative affect and high core self-evaluations, improving nurses' self-esteem and self-efficacy and changing workplace conditions in order to reducing role conflict can be useful in reducing workplace bullying.

摘要

背景

护士群体中的欺凌行为是一个普遍公认的问题,对护士、患者和医疗机构都有重要影响。本研究旨在探讨角色冲突、消极情绪和核心自我评价与护士欺凌行为之间的关系。

方法

在这项横断面研究中,采用普查法选取了329名护士。使用PANAS量表(消极情绪)、角色冲突问卷、核心自我评价量表(CSES)和修订后的消极行为问卷(NAQ-R)收集数据。使用SPSS软件(v. 22)进行t检验、单因素方差分析、Pearson相关系数分析和多元回归分析。

结果

结果表明,根据性别和所属病房划分,欺凌行为平均得分存在显著差异。其他变量(婚姻状况、教育水平、工作年限、年龄组和工作职位)的影响不显著。Pearson相关分析结果表明,角色冲突(r = 0.47)和消极情绪(r = 0.56)与欺凌行为之间存在显著正相关。核心自我评价与欺凌行为之间也存在显著负相关(r = -0.39)。此外,回归分析结果显示,消极情绪、角色冲突和性别可显著预测44%的欺凌行为差异。

结论

基于这些发现,核心自我评价、消极情绪和角色冲突是预测护士欺凌行为的良好因素。因此,雇佣消极情绪低、核心自我评价高的护士,提高护士的自尊和自我效能,并改变工作场所条件以减少角色冲突,可能有助于减少工作场所的欺凌行为。

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