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当工作量预测护士遭受欺凌行为时:社会支持和工作认可的保护作用。

When workload predicts exposure to bullying behaviours in nurses: The protective role of social support and job recognition.

机构信息

Department of Human Resource Management, Business School, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.

Department of Philosophy and Arts, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.

出版信息

J Adv Nurs. 2021 Jul;77(7):3093-3103. doi: 10.1111/jan.14849. Epub 2021 Apr 24.

DOI:10.1111/jan.14849
PMID:33896030
Abstract

AIMS

This study examined the moderating role of two resources (social support and recognition) in the longitudinal relationship between workload and bullying behaviours in nurses.

DESIGN

A two-wave (12-month) longitudinal study was conducted.

METHOD

French-Canadian nurses (n = 279) completed an online survey (October 2014 and October 2015) assessing their perceptions of job characteristics within the work environment (workload, social support, job recognition) as well as exposure to negative behaviours at work.

RESULTS

Workload positively predicted exposure to bullying behaviours over time, but only when job recognition and social support were low. Workload was unrelated to bullying when social support was high and was negatively related to bullying when job recognition was high.

CONCLUSION

This study aligns with the work environment hypothesis, showing that poorly designed and stressful job environments provide fertile ground for bullying behaviours.

IMPACT

Bullying is a growing concern in the nursing profession that not only undermines nurses' well-being but also compromises patient safety and care. It is thus important to identify work-related factors that can contribute to the presence of bullying behaviours in nurses in the hopes of reducing their occurrence and repercussions. This study contributes to this endeavour and identifies two key social coping resources that can help manage the stress associated with workload, resulting in less perceived bullying behaviour among nurses.

摘要

目的

本研究旨在探讨两种资源(社会支持和认可)在护士工作量与欺凌行为的纵向关系中的调节作用。

设计

这是一项为期两年(12 个月)的纵向研究。

方法

对 279 名加拿大法语护士进行了在线调查(2014 年 10 月和 2015 年 10 月),评估他们对工作环境中的工作特征(工作量、社会支持、工作认可)以及工作中负面行为的暴露程度的看法。

结果

随着时间的推移,工作量正向预测欺凌行为的发生,但只有在工作认可和社会支持较低时才如此。当社会支持较高时,工作量与欺凌行为无关,而当工作认可较高时,工作量与欺凌行为呈负相关。

结论

本研究与工作环境假说一致,表明设计不良且压力大的工作环境为欺凌行为提供了肥沃的土壤。

影响

欺凌行为是护理行业日益关注的问题,它不仅损害护士的福祉,还会影响患者的安全和护理。因此,确定与工作相关的因素,这些因素可能导致护士中存在欺凌行为,对于减少其发生和影响至关重要。本研究为此做出了贡献,并确定了两个关键的社会应对资源,可以帮助管理与工作量相关的压力,从而减少护士感知到的欺凌行为。

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