Atashzadeh Shoorideh Foroozan, Moosavi Soolmaz, Balouchi Abbas
Professor, Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Labbafinezhad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Assistant Professor, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Labbafinezhad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Med Ethics Hist Med. 2021 Nov 3;14:15. doi: 10.18502/jmehm.v14i15.7670. eCollection 2021.
One important part of a nurse's job is to create and help maintain a safe work environment. Evidence shows that negative behaviors such as incivility are not uncommon in the nursing profession. This systematic review and meta-analysis aimed to examine the prevalence of incivility toward nurses. For this purpose, all observational studies that primarily investigated the rate of incivility toward nurses were selected. The electronic databases PubMed, Embase, Web of Sciences, Magiran, IranDoc, and Scopus were searched for studies published during the period of January 1, 1996 to December 31, 2019. The quality of studies was assessed using Hoy's Critical Assessment Checklist. The study was undertaken using the random effects model, and data were analyzed using STATA14. Data on 60 articles, including data on 30801 individuals, published between 1997 and 2019, entered the study. The findings showed the prevalence of incivility to be 55.10% (95%, CI: 48.05, 62.06). Due to the high prevalence of uncivil behavior, especially of the verbal type, nursing managers should identify risk factors in the workplace. Planners should develop programs to increase workplace safety, especially in centers that are most exposed to these behaviors. It is also recommended that future studies focus on implementation of effective evidence-based interventions based on organizational culture.
护士工作的一个重要部分是创造并帮助维持一个安全的工作环境。有证据表明，诸如无礼等负面行为在护理行业并不罕见。这项系统综述和荟萃分析旨在研究针对护士的无礼行为的发生率。为此，选取了所有主要调查针对护士无礼行为发生率的观察性研究。在电子数据库PubMed、Embase、科学网、Magiran、IranDoc和Scopus中检索了1996年1月1日至2019年12月31日期间发表的研究。使用霍伊批判性评估清单对研究质量进行评估。本研究采用随机效应模型进行，数据使用STATA14进行分析。纳入研究的有1997年至2019年间发表的60篇文章中的数据，包括30801人的数据。研究结果显示，无礼行为的发生率为55.10%（95%置信区间：48.05，62.06）。由于无礼行为，尤其是言语类无礼行为的高发生率，护理管理者应识别工作场所的风险因素。规划者应制定提高工作场所安全性的方案，尤其是在那些最容易出现此类行为的中心。还建议未来的研究聚焦于基于组织文化实施有效的循证干预措施。
