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干预措施及其对护士工作场所欺凌的影响:系统评价。

Intervention types and their effects on workplace bullying among nurses: A systematic review.

机构信息

Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea.

出版信息

J Nurs Manag. 2022 Sep;30(6):1788-1800. doi: 10.1111/jonm.13655. Epub 2022 May 11.

Abstract

AIM

We aim to integrate the literature on workplace bullying among nurses and identify characteristics of anti-bullying interventions.

BACKGROUND

Workplace bullying in nursing is a major concern, potentially affecting nursing practice, patient outcomes and nurses' health.

EVALUATION

PubMed, Cochrane Library, CINAHL, EMBASE and PsychINFO were searched for English articles published between January 2011 and December 2020 on workplace bullying among nurses. Eight articles were selected, and quality assessment and data extraction followed.

KEY ISSUES

Although the studies employed various intervention approaches, their workplace bullying conceptualizations and instruments varied, as did the outcome variables selected to assess the effects of the intervention.

CONCLUSION

Anti-bullying interventions were effective, and the methods of their delivery have diversified. However, issues such as the lack of conceptual clarity, intervention specificity and elaboration remain unaddressed. Further studies are needed to develop updated and standardized instruments to tailor anti-bullying interventions.

IMPLICATIONS FOR NURSING MANAGEMENT

Upgraded intervention strategies that reflect the contemporary nursing context and participant characteristics are warranted to ensure workplace bullying prevention. Active intervention by upper management is essential to develop and implement effective workplace bullying interventions.

摘要

目的

综合护士工作场所欺凌相关文献,确定反欺凌干预措施的特点。

背景

护士工作场所欺凌是一个主要问题,可能会影响护理实践、患者结局和护士健康。

评估

检索了 PubMed、Cochrane Library、CINAHL、EMBASE 和 PsychINFO 数据库,以获取 2011 年 1 月至 2020 年 12 月发表的关于护士工作场所欺凌的英文文章。选择了 8 篇文章,随后进行了质量评估和数据提取。

主要问题

尽管这些研究采用了各种干预方法,但它们对工作场所欺凌的概念化和工具各不相同,所选择的评估干预效果的结果变量也不同。

结论

反欺凌干预措施是有效的,其实施方法也有所多样化。然而,一些问题,如概念不清晰、干预特异性和细化不足等,仍未得到解决。需要进一步研究以开发更新和标准化的工具,以定制反欺凌干预措施。

对护理管理的启示

需要升级干预策略,以反映当代护理背景和参与者特点,确保预防工作场所欺凌。高级管理层的积极干预对于制定和实施有效的工作场所欺凌干预措施至关重要。

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