Department of Preventive Medicine, College of Medicine, Catholic University of Korea, 222 Banpo-daero, Seocho-Gu, Seoul, 06591, South Korea.
BMC Public Health. 2024 Jun 11;24(1):1568. doi: 10.1186/s12889-024-18969-x.
To solve the problem of workplace bullying among nurses, it is necessary to review the effects of interventions and generalize the findings. We conducted a systematic literature review and meta-analysis to evaluate the effects of cognitive rehearsal programs on workplace bullying among hospital nurses.
Data were collected from March 30 to April 11, 2021, and 11,048 journal articles published in South Korea and internationally were examined across eight databases. Nine articles were selected for inclusion in the systematic literature review; five of the nine studies were included in the meta-analysis. For randomized controlled trials, the risk of bias was evaluated, and for non-randomized controlled trials, the study quality was evaluated using the Risk of Bias for Non-randomized Studies version 2.0. Egger's regression test was performed to determine publication bias.
Of the nine articles selected for this study, two were randomized controlled trials and seven were non-randomized controlled trials. The I value was 18.9%, indicating non-significant heterogeneity. The overall effect size of the cognitive rehearsal programs was -0.40 (95% confidence interval: -0.604 to -0.196; Z = -3.85; p = .0001) in a random-effects model, indicating a large effect size with statistical significance.
Therefore, cognitive rehearsal programs that address workplace bullying among hospital nurses are effective. Health policymakers must implement cognitive rehearsal programs in a policy manner to address the problems of bullying in the workplace.
为了解决护士工作场所欺凌问题，有必要对干预措施的效果进行审查和概括。我们进行了系统的文献回顾和荟萃分析，以评估认知排练方案对医院护士工作场所欺凌的影响。
数据于 2021 年 3 月 30 日至 4 月 11 日收集，在八个数据库中检查了在韩国和国际上发表的 11048 篇期刊文章。有 9 篇文章被选入系统文献综述；9 篇文章中有 5 篇被纳入荟萃分析。对于随机对照试验，评估了偏倚风险，对于非随机对照试验，使用风险偏倚评估 2.0 版评估了研究质量。进行 Egger 回归检验以确定发表偏倚。
在纳入本研究的 9 篇文章中，有 2 篇为随机对照试验，7 篇为非随机对照试验。I ² 值为 18.9%，表明无显著异质性。认知排练方案的总体效果大小为-0.40（95%置信区间：-0.604 至-0.196；Z = -3.85；p =.0001），在随机效应模型中，表明具有统计学意义的较大效应量。
因此，针对医院护士工作场所欺凌问题的认知排练方案是有效的。卫生政策制定者必须以政策方式实施认知排练方案，以解决工作场所欺凌问题。
