A Meta-Synthesis of Qualitative Evidence Describing Nurse Leaders' Experience of Upward Violence (original) (raw)
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An Integrative Review of Nurse-to-Nurse Incivility, Hostility, and Workplace Violence
Nursing administration quarterly, 2019
Bullying, lateral violence, and incivility are real phenomena in the nursing workplace and remain widespread across all care settings. The American Nurses Association recommends zero tolerance for any form of violence from any source and adopting evidence-based strategies to mitigate incivility and bullying. This integrative review examined the evidence regarding nurse-to-nurse incivility, bullying, and workplace violence for 4 nurse populations-student, new graduate, experienced, and academic faculty. Ganong and Cooper's review methodology structured the evidence synthesis. Twenty-one articles pertained to the clinical inquiry. The evidence consistently described the incidents, instigators, and targets of incivility/bullying, which contributes to 84 negative academic, organizational, work unit, and personal outcomes. A safe and just organizational culture demands a comprehensive systems-level approach to create civil environments. The evidence-based structures, processes, and recommendations serve as a Global Positioning System for practice and academic leaders to use in creating a healthy work environment where nurses are encouraged and empowered. The critical choices by nurse leaders will determine not only the future of 21st century professional nursing practice but how the public views the nursing profession for many years to come.
Incivility towards nurses: A Systematic Review and Meta-analysis
Background Creation and maintenance of a safe healthy work environment is one part of a nurse’s role. Evidence shows there is a presence of negative behaviors like incivility and violence in the nursing profession. This systematic review and meta-analysis determined the rate of incivility towards nurses and the factors affecting it. Methods All observational studies that primarily investigated the rate of incivility towards nurses were selected regardless of sampling method. 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 the selected studies was assessed with Hoy’s Critical Assessment Checklist. The study was undertaken using the random effects model. Data were analyzed with STATA14. Results Data on 61 articles, including data on 30801 individuals that were published during 1997–2019, entered the study. Prevalence of incivility was 5...
Journal of Clinical Nursing, 2015
Aims and objectives-The aim of this meta-analysis was to identify the factors that related to aggression (verbal abuse, or physical abuse/assault) perpetrated against the nurse or other health professional by patients/relatives or staff. In light of the paucity of systematic reviews on this common issue in nursing, the objective was to present a comprehensive systematic review and meta-analysis of these papers. Background-Aggression towards nurses is common around the world and can be the impetus for nurses leaving the profession or developing anxiety when working in particular settings. Design-Systematic review with meta-analysis Data Sources-The databases of Medline (1966 to 2015), CINAHL (1982 to 2015) and PsychInfo (1920 to 2015). Methods-Meta-analyses were conducted to assess the effect of the factors of gender and context (dichotomised as mental health/psychiatric or non-mental health/psychiatric). Results-A total of 1571 papers were screened by two reviewers. At the final decision 14 were selected for analysis. A higher proportion of female nurses than male nurses were reported to be the victims of verbal abuse, with the difference in proportions being statistically significant. A statistically significant higher proportion of male nurses than female nurses were reported to be the victims of physical abuse. There was a significantly higher proportion of mental health nurses reported experiencing physical abuse as compared to non-mental health nurses. Conclusions-The analysis reveal female nurses have greater odds of verbal abuse than male nurses and male nurses have greater odds of physical abuse than female nurses. Overall mental health nurses had 3 times higher odds of physical assault than other nurses. Relevance to clinical practice-In light of the findings it is recommended organisational support improve in high aggression potential clinical areas and for nursing curriculums to incorporate education about the management of challenging behaviours in undergraduate programs.
Bullying, Harassment, and Horizontal Violence in the Nursing Workforce The State of the Science
Annual review of nursing research, 2010
In the complex health care workplace of nurses, intra/interprofessional ideals intersect with the expectations of patients, families, students, and coworkers in a context of managed care environments, academia, and other health care enterprises. Integral to quality assessment, management, and assurance is collegial and respectful communication. Decades of reported descriptive and anecdotal data on intra/inter professional and on client communication, describe the antithesis of these ideals. Specifi cally, increasing frequency and rates of persistent bullying, harassment, or horizontal violence (BHHV) have shown to yield detrimental effects on workplace satisfaction, workforce retention, and the psychological and physical health of nurses as well as implied effects on quality of patient care and risk of poor health outcomes. Persistent BHHV among nurses is a serious concern. In advancing the science of description and explanation to a level of prevention intervention, explanatory models from biology, developmental psychology, intra/interpersonal interactionism are described along with theoretical explanations for the prevalence of BHHV in nurse workplaces. Making
Making It Right: How Nurses Resolve Workplace Aggression and Bullying
Purpose: The purpose of this study was to gain a deeper understanding of the experiences, motivations & consequences of nurses who have encountered aggressive behaviors in the workplace. It was proposed that the nurses' narratives would yield detailed, in depth information about their bullying experiences. Background/Significance: Bullying in the healthcare setting has been long-recognized internationally. However, in the US, workplace aggression is underreported which keeps it from emerging as the problem that it is. The fallout is disastrous; compromised work performance, absenteeism, and ultimately, increased job turnover and there may be a relationship between job satisfaction and negative patient outcomes. Newly graduates are at significant risk with resignation rates higher during the first year of practice. Methods: A constructivist grounded theory approach was used in this study. A convenience sample of 303 US RNs responded to an online survey identifying the frequency, ...
The Causes of Disruptive Behaviors in Nursing Workforce: A Systematic Review
International Journal of Medical Reviews, 2015
The first essential step to addressing disruptive behaviors is to gain an understanding of the causes of disruptive behaviors in healthcare organizations. This review article was conducted to gain an understanding of the causes of disruptive behaviors in the nursing workforce. The University of York center for Reviewers and Dissemination Guidance approach was used for searching five databases (PubMed, PsycINFO, CINAHL, Medline and Science direct) with 3main category key words from 2000 to Nov 2014. Lastly, 12 full texts were analyzed for responding to the research question. The results are explained in four categories; individual, organizational, environmental and social factors. This study showed that disruptive behaviors are a complex phenomenon, and the causes that contribute to disruptive behaviors typically operate at multiple levels and suggested that there are many factors behind a disruptive behavior and the escalation of the situation.