"The Whole Culture of Nursing Needs to Change": A Descriptive Phenomenology of Nurses Being Bullied.

IF 2.1 Q1 NURSING Global Qualitative Nursing Research Pub Date : 2025-02-26 eCollection Date: 2025-01-01 DOI:10.1177/23333936251319783
Dawn R White, Patrick A Palmieri, Sara R Huaman-Morillo, Timothy A White, Eric W Hickey
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Abstract

Workplace bullying impacts at least half of the nurses worldwide. Despite the link to increased nurse turnover, few intervention studies have addressed bullying in the workplace. Since most studies report cross-sectional designs that provide little insight into the complexities of this phenomenon, the purpose of this descriptive phenomenology was to describe the lived experiences of nurses as they were actively being bullied in the workplace. Semi-structured interviews were conducted through Skype until data adequacy was realized with 12 participant interviews. Giorgi's six-step method was used to analyze the data in Atlas.ti. A central theme, "The whole culture of nursing needs to change" described an organizational culture where managers were unable to identify or unwilling to respond to workplace bullying. The four themes identified from the data included "going to work can be really hard," "not good for patient care," "learning to live with bullying," and "changing the culture." Leaders of organizations should implement comprehensive anti-bullying programs to assess bullying in their workplace and to provide bullied nurses with reporting options. Nurse managers need to prevent workplace bullying by intervening when aware of bullying and cultivating a culture of mutual respect.

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“整个护理文化需要改变”:护士被欺负的描述现象学。
职场欺凌影响了全世界至少一半的护士。尽管这与护士离职率增加有关,但很少有干预研究涉及职场欺凌。由于大多数研究报告的是横截面设计,对这一现象的复杂性提供了很少的见解,因此,这一描述性现象学的目的是描述护士在工作场所被欺负时的生活经历。通过Skype进行半结构化访谈,直到12名参与者访谈数据充足为止。采用Giorgi的六步法对Atlas.ti的数据进行分析。中心主题“整个护理文化需要改变”描述了管理者无法识别或不愿应对工作场所欺凌的组织文化。从数据中确定的四个主题包括“上班真的很难”、“对病人护理不利”、“学会忍受欺凌”和“改变文化”。组织领导人应实施全面的反欺凌计划,以评估其工作场所的欺凌行为,并为受欺凌的护士提供报告选择。护士管理者需要通过在意识到欺凌行为时进行干预和培养相互尊重的文化来防止工作场所欺凌行为。
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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
41
审稿时长
12 weeks
期刊介绍: Global Qualitative Nursing Research (GQNR) is a ground breaking, international, peer-reviewed, open-access journal focusing on qualitative research in fields relevant to nursing and other health professionals world-wide. The journal specializes in topics related to nursing practice, responses to health and illness, health promotion, and health care delivery. GQNR will publish research articles using qualitative methods and qualitatively-driven mixed-method designs as well as meta-syntheses and articles focused on methodological development. Special sections include Ethics, Methodological Development, Advancing Theory/Metasynthesis, Establishing Evidence, and Application to Practice.
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