Exploring the causes of workplace bullying among nurses in pediatric intensive care units: a qualitative study.

IF 3.1 2区 医学 Q1 NURSING BMC Nursing Pub Date : 2025-03-13 DOI:10.1186/s12912-025-02915-2
Jamalodin Begjani, Nahid Dehghan Nayeri, Moein Salami, Hanie Tavasoli, Mohammad Mehdi Rajabi
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Abstract

Introduction: Workplace bullying (WB) is a significant occupational hazard for nurses, especially in high-stress environments such as pediatric intensive care units (PICUs). WB adversely affects nurses' physical and mental health, patient safety, and overall quality of care. This study aimed to explore the causes of WB among nurses working in PICUs.

Methods: This qualitative study used a conventional content analysis approach. Eleven nurses from the PICUs of the Children's Medical Center Hospital, affiliated with Tehran University of Medical Sciences, participated in the study. Participants were selected through purposive sampling. Data were collected through semi-structured face-to-face interviews, continuing until data saturation was achieved. The data were analyzed using Graneheim and Lundman's five-step approach. Lincoln and Guba's four criteria-credibility, confirmability, dependability, and transferability-were used to ensure the study's rigor.

Results: The analysis of the data revealed two main categories: [1] the "Imposing and Stereotypical Atmosphere," which encompasses sub- categories such as power imbalances, work-related challenges, immature behaviors among staff, and passive reactions of nursing managers; and [2] the "Victim's Achilles' Heel," which emphasizes weaknesses in clinical and communication skills as contributing factors to WB.

Conclusion: The study identifies organizational and personal factors as causes of WB in PICUs. Nursing leaders can implement targeted interventions aimed at improving workplace culture, monitoring interpersonal relationships, enhancing communication skills, and promoting the clinical skills of staff. These strategies can reduce WB and create a healthier work environment for nurses.

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导言:工作场所欺凌(WB)对护士来说是一种严重的职业危害,尤其是在儿科重症监护室(PICU)等高压力环境中。工作场所欺凌会对护士的身心健康、患者安全和整体护理质量产生不利影响。本研究旨在探讨在儿科重症监护室工作的护士出现 WB 的原因:这项定性研究采用了传统的内容分析法。德黑兰医科大学附属儿童医学中心医院 PICU 的 11 名护士参与了研究。研究人员是通过有目的抽样选出的。通过半结构化的面对面访谈收集数据,直到数据达到饱和为止。采用 Graneheim 和 Lundman 的五步方法对数据进行了分析。林肯和古巴的四项标准--可信度、可确认性、可依赖性和可转移性--被用来确保研究的严谨性:对数据的分析揭示了两个主要类别:[1)"强势和刻板的氛围",包括权力不平衡、与工作相关的挑战、员工的不成熟行为和护理管理者的被动反应等子类别;(2)"受害者的致命弱点",强调临床和沟通技巧方面的弱点是导致 WB 的因素:本研究指出,组织和个人因素是导致 PICU 发生 WB 的原因。护理领导可以实施有针对性的干预措施,以改善工作场所文化、监控人际关系、提高沟通技巧和促进员工的临床技能。这些策略可减少 WB,为护士创造更健康的工作环境。
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来源期刊
BMC Nursing
BMC Nursing Nursing-General Nursing
CiteScore
3.90
自引率
6.20%
发文量
317
审稿时长
30 weeks
期刊介绍: BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
期刊最新文献
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