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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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
Exploring the causes of workplace bullying among nurses in pediatric intensive care units: a qualitative study. Structural equation modeling for influencing factors with quality care behavior among nursing assistants: a cross-sectional study. Workplace violence, work characteristics, and seniority levels among nurses: a cross-sectional study. Assessing knowledge, attitudes, and skills toward evidence-based practice among Palestinian nursing students. Effects of nurse-led telephone interventions on HbA1c levels in patients with type 2 diabetes: a Meta-analysis-based evaluation of follow-up protocols.
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