在急救和重症监护机构对工作场所欺凌的全面审查
Alison Camarda1, Natalie S McAndrew, Lisa Wolf
1Author Affiliations: Director of Organizational Development and Magnet Program (Camarda), Southwestern Vermont Medical Center, Bennington, Vermont; Associate Professor (Dr McAndrew), School of Nursing, University of Wisconsin-Milwaukee (UWM); Nurse Scientist, Froedtert Hospital, Milwaukee, Wisconsin; Joint Professor of Nursing Research for Froedtert Hospital and the UWM School of Nursing; Director of Emergency Nursing Research (Dr Wolf), Emergency Nurses Association, Schaumburg, Illinois; and Assistant Professor (Dr Bishop-Royse), College of Nursing, Rush University, Chicago, Illinois.
工作场所欺凌在重症监护机构中很普遍,对护士和患者产生负面影响. 需要更多的研究来开发有效减少欺凌及其后果的干预措施.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 组织心理学 组织心理学
背景情况:
- 护士之间的职场欺凌对护士人员和患者的结果都有负面影响.
- 在重症监护机构的护士,包括急诊室和重症监护室 (ICU),面临着独特而强烈的压力.
- 重症监护中的压力因素的频率和严重程度不同于其他护理环境.
研究的目的:
- 评估工作场所欺凌在重症监护中的流行,原因和后果.
- 确定策略和干预措施,以减轻紧急部门和ICU的职场欺凌.
主要方法:
- 进行了范围审查,以全面分析现有的关于在重症监护中工作场所欺凌的研究.
- 审查中包括了22项研究,检查了该现象的各个方面.
主要成果:
- 工作环境对重症护理护士的欺凌事件有很大影响.
- 大多数审查的研究是探索性或描述性的,突出了干预研究中的差距.
- 只有两项研究报告了旨在解决职场欺凌问题的干预措施的测试.
结论:
- 发展和实证测试干预措施,以打击在重症监护机构的职场欺凌,是非常需要的.
- 缓解欺凌对护士和患者的不良影响需要有针对性的研究和实际策略.
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