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J Nurs Adm. 2014 May;44(5):284-90. doi: 10.1097/NNA.0000000000000068.

Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes.

Author information

1
Author Affiliations: Distinguished University Professor and Arthur Labatt Family Nursing Research Chair in Health Human Resources Optimization, The University of Western Ontario, London, Ontario, Canada.

Abstract

OBJECTIVE:

The aim of this study was to investigate the impact of subtle forms of workplace mistreatment (bullying and incivility) on Canadian nurses' perceptions of patient safety risk and, ultimately, nurse-assessed quality and prevalence of adverse events.

BACKGROUND:

Workplace mistreatment is known to have detrimental effects on job performance and in nursing may threaten patient care quality.

METHODS:

A total of 336 nurses from acute care settings across Ontario responded to a questionnaire that was mailed to their home address in early 2013, with a response rate of 52%.

RESULTS:

Bullying and incivility from nurses, physicians, and supervisors have significant direct and indirect effects on nurse-assessed adverse events (R = 0.03-0.06) and perceptions of patient care quality (R = 0.04-0.07), primarily through perceptions of increased patient safety risk.

CONCLUSIONS:

Bullying and workplace incivility have unfavorable effects on nurse-assessed patient quality through their effect on perceptions of patient safety risk.

PMID:
24759201
DOI:
10.1097/NNA.0000000000000068
[Indexed for MEDLINE]

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