uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Catalysts of worker-to-worker violence and incivility in hospitals
Wayne State Univ, Sch Med, Dept Family Med & Publ Hlth Sci, Detroit, MI 48201 USA.;Wayne State Univ, Dept Psychol, Detroit, MI 48201 USA..
Wayne State Univ, Sch Med, Detroit Med Ctr Occupat Hlth Serv, Detroit, MI 48201 USA..
Wayne State Univ, Sch Med, Detroit Med Ctr Occupat Hlth Serv, Detroit, MI 48201 USA.;Wayne State Univ, Sch Med, Dept Emergency Med, Occupat Med, Detroit, MI 48201 USA..
Detroit Med Ctr Occupat Hlth Serv, Occupat Hlth Serv, Detroit, MI USA..
Show others and affiliations
2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 17-18, 2458-2467 p.Article in journal (Refereed) Published
Abstract [en]

Aims and objectivesTo identify common catalysts of worker-to-worker violence and incivility in hospital settings. BackgroundWorker-to-worker violence and incivility are prevalent forms of mistreatment in healthcare workplaces. These are forms of counterproductive work behaviour that can lead to negative outcomes for employees, patients and the organisation overall. Identifying the factors that lead to co-worker mistreatment is a critical first step in the development of interventions targeting these behaviours. DesignRetrospective descriptive study. MethodsQualitative content analysis was conducted on the total sample (n=141) of employee incident reports of worker-to-worker violence and incivility that were documented in 2011 at a large American hospital system. ResultsMore than 50% of the incidents involved nurses, and the majority of incidents did not involve physical violence. Two primary themes emerged from the analysis: Work Behaviour and Work Organisation. Incidents in the Work Behaviour category were often sparked by unprofessional behaviour, disagreement over responsibilities for work tasks or methods of patient care, and dissatisfaction with a co-worker's performance. Incidents in the Work Organisation category involved conflicts or aggression arising from failure to following protocol, patient assignments, limited resources and high workload. ConclusionIncidents of worker-to-worker violence and incivility stemmed from dissatisfaction with employee behaviour or from organisational practices or work constraints. These incident descriptions reflect worker dissatisfaction and frustration, resulting from poor communication and collaboration between employees, all of which threaten work productivity. Relevance to clinical practiceViolence and incivility between hospital employees can contribute to turnover of top performers, hinder effective teamwork and jeopardise the quality of patient care. Identification of common catalysts for worker-to-worker violence and incivility informs the development of mistreatment prevention programmes that can be used to educate hospital staff.

Place, publisher, year, edition, pages
2015. Vol. 24, no 17-18, 2458-2467 p.
Keyword [en]
healthcare workers, hospitals, incivility, mistreatment, worker-to-worker, workplace violence
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-262966DOI: 10.1111/jocn.12825ISI: 000360455600013PubMedID: 25852041OAI: oai:DiVA.org:uu-262966DiVA: diva2:856386
Available from: 2015-09-24 Created: 2015-09-23 Last updated: 2017-12-01Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Authority records BETA

Arnetz, Judith E.

Search in DiVA

By author/editor
Arnetz, Judith E.
By organisation
Family Medicine and Preventive Medicine
In the same journal
Journal of Clinical Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 465 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf