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Journal of Nursing Administration:
doi: 10.1097/NNA.0000000000000068

Impact of Workplace Mistreatment on Patient Safety Risk and Nurse-Assessed Patient Outcomes

Laschinger, Heather K. Spence PhD, RN, FAAN, FCAHS

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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 (R2 = 0.03-0.06) and perceptions of patient care quality (R2 = 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.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins



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