TY - JOUR PY - 2019// TI - Nurse-reported bullying and documented adverse patient events: an exploratory study in a US hospital JO - Journal of nursing care quality A1 - Arnetz, Judith E. A1 - Neufcourt, Leo A1 - Sudan, Sukhesh A1 - Arnetz, Bengt B. A1 - Maiti, Tapabrata A1 - Viens, Frederi SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Negative nurse work environments have been associated with nurse bullying and poor nurse health. However, few studies have examined the influence of nurse bullying on actual patient outcomes.

PURPOSE: The purpose of the study was to examine the association between nurse-reported bullying and documented nursing-sensitive patient outcomes.

METHODS: Nurses (n = 432) in a large US hospital responded to a survey on workplace bullying. Unit-level data for 5 adverse patient events and nurse staffing were acquired from the National Database of Nursing Quality Indicators. Generalized linear models were used to examine the association between bullying and adverse patient events. A Bayesian regression analysis was used to confirm the findings.

RESULTS: After controlling for nurse staffing and qualification, nurse-reported bullying was significantly associated with the incidence of central-line-associated bloodstream infections (P <.001).

CONCLUSIONS: Interventions to address bullying, a malleable aspect of the nurse practice environment, may help to reduce adverse patient events.

Language: en

LA - en SN - 1057-3631 UR - http://dx.doi.org/10.1097/NCQ.0000000000000442 ID - ref1 ER -