NIOSHTIC-2 Publications Search

Catalysts of worker-to-worker violence and incivility in hospitals.

Authors
Hamblin LE; Essenmacher L; Upfal MJ; Russell J; Luborsky M; Ager J; Arnetz JE
Source
J Clin Nurs 2015 Sep; 24(17-18):2458-2467
NIOSHTIC No.
20047447
Abstract
AIMS AND OBJECTIVES: To identify common catalysts of worker-to-worker violence and incivility in hospital settings. BACKGROUND: Worker-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. DESIGN: Retrospective descriptive study. METHODS: Qualitative 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. RESULTS: More 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. CONCLUSION: Incidents 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 PRACTICE: Violence 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.
Keywords
Health-care-personnel; Medical-personnel; Workers; Behavior; Behavior-patterns; Statistical-analysis; Nurses; Nursing; Work-organization; Author Keywords: healthcare workers; hospitals; incivility; mistreatment; worker-to-worker; workplace violence
Contact
Lydia E Hamblin, MA, Graduate Research Assistant, Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, 3939 Woodward Avenue, Detroit, MI 48201, USA
CODEN
JCCNEW
Publication Date
20150901
Document Type
Journal Article
Email Address
eq8482@wayne.edu
Funding Type
Grant
Fiscal Year
2015
Identifying No.
Grant-Number-R01-OH-009948
Issue of Publication
17-18
ISSN
0962-1067
Priority Area
Healthcare and Social Assistance
Source Name
Journal of Clinical Nursing
State
MI
Performing Organization
Wayne State University - Detroit, Michigan
Page last reviewed: May 11, 2023
Content source: National Institute for Occupational Safety and Health Education and Information Division