The results suggest that the types of nursing organizational culture are related to workplace bullying in Korean nurses. Further research is needed to develop interventions that can foster relation-oriented cultures to prevent workplace bullying in nurses.
Background: Bullying in nursing workplaces has been considered a serious problem that increases nurse turnover.Aim: To develop a cognitive rehearsal intervention for workplace bullying and examine its effects on nurses' bullying experiences and turnover intentions.
Methods:We developed a smartphone application to cognitively train nurses to handle bullying situations in the workplace. This application included common bullying situations and appropriate non-violent communication scenarios. A cluster quasi-randomized trial was performed with 72 hospital nurses working in a university hospital in South Korea from November 2016 to January 2017. We measured workplace bullying experiences and turnover intention before intervention and 4 and 8 weeks after intervention in both intervention and control groups.
Results:The cognitive rehearsal intervention developed in this study was effective for decreasing nurses' person-related bullying, work-related bullying experiences, and turnover intention. However, it had no effects on intimidation-related bullying experiences.
Conclusions:The smartphone application-based cognitive rehearsal intervention can serve as a personal coping measure for person-related and work-related bullying among nurses. It is recommended that the intervention developed in this study be applied as a strategy to reduce nurse turnover. KEYWORDS cognitive rehearsal, non-violent communication, nursing, smartphone applications, workplace bullying
SUMMARY STATEMENTWhat is already known about this topic?• Bullying in the nursing workplace is prevalent and a major cause of turnover.• Cognitive rehearsals that reproduce specific situations and train positive coping skills can serve as an intervention for workplace bullying.What does this paper add?• Cognitive rehearsal using smartphone applications is effective in lowering workplace bullying and turnover intention.
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