Relationships among demands at work, aggression, and verbal abuse among registered nurses in South Korea

Chang, Hyoung Eun; Park, Mi Youn; Jang, Haena; Ahn, Seong-Hun; Yoon, Hosang

doi:10.1016/j.outlook.2019.04.007

Cited by 20 publications

(45 citation statements)

References 36 publications

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“…13 14 22 43 Among nursing students, one study showed that older nursing students reported more incivility, 40 and another study found that nurses aged 25-27 years, but not aged 22-24 years, experienced more incivility than older nurses. 45 Regarding professional experience (which is likely correlated with age), six studies showed that less experienced professionals were more likely to be targeted by incivilities. 14 38 39 44 45 49 Among nursing students, there was some evidence that advanced nursing students were more exposed to incivility.…”

Section: Initiators Of Incivilitymentioning

confidence: 99%

“…43 However, two studies did not find different perceived incivility levels when comparing general, intermediate and ICU, specialty care and nursing clinical support, 58 respectively general ward, ICU, emergency room and OR. 45 Three studies that included physicians found that incivilities were more likely during collaboration with other departments compared with participants' own department, 23 49 57 suggesting that intergroup dynamics may also impact incivility. In one of these studies, contradictory results were found for nurses who reported more uncivil behaviours initiated by physicians within their own department than initiated by physicians external to their own departments.…”

Section: Medical Specialtiesmentioning

confidence: 99%

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Predictors and triggers of incivility within healthcare teams: a systematic review of the literature

et al. 2020

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ObjectivesTo explore predictors and triggers of incivility in medical teams, defined as behaviours that violate norms of respect but whose intent to harm is ambiguous.DesignSystematic literature review of quantitative and qualitative empirical studies.Data sourcesDatabase searches according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline in Medline, CINHAL, PsychInfo, Web of Science and Embase up to January 2020.Eligibility criteriaOriginal empirical quantitative and qualitative studies focusing on predictors and triggers of incivilities in hospital healthcare teams, excluding psychiatric care.Data extraction and synthesisOf the 1397 publications screened, 53 were included (44 quantitative and 9 qualitative studies); publication date ranged from 2002 to January 2020.ResultsBased on the Medical Education Research Study Quality Instrument (MERSQI) scores, the quality of the quantitative studies were relatively low overall (mean MERSQI score of 9.93), but quality of studies increased with publication year (r=0.52; p<0.001). Initiators of incivility were consistently described as having a difficult personality, yet few studies investigated their other characteristics and motivations. Results were mostly inconsistent regarding individual characteristics of targets of incivilities (eg, age, gender, ethnicity), but less experienced healthcare professionals were more exposed to incivility. In most studies, participants reported experiencing incivilities mainly within their own professional discipline (eg, nurse to nurse) rather than across disciplines (eg, physician to nurse). Evidence of specific medical specialties particularly affected by incivility was poor, with surgery as one of the most cited uncivil specialties. Finally, situational and cultural predictors of higher incivility levels included high workload, communication or coordination issues, patient safety concerns, lack of support and poor leadership.ConclusionsAlthough a wide range of predictors and triggers of incivilities are reported in the literature, identifying characteristics of initiators and the targets of incivilities yielded inconsistent results. The use of diverse and high-quality methods is needed to explore the dynamic nature of situational and cultural triggers of incivility.

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Section: Initiators Of Incivilitymentioning

confidence: 99%

Section: Medical Specialtiesmentioning

confidence: 99%

Predictors and triggers of incivility within healthcare teams: a systematic review of the literature

et al. 2020

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“…Numerous studies have found this phenomenon to be especially prevalent in the emergency room,5 7 9 11 18–21 so much so that the emergency room staff takes aggression as an inevitable part of their work 22. Hospital situations in which the most aggressiveness appears are those where there is a strong emotional demand 23. The nursing activity with the most violent situations is triage, followed by communicating news to the patient 17.…”

Section: Introductionmentioning

confidence: 99%

Cross-sectional study of aggression against Spanish nursing personnel and effects on somatisation of physical symptoms

et al. 2020

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IntroductionViolence against nursing personnel in their place of work is a severe problem generating important consequences for these workers. Even though there is a large body of research on the subject, the emotional impact of aggression against healthcare workers continues to be debated.ObjectivesThe objective of this quantitative, observational cross-sectional study was to analyse the effects of aggression against nursing personnel and the mediating role of anxiety in somaticising physical symptoms.MethodThe sample was made up of 1357 nursing professionals who answered questionnaires evaluating their sensitivity to anxiety and the presence of somatic symptoms.ResultsOf the professionals who indicated that they had been the victims of aggression by family members or patients in the previous year, 52.8% said it had happened to them on one occasion, 25.2% had experienced two episodes, while 6.9% and 15.1% said they had undergone three or more aggressions, respectively. Although 89.3% of the professionals affected by acts of indicated that they had not undergone physical or psychological consequences, there was a higher prevalence of somatic alteration among workers who had been victims of violence in the workplace. Furthermore, aggression at work had a direct effect on physical somatisation, which in turn acted as a mediator in the level of anxiety of nursing professionals. Thus, aggression increased the level of anxiety of nurses through the appearance of somatic symptoms.ConclusionsThe results are discussed based on some of the consequences that appeared after episodes of aggression in the healthcare sector and their relationship.

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“…The Korean-language version of the COPSOQ II developed by June and Choi [8] was used in this study. The first version of the Copenhagen Psychosocial Questionnaire was developed in 2005 [20]; subsequently, the second version was developed in 2010 [9] and the tool has been validated in several studies [3,7,8,[21][22][23].…”

Section: Methodsmentioning

confidence: 99%

“…Nursing is known to be a typical job with a high level of emotional labor [6,7]. According to June and Choi [8], the score of emotional demands of Korean office workers was lower than care workers in Denmark [9].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Social Support on the Relationship between Emotional Demands and Health of Hospital Nurses: A Cross-Sectional Study

Chang

Cho

2021

Healthcare

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Social support reduces the negative results of emotional labor. A more detailed analysis should be performed to facilitate adequate social support for nurses. Therefore, this study was conducted to examine the relationships among nurses’ emotional demands, social support, and health. A cross-sectional survey was conducted at two tertiary hospitals in South Korea. A sample of 117 nurses from eight units participated. Between-group differences in the main variables were analyzed using the t-test or Mann–Whitney test, and analysis of variance or the Kruskal–Wallis test. Nurses were classified into eight groups according to emotional demands and type of social support, and the effects of social support were analyzed based on mean scores. Greater social support from colleagues was associated with better health on all measures. However, greater social support from supervisors was associated with a higher incidence of burnout, stress, and sleeping troubles. Nurses’ high emotional demands must be managed actively by hospitals to maintain and promote their health. Providing appropriate social support with consideration of the nurse’s unit experience would help decrease the effects of emotional demands. Enhancing social support from nursing colleagues is a powerful way to manage the negative effects of nurses’ emotional demands.

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Relationships among demands at work, aggression, and verbal abuse among registered nurses in South Korea

Cited by 20 publications

References 36 publications

Predictors and triggers of incivility within healthcare teams: a systematic review of the literature

Predictors and triggers of incivility within healthcare teams: a systematic review of the literature

Cross-sectional study of aggression against Spanish nursing personnel and effects on somatisation of physical symptoms

The Influence of Social Support on the Relationship between Emotional Demands and Health of Hospital Nurses: A Cross-Sectional Study

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