DOI QR코드

DOI QR Code

국내 간호사의 직장 내 괴롭힘 경험: 질적 메타 종합연구

Workplace bullying among Korean registered nurses: A meta-aggregation of qualitative studies

  • 투고 : 2023.09.05
  • 심사 : 2023.09.19
  • 발행 : 2023.11.30

초록

Purpose: This study aimed to conduct a qualitative synthesis of workplace bullying experiences among nurses in Republic of Korea. Methods: Following the PRISMA guideline, a literature search was conducted using seven domestic and three international databases. Studies published in Korean or English from inception to December 31, 2022 were included. A meta-aggregation approach suggested by the Joanna Briggs Institute was used to synthesize the research findings. Results: Fourteen studies were included in this review. As a result of a data analysis of the selected studies, 199 subthemes and supporting illustrations were identified and grouped into 36 related categories. Based on the subthemes and categories, five synthesized findings were developed: (1) the individual and organizational causes of workplace bullying; (2) the various types of physical violence and psychological harassment; (3) the negative impact of workplace bullying and its effect on self-growth; (4) active and passive coping efforts in dealing with bullying; and (5) strategies for preventing bullying incidents. Conclusion: Based on the synthesized findings, four recommendations were made: (1) improving the challenging working conditions for nurses; (2) enhancing educational programs for new nursing graduates; and (3) promoting proactive responses from nursing managers in conjunction with an expansion of resilience training for nursing students. Finally, to address the issue of workplace bullying, (4) multi-center and multi-level research involving nursing organizations needs to be conducted.

키워드

과제정보

This research was supported by 2022 Korea National Open University Research Fund.

참고문헌

  1. Labor Standards Act. Article 76-2 (Prohibition against Workplace Harassment) [Internet]. Korean Law Information Center; 2019 [cited 2023 Aug 30]. Available from: http://www.moel.go.kr/policy/policyinfo/lobar/list20.do
  2. Park S, Shin H, Cho Y, Kim S. Effectiveness of interventions for workplace bullying among nurses: A systematic review. Journal of Korean Academy of Nursing Administration. 2018;24(4):339-351. https://doi.org/10.11111/jkana.2018.24.4.339
  3. Kim YJ, Park KH, Han HJ, Lee DK. Workplace bullying prevention and management manual [Internet]. Ministry of Employment and Labor; 2023 [cited 2023 Aug 30]. Available from: https://www.moel.go.kr/policy/policydata/view.do?bbs_seq=20230500514
  4. Clark CM, Barbosa-Leiker C, Gill LM, Nguyen D. Revision and psychometric testing of the Incivility in Nursing Education (INE) survey: Introducing the INE-R. Journal of Nursing Education. 2015;54(6):306-315. https://doi.org/10.3928/01484834-20150515-01
  5. Namie G. 2021 WBI U.S. workplace bullying survey: The complete report [Internet]. Workplace Bullying Institute; 2021 [cited 2023 Aug 30]. Available from: https://workplacebullying.org/2021-wbi-survey/
  6. Spector PE, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies. 2014;51(1):72-84. https://doi.org/10.1016/j.ijnurstu.2013.01.010
  7. Kang J, Lee M. Pooled prevalence of workplace bullying in nursing: Systematic review and meta-analysis. Journal of Korean Critical Care Nursing. 2016;9(1):51-65.
  8. Park S, Kwak E, Lee YW, Park EJ. Prevalence of workplace violence against registered nurses and their perceptions of relevant management systems in acute care hospitals. The Journal of Korean Academic Society of Nursing Education. 2023;29(3):319-334. https://doi.org/10.5977/jkasne.2023.29.3.319
  9. Shorey S, Wong PZE. A qualitative systematic review on nurses' experiences of workplace bullying and implications for nursing practice. Journal of Advanced Nursing. 2021;77(11):4306-4320. https://doi.org/10.1111/jan.14912
  10. Loh JM, Thorsteinsson EB, Loi NM. Workplace incivility and work outcomes: Cross-cultural comparison between Australian and Singaporean employees. Asia Pacific Journal of Human Resources. 2021;59(2):305-329. https://doi.org/10.1111/1744-7941.12233
  11. Choi G, Hwang J, Hwang D, Yang H, Lee S. 'Taeoom' experienced by Korean nurses: Qualitative meta-synthesis. Journal of Qualitative Research. 2023;24(1):1-11. https://doi.org/10.22284/qr.2023.24.1.1
  12. Lockwood C, Munn Z, Porritt K. Qualitative research synthesis: Methodological guidance for systematic reviewers utilizing meta-aggregation. International Journal of Evidence-Based Healthcare. 2015;13(3):179-187. https://doi.org/10.1097/XEB.0000000000000062
  13. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. International Journal of Surgery. 2021;88:105906. https://doi.org/10.1016/j.ijsu.2021.105906
  14. Munn Z, Porritt K, Lockwood C, Aromataris E, Pearson A. Establishing confidence in the output of qualitative research synthesis: The ConQual approach. BMC Medical Research Methodology. 2014;14:108. https://doi.org/10.1186/1471-2288-14-108
  15. Ministry of Health and Welfare, Health Insurance Review & Assessment Service. Guidelines for pilot projects on improving nurse shift scheduling [Internet]. Ministry of Health and Welfare; 2022 [cited 2023 Aug 30]. Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020002000100&brdScnBltNo=4&brdBltNo=9757#none
  16. Ministry of Health and Welfare. The government and the nursing profession collaboratively develop the second comprehensive plan for supporting nursing workforce [Internet]. Ministry of Health and Welfare; 2023 [cited 2023 Aug 30]. Available from: https://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=374908
  17. Cameron KS, Quinn RE. Diagnosing and changing organizational culture: Based on the competing values framework. Jossey-Bass; 2006. p. 37.
  18. Kwon J, Kim EY. Impact of nursing organizational culture and nursing practice environment on generational conflict in organization among hospital nurses. Journal of Korean Academy of Nursing Administration. 2023;29(1):45-54. https://doi.org/10.11111/jkana.2023.29.1.45
  19. Jung H. An evolutionary concept analysis of Taeoom among nurses. The Journal of the Convergence on Culture Technology. 2019;5(4):157-169. https://doi.org/10.17703/JCCT.2019.5.4.157
  20. Park EJ, Lee M, Park M. Instruments and taxonomy of workplace bullying in health care organizations. Asian Nursing Research. 2017;11(4):237-245. https://doi.org/10.1016/j.anr.2017.10.001
  21. Cooper AL, Brown JA, Rees CS, Leslie GD. Nurse resilience: A concept analysis. International Journal of Mental Health Nursing. 2020;29(4):553-575. https://doi.org/10.1111/inm.12721
  22. Amsrud KE, Lyberg A, Severinsson E. Development of resilience in nursing students: A systematic qualitative review and thematic synthesis. Nurse Education in Practice. 2019;41:102621. https://doi.org/10.1016/j.nepr.2019.102621
  23. Kim J, Bae S. A concept analysis of 'Taeoom' to newly employed nurses. Korean Journal of Hospital Management. 2020;25(3):1-13.
  24. Cho SH, Seong J, Jung YS, You SJ, Sim WH. Recommendation for the amendment of inpatient nursing fee schedules based on nurse staffing standards in general wards of tertiary hospitals and general hospitals. Journal of Korean Clinical Nursing Research. 2022;28(2):122-136. https://doi.org/10.22650/JKCNR.2022.28.2.122
  25. Choi JK, Lee B. Response patterns of nursing unit managers regarding workplace bullying: A Q methodology approach. Journal of Korean Academy of Nursing. 2019;49(5):562-574. https://doi.org/10.4040/jkan.2019.49.5.562
  26. Olsen JM, Aschenbrenner A, Merkel R, Pehler SR, Sargent L, Sperstad R. A mixed-methods systematic review of interventions to address incivility in nursing. Journal of Nursing Education. 2020;59(6):319-326. https://doi.org/10.3928/01484834-20200520-04
  27. Jang SJ, Son YJ, Lee H. Intervention types and their effects on workplace bullying among nurses: A systematic review. Journal of Nursing Management. 2022;30(6):1788-1800. https://doi.org/10.1111/jonm.13655
  28. Griffin M, Clark CM. Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. Journal of Continuing Education in Nursing. 2014;45(12):535-542. https://doi.org/10.3928/00220124-20141122-02
  29. Osatuke K, Moore SC, Ward C, Dyrenforth SR, Belton L. Civility, respect, engagement in the workforce (CREW): Nationwide organization development intervention at Veterans Health Administration. The Journal of Applied Behavioral Science. 2009;45(3):384-410. https://doi.org/10.1177/0021886309335067
  30. Kang J, Kim JI, Yun S. Effects of a cognitive rehearsal program on interpersonal relationships, workplace bullying, symptom experience, and turnover intention among nurses: A randomized controlled trial. Journal of Korean Academy of Nursing. 2017;47(5):689-699. https://doi.org/10.4040/jkan.2017.47.5.689