دورية أكاديمية
Not Just How Many but Who Is on Shift: The Impact of Workplace Incivility and Bullying on Care Delivery in Nursing Homes.
| العنوان: | Not Just How Many but Who Is on Shift: The Impact of Workplace Incivility and Bullying on Care Delivery in Nursing Homes. |
|---|---|
| المؤلفون: | Cooke HA; School of Nursing, University of British Columbia, Vancouver, Canada., Baumbusch J; School of Nursing, University of British Columbia, Vancouver, Canada. |
| المصدر: | The Gerontologist [Gerontologist] 2021 Jun 02; Vol. 61 (4), pp. 563-572. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 0375327 Publication Model: Print Cited Medium: Internet ISSN: 1758-5341 (Electronic) Linking ISSN: 00169013 NLM ISO Abbreviation: Gerontologist Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2009- : Cary, NC : Oxford University Press Original Publication: St. Louis, Gerontological Society. |
| مواضيع طبية MeSH: | Bullying* , Incivility*, British Columbia ; Humans ; Nursing Homes ; Workplace |
| مستخلص: | Background and Objectives: Much of the literature examining the staffing-care quality link in long-term care (LTC) homes focuses on staffing ratios; that is, how many staff are on shift. Far less attention is devoted to exploring the impact of staff members' workplace relationships, or who is on shift. As part of our work exploring workplace incivility and bullying among residential care aides (RCAs), we examined how RCAs' workplace relationships are shaped by peer incivility and bullying and the impact on care delivery. Research Design and Methods: Using critical ethnography, we conducted 100 hr of participant observation and 33 semistructured interviews with RCAs, licensed practical nurses, support staff, and management in 2 nonprofit LTC homes in British Columbia, Canada. Results: Three key themes illustrate the power relations underpinning RCAs' encounters with incivility and bullying that, in turn, shaped care delivery. Requesting Help highlights how exposure to incivility and bullying made RCAs reluctant to seek help from their coworkers. Receiving Help focuses on how power relations and notions of worthiness and reciprocity impacted RCAs' receipt of help from coworkers. Resisting Help/ing outlines how workplace relationships imbued with power relations led some RCAs to refuse assistance from their coworkers, led longer-tenured RCAs to resist helping newer RCAs, and dictated the extent to which RCAs provided care to residents for whom another RCA was responsible. Discussion and Implications: Findings highlight "who" is on shift warrants as much attention as "how many" are on shift, offering additional insight into the staffing-care quality link. (© The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America.) |
| References: | Int J Nurs Stud. 2017 Jan;66:72-81. (PMID: 28017895) J Nutr Health Aging. 2018;22(6):634-638. (PMID: 29806851) Nurs Sci Q. 2015 Jan;28(1):36-41. (PMID: 25520463) Int J Nurs Stud. 2017 Jan;66:15-22. (PMID: 27940368) Gerontologist. 2013 Oct;53(5):790-800. (PMID: 23292437) Gerontologist. 2016 Apr;56(2):e1-11. (PMID: 26884061) J Am Med Dir Assoc. 2015 Oct 1;16(10):860-6. (PMID: 26027721) J Occup Health Psychol. 2016 Jul;21(3):352-365. (PMID: 26569134) BMC Health Serv Res. 2014 Jun 05;14:244. (PMID: 24903706) Int J Nurs Stud. 2011 Jun;48(6):732-50. (PMID: 21397229) Qual Health Res. 2017 Oct;27(12):1870-1881. (PMID: 28805151) Gerontologist. 2008 Aug;48(4):464-76. (PMID: 18728296) J Gerontol Nurs. 2018 Apr 1;44(4):37-44. (PMID: 29355879) J Adv Nurs. 2008 Jan;61(2):232-41. (PMID: 18186914) J Nurs Care Qual. 2004 Jul-Sep;19(3):242-52. (PMID: 15326994) Gerontologist. 2020 Apr 2;60(3):e200-e217. (PMID: 31115444) Curr Opin Psychol. 2017 Aug;16:114-117. (PMID: 28813332) Can J Aging. 2019 Mar;38(1):35-50. (PMID: 30298797) JAMA Netw Open. 2020 Jan 3;3(1):e1920231. (PMID: 31995209) J Am Med Dir Assoc. 2014 Jun;15(6):383-93. (PMID: 24529872) Hum Resour Health. 2013 Jun 14;11:25. (PMID: 23768158) Nurs Econ. 2015 Mar-Apr;33(2):95-108, 116. (PMID: 26281280) HERD. 2018 Jan;11(1):119-137. (PMID: 29022368) |
| فهرسة مساهمة: | Keywords: Critical ethnography; Horizontal hostility; Nursing aides; Power relations; Workplace relationships |
| تواريخ الأحداث: | Date Created: 20201215 Date Completed: 20210701 Latest Revision: 20210703 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC8248975 |
| DOI: | 10.1093/geront/gnaa203 |
| PMID: | 33320166 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1758-5341 |
|---|---|
| DOI: | 10.1093/geront/gnaa203 |