Navigation Links
Does physician verbal abuse create a bad working environment -- or the reverse?
Date:8/6/2013

A recent study by the RN Work Project found that newly licensed registered nurses (NLRNs) who were verbally abused by nursing colleagues reported lower job satisfaction, unfavorable perceptions of their work environment, and greater intent to leave their current jobs. Now, a new study by the same research team finds that high levels of physician verbal abuse are closely associated with more negative work environments. The RN Work Project is a program of the Robert Wood Johnson Foundation.

The study found that nurses who experienced high (more than five times in the last three months) or moderate (one or more times in the last three months) levels of verbal abuse by physicians had less favorable perceptions of their work environments, lower intent to stay in their jobs, and lower commitment to their organizations. Those who experienced the most frequent abuse also perceived poor collegial relations between RNs and physicians, poor workgroup cohesion, and more work-family conflict. Higher levels of verbal abuse from physicians were also correlated with more verbal abuse among nurse colleagues.

The study was published online in Nursing Outlook. Investigators for the study were: Carol Brewer, PhD, RN, FAAN, professor at the School of Nursing, University at Buffalo; Christine T. Kovner, PhD, RN, FAAN, professor at the College of Nursing, New York University; Rana Obeidat, PhD, RN, Faculty of Nursing at Zarqua University in Jordan; and Wendy Budin, RN-BC, PhD, FAAN, adjunct professor at the College of Nursing, New York University. Kovner and Brewer direct the RN Work Project.

The researchers surveyed 1,328 NLRNs about how often they were verbally abused by physicians and the nature of the abuse. They found that RNs who were the most likely to experience verbal abuse by physicians were: younger; working in hospital settings; working day shifts; and working on units that were short-staffed.

"One of the most striking findings is that higher levels of verbal abuse by physicians are correlated with poorer perceptions of the work environment across the board," said Brewer. "It also seems that verbal abuse is contagious. One potential explanation is that negative behavior exhibited by one member of a group spills over to other members of the group and hurts the group dynamic. We also see that in a stressful environment, including one in which there is physician to RN abuse, there is more likely to be RN to RN abuse, as well."

Similar to the findings regarding abuse by other RNs, this study revealed that working in Magnet hospitals was associated with lower levels of verbal abuse by physicians.

"Physicians' verbal abuse of nurses is a long-standing problem and one we need to do much more to address," said Kovner. "It hurts morale, breeds further verbal abuse, and is associated with nurse intention to leave, particularly among younger nurses. All of these things ultimately reduce the quality of patient care. Health care organizations need to do much more to create positive, healthy work environments"

The researchers note that a variety of methods have been proposed to prevent verbal abuse but suggest that those methods must be part of a holistic approach to improving the work environment, as targeting only verbal abuse is not enough. They also assert that any policies put in place should be developed in cooperation with nursing leaders, key physicians, and administrators.


'/>"/>

Contact: Christopher James
christopher.james@nyu.edu
212-998-6876
New York University
Source:Eurekalert

Related medicine news :

1. Physician Groups Call for Fewer Medical Tests
2. Internal medicine physician specialists release policy paper on reforming Medicaid
3. Physicians call for improvements to countrys public health system to protect US residents
4. A physicians guide for anti-vaccine parents
5. Physicians mindfulness skills can improve care for patient and provider
6. Awards to 5 IU School of Medicine physicians address critical need for geriatricians
7. Image share project gives patients and physicians anytime, anywhere access to medical images
8. Automated breast ultrasound dramatically reduces physician interpretation time
9. Brief training program improves resident physicians empathy with patients
10. Georgetown physician leads national resveratrol study for Alzheimers disease
11. US Army internal medicine Masters, Fellows honored by American College of Physicians
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... (PRWEB) , ... June 27, 2016 , ... "FCPX editors ... customizable inside of Final Cut Pro X," said Christina Austin - CEO of Pixel ... style. Final Cut Pro X users can now reveal the media of ...
(Date:6/27/2016)... Brooklyn, NY (PRWEB) , ... June 27, 2016 ... ... is using cutting edge technology to revolutionize the emergency ambulance transport experience for ... Many are aware of how Uber has disrupted the taxi industry through the ...
(Date:6/26/2016)... ... 26, 2016 , ... On June 10-11, 2016, A Forever Recovery, a holistic ... World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is located. ... some of the world’s leading providers of cereal and other breakfast foods. Its residents ...
(Date:6/26/2016)... , ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal ... personalized through a fitness app. The fitness app plans to fix the two major problems ... offer a one size fits all type program , They don’t eliminate all ...
(Date:6/25/2016)... TX (PRWEB) , ... June 25, 2016 , ... Austin ... of the American College of Mohs Surgery and to Dr. Russell Peckham for medical ... and highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Dehaier Medical Systems Ltd. (NASDAQ: ... and sells medical devices and wearable sleep respiratory products ... cooperation agreement with Hongyuan Supply Chain Management Co., Ltd. ... 20, 2016, to develop Dehaier,s new Internet medical technology ... will leverage Hongyuan Supply Chain,s sales platform to reach ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... "The World Market for Companion Diagnostic Tests" report to ... World Market for Companion Diagnostics The World ... diagnostic and personalized medicine diagnostics. Market analysis in the report ... Diagnostics Test Market (In Vitro Diagnostic Kits) by Region (N. ...
(Date:6/24/2016)... , June 24, 2016   Pulmatrix, Inc ., ... developing innovative inhaled drugs, announced today that it was ... Investments reconstituted its comprehensive set of U.S. and ... "This is an important milestone for Pulmatrix," said Chief ... shareholder awareness of our progress in developing drugs for ...
Breaking Medicine Technology: