Running head: FINAL PROJECT AN INTEGRATIVE REVIEW 11 significant statistically and it proved to be valid. The limitation to the study was that cross- sectional study was only performed in 1 state which made it difficult to determine the cause and effect. On the other hand, the study did prove that nurses who are bullied have an increased rate of leaving their job or their current nursing profession all together. Sauer & McCoy (2017) study focuses on nurse to nurse bullying affecting mental health. The study states that mistreated nurses can affect patient safety outcomes by forming increased patient safety risk in the workplace characterized by bullying in the workplace and incivility with health care workers. The researcher did a great literature review. A strength of the study is that the researchers used reliable and valid data analysis and consistent data instruments were used in the study. The researcher used the NAQR and tested 22.8% of nurse stated they had experienced severe bullying. P value <0.05 indicated to be proven statistically significant. Nurses who were bullied had a higher stress level with a value of 16.9% (Sauer, & McCoy, 2017). The research study findings state nurses who are bullied have negative effects on their mental and physical health and wellbeing. A limitation of the study is that a cross section of the study was done in one state which made it difficult to determine what the cause and effect relationship was. A second limitation was that there was only a 15.3% response rate. Individuals who did not respond to the study’s survey may have had a different option based on the nurses that did respond to the study. The surveys that were used were self-reporting which may lead to a bias within the data. Bullying is a complicated issue and it does need to be addressed by the organization in order to solve the problem. Health care organization need to stop violence in the workplace from occurring. There was a gap in literature and that needs to be examined. Nurses need to feel empower, address and recognize the early signs of bullying. Not stopping workplace violence
Running head: FINAL PROJECT AN INTEGRATIVE REVIEW 12 will continue to affect the nurse’s health. Nurses need to help implement measures of anti- bullying starting with floor nurses to nurse leaders. Spence-Laschinger & Fida (2014) article examined the impact of nurses who were mistreated at work. When an individual is mistreated or bullied at work it can have adverse effects on their job performance and it can threaten a patient’s quality of care. According to Spence-Laschinger & Fida (2014) there is a rise in workplace violence. The researchers have conducted an in-depth review of literature. They used a hypothesized model which used cross section data. The study was directed to fill the knowledge gap of bullying/workplace violence and the effects it has on patient safety. A strength in the study was that Alpha reliability in the research study was great. >0.70 and there’s a confirmatory factor that the analysis supported predictive validity and construction. The literature did not have any gaps. The research study
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- Summer '17