distress being caused from bullying the individuals who are experiencing this have an increased desire to leave their current job within one year. According to The Joint Commission (2016) there is a great deal of underreporting of quality and safety concerns which increases potential harm, medical errors, infection risks and the cost. It is important to bring awareness to workplace bullying and The Joint Commission has instructed healthcare organization to implement a zero- tolerance policy for workplace bullying. By implementing this policy and offering violence awareness classes this will help reduce workplace violence and the nursing shortage. Increasing the retention rate will save up to two billion dollars a year which can be spent on hiring and
Running head: FINAL PROJECT AN INTEGRATIVE REVIEW 7 orienting new nurses (Sauer & McCoy, 2018). Stopping the bullying must be stopped by the individuals involved in the bullying. It is important for staff to speak up to the bullying and nurses need to feel a sense of empowerment to speak up for themselves. If the bullying continues it is important that the nurse go to their management about the issue. Weaver, (2013) states that nurse managers should be able to identify signs and indication of workplace violence/bullying. This can be recognized by low employee satisfaction scoring, increased turnover rates, cliques in the workplace, dueling shifts, and frequent absences (Bartholomew, 2006). The first step in making a change is healthcare organizations need to implement a no bullying workplace and those who report the bullying will feel safe. Perhaps healthcare organization could implement a mentorship program to combat bullying. This mentorship program could help the nurse thrive after they’ve had their orientation to their current employer and help assist them with providing feedback on how to work through tough situation (Weaver, 2013). Bringing an awareness to the bullying and putting these practices into place can help reduce workplace bullying and promote a sense of respect among the nurse while helping increase retention rates (Sauer & McCoy, 2018). II. Literature Research Methods To reveal the association of nurse bullying in the workplace, nursing shortage, depression among bullied nurses and patient safety the data was gathered by searching various data bases Medline, CINAHL, EBSCO, Elsevier, Ovid and PubMed. The keywords used to narrow specific research on this topic included using the word AND: bullying, work violence, nurse retention, patient safety, turn over and depression. Also, additional key words used: nurse bullying AND violence, nursing shortage, AND nursing retention AND depression AND patient safety. Inclusions for criteria on the articles chosen were comprehensive and rigorous. Search was limited to peer reviewed articles that were written in English and published in the US between
Running head: FINAL PROJECT AN INTEGRATIVE REVIEW 8 the dates of 2014 to 2019 which resulted in 2,039 articles. The articles needed to include full text, abstract, referenced available, and must be in English resulted in 134 left to be reviewed.
- Summer '17