Bullying and employee turnover among healthcare workers: a three-wave prospective study
Bullying and employee turnover among healthcare workers: a three-wave prospective study
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DOI：
10.1111/j.1365-2834.2011.01264.x
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发表时间：
2011-09-01
影响因子：
5.5
通讯作者：
Carneiro, Isabella G.
中科院分区：
文献类型：
--
作者：
Hogh, Annie;Hoel, Helge;Carneiro, Isabella G.
目的 调查工作中欺凌目标的流动风险。背景 遭受欺凌似乎会使目标有意离开工作场所。然而，他们实际离开的程度并不确定。 方法 通过丹麦医护人员在毕业时（T（1））、1年（T（2））和2年后（T（3））的三波研究中的问卷调查收集数据。我们跟踪了参与全部三波的 2154 名受访者。结果 毕业后第一年，9.2% 的人表示在工作中受到欺凌，1.8% 的人经常受到欺凌。后续分析显示，T(2) 时的欺凌暴露与 T(3) 时的更替率之间存在密切关系 [经常被欺凌的比值比 (OR) = 3.1]。社会支持度低、社区意识低、离职意向和健康状况不佳等推动因素的纳入并没有显着改变欺凌与离职之间的关系。在被欺负的受访者给出的原因中，辞职的三个原因最为突出：领导能力差、暴露于负面行为和健康问题。 结论 欺凌行为可能会给组织带来高昂的员工流动率以及随后的替代者招聘和培训成本。对护理管理的影响 管理者应定期监测社会心理工作环境。为了防止欺凌行为，应制定、实施和评估地方政策和程序。
Aim To investigate the risk of turnover among targets of bullying at work.Background Exposure to bullying seems to leave targets with intentions to leave their workplaces. However, it is uncertain to what extent they actually leave.Method Data were collected by questionnaires in a three-wave study among Danish healthcare workers at the time of graduation (T(1)), 1 (T(2)) and 2 years (T(3)) later. We followed 2154 respondents who participated in all three waves.Results The first year after graduation, 9.2% reported being bullied at work, 1.8% frequently. Follow-up analyses showed a strong relationship between exposure to bullying at T(2) and turnover at T(3) [odds ratio (OR) for frequently bullied = 3.1]. The inclusion of push factors such as low social support and low sense of community, intention to leave and ill health did not change the relation between bullying and turnover significantly. Three reasons for quitting stood out among reasons given by the bullied respondents: poor leadership, being exposed to negative behaviour and health problems.Conclusion Bullying may be costly to an organization in terms of staff turnover and subsequent recruitment and training of replacements. Impact for Nursing Management Managers should regularly monitor the psychosocial work environment. To prevent bullying local policies and procedures should be developed, implemented and evaluated.