Organizational Determinants of Bullying and Work Disengagement among Hospital Nurses

Organizational Determinants of Bullying and Work Disengagement among Hospital Nurses

The research presented by Arnetz et al. (2019) can be described as disciplined research as it rigorously applies a well-defined approach to research towards exploring and identifying the organizational determinants of bullying that contribute to nurses’ disengagement at work—followed by researchers to investigate a specific topic or problem in a structured and organized manner. The research article has an IMRAD (Introduction, Methods, Results, and Discussion) organizational structure with a conclusion. The authors have clearly presented their objectives for carrying out the research. In the article, Arnetz et al. (2019) focused on identifying the organizational factors that determined bullying within the nursing work environment and how experiencing bullying contributed to work disengagement among hospital nurses. In the introduction, the authors have substantially introduced and analyzed the problem related to the research. The main problems focused on in the article are bullying in the nursing profession, the underlying determinants of bullying in the nursing profession within an organizational setting, and the impact of bullying among nurses. The article has systematically reviewed available research literature on the topic of bullying in the nursing profession. The main ideas behind the research identified by available literature are the argument that bullying is endemic to the nursing profession in the United States and that bullying is the nature of nurse behavior, education, nursing work, and a combination of both individual personality and organizational factors. Additionally, the research sought to confirm claims from previous research on whether bullying negatively impacted nurses’ emotional and physical well-being, work satisfaction, burnout and productivity, low-quality patient care, and intentions to leave the organization and the nursing profession. These aims and objectives of the research make it fundamentally cause-probing as it seeks to identify the underlying factors of the phenomena of focus.

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The article has applied a clear methodological approach to explore the research problem. The research article applies quantitative research methods in which a cross-sectional, web-based, anonymous questionnaire study design is adopted. The study was conducted in May 2017. A total of 1,780 registered nurses working within a regional U.S. healthcare were invited. Weekly reminders were sent to the participants within a month, to which only 432 responded, and 331 complete questionnaires were returned. The authors focused on collecting empirical evidence in which quantitative data was collected using a web-based anonymous questionnaire. The data was collected over a period of one month. The questionnaire had 41 items focused on areas of social demographic variables, bullying, work disengagement due to bullying, staff interactions, and work climate. The data analysis applied bivariate analysis to examine how variables related, including staff interactions, work climate and work disengagement, while hierarchical linear regression was applied to examine and identify the factors that were linked to disengagement due to bullying. Bullying and work disengagement were the main variables, independent and dependent, respectively.

The research article presents clear results that indicate a lot of commitment to critical thinking and objectivity among the authors. The results are presented as per the quantitative data analysis collected from the participants. Since the results are objective, it is hard for the conclusions drawn from the analyzed data to be biased. Additionally, the article has a discussion and conclusion section. Based on the results of the data analysis, Arnetz et al. (2019) argue that providing psychological safety for reducing nurse bullying is important within nursing settings as it results in withdrawal and disengagement from nursing work. Factors of psychological safety, such as co‐worker interactions, and factors of work climate, such as competence, communication, and nature of leadership, risk experiencing or witnessing bullying in nursing. Some limitations identified in the research were drawing the participants from a single hospital system which is not representative of the entire U.S. healthcare system, and a low response rate of 24 percent.

The article and the findings of the research are relevant in nursing as it identifies bullying as an issue of concern in the nursing profession due to its significant negative outcomes. The article identifies the underlying factors of bullying within the organization and how experiences or witnessing bullying can affect the nurses’ engagement at work as well as their commitment to the organization and the nursing profession. The article also provides evidence for future research to develop in search of solutions to bullying in the nursing profession and reversing the impacts of experiencing or witnessing bullying.

 References

Arnetz, J. E., Sudan, S., Fitzpatrick, L., Cotten, S. R., Jodoin, C., Chang, C. H. (Daisy), & Arnetz, B. B. (2019). Organizational determinants of bullying and work disengagement among hospital nurses. Journal of Advanced Nursing, 75(6), 1229–1238. https://doi.org/10.1111/JAN.13915

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An important step in the process of understanding and using empirical evidence in the practice of nursing is the ability to evaluate the merits of a study. Using the guidelines provided in Chapter 1 of your text and the other required readings, perform a preliminary review of one of the following articles; article 1. Links to an external site. or article 2.Links to an external site. Review the ‘questions of fact’ in the application exercises, p. 6 of the Resource Manual, and review preliminary questions in Box 1.1 (p. 17) and Box 3.3 (p. 59) of your textbook. You have the choice of selecting either a quantitative or qualitative study. Your work must be submitted according to APA guidelines. Your submission must not be more than 3 pages, excluding the title page and the reference page. The assignment is worth 125 points.

Qualitative Study

Berardo, D. & Mussa, M.V. (2019). Application of a relational tool to support acute cardiac patients’ emotional recovery: Analysis of effects of during acute and follow-up care. International Journal of Qualitative Studies on Health and Wellbeing, 14(1). doi. org/10.1080/17482631.2019.1595957

Quantitative Study

Arnetz, J. E., Sudan, S., Fitzpatrick, L., Cotten, S. R., Jodian, C., Chu-Hsiang, D., & Arnetz, B. (2019). Organizational determinants of bullying and work disengagement among hospital nurses. Journal of Advanced Nursing, 75, 1229-1238. doi: 10.1111/jan.13915

Resource Manual for Nursing Research
ISBN: 9781975112264
Authors: POLIT, Cheryl Beck
Publisher: LWW
Publication Date: 2020-02-18

Nursing Research
ISBN: 9781975110659
Authors: Denise Polit, Cheryl Beck
Publisher: Lippincott Williams & Wilkins
Publication Date: 2019-12-09