Using Existing Data to Identify Nursing Units Vulnerable for Bullying, Harassment, and Horizontal Violence

2.50
Hdl Handle:
http://hdl.handle.net/10755/182409
Category:
Abstract
Type:
Presentation
Title:
Using Existing Data to Identify Nursing Units Vulnerable for Bullying, Harassment, and Horizontal Violence
Author(s):
Bowar-Ferres, Susan
Author Details:
Susan Bowar-Ferres, PhD, RN, NEA-BC, NYU Langone Medical Center, New York, New York, USA, email: susan.bowar-ferres@nyumc.org
Abstract:
Background: Bullying, Harassment and Horizontal Violence (BHHV) is a significant problem in the nursing workforce; recipients exhibit poorer health and increased workplace disengagement, absenteeism, and turnover. All of these are associated with increased medical errors and poorer patient outcomes. By identifying strategies that allow for the rapid identification of BHHV, interventions can be initiated to reduce BHHV and its sequelae. Purpose: To demonstrate that existing NDNQI RN Survey data and exit survey data can be used to identify nursing units at-risk for negative outcomes associated with BHHV, and thus can be targeted for interventions to improve the practice environment. Methods: A BHHV measure was created from the NDNQI-RN Survey using a modified Delphi technique. A panel of subject matter experts (N=12) participated in a multi-phase process to transform individual opinions regarding the contribution of specific items into a group consensus of items consistent with BHHV. Phase II evaluated the effectiveness of using the subscale of delineated items for detecting units where BHHV is an issue. The validation sample was drawn from 1,200 RNs who completed the NDNQI RN Survey at an academic medical center. A matrix identified 8 units whose BHHV scores fell below the mean. Turnover data and a key informant panel were used to validate findings. Results: The resulting BHHV indicator consisted of 23 items that were congruent or highly specific to BHHV. Conclusions & Practice Implications: By increasing recognition, interventions can be initiated to reduce BHHV and its sequelae, i.e. absenteeism, nurse turnover. Please contact the primary investigator for more information.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUsing Existing Data to Identify Nursing Units Vulnerable for Bullying, Harassment, and Horizontal Violenceen_GB
dc.contributor.authorBowar-Ferres, Susanen_US
dc.author.detailsSusan Bowar-Ferres, PhD, RN, NEA-BC, NYU Langone Medical Center, New York, New York, USA, email: susan.bowar-ferres@nyumc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182409-
dc.description.abstractBackground: Bullying, Harassment and Horizontal Violence (BHHV) is a significant problem in the nursing workforce; recipients exhibit poorer health and increased workplace disengagement, absenteeism, and turnover. All of these are associated with increased medical errors and poorer patient outcomes. By identifying strategies that allow for the rapid identification of BHHV, interventions can be initiated to reduce BHHV and its sequelae. Purpose: To demonstrate that existing NDNQI RN Survey data and exit survey data can be used to identify nursing units at-risk for negative outcomes associated with BHHV, and thus can be targeted for interventions to improve the practice environment. Methods: A BHHV measure was created from the NDNQI-RN Survey using a modified Delphi technique. A panel of subject matter experts (N=12) participated in a multi-phase process to transform individual opinions regarding the contribution of specific items into a group consensus of items consistent with BHHV. Phase II evaluated the effectiveness of using the subscale of delineated items for detecting units where BHHV is an issue. The validation sample was drawn from 1,200 RNs who completed the NDNQI RN Survey at an academic medical center. A matrix identified 8 units whose BHHV scores fell below the mean. Turnover data and a key informant panel were used to validate findings. Results: The resulting BHHV indicator consisted of 23 items that were congruent or highly specific to BHHV. Conclusions & Practice Implications: By increasing recognition, interventions can be initiated to reduce BHHV and its sequelae, i.e. absenteeism, nurse turnover. Please contact the primary investigator for more information.en_GB
dc.date.available2011-10-28T15:22:58Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:22:58Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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