The Impact of Hostile Nurse-Nurse Relationships Upon Clinical Outcomes: Implications of a Mixed-Methods Systematic Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/243353
Category:
Abstract
Type:
Presentation
Title:
The Impact of Hostile Nurse-Nurse Relationships Upon Clinical Outcomes: Implications of a Mixed-Methods Systematic Review
Author(s):
Hutchinson, Marie; Jackson, Debra
Author Details:
Hutchinson, Marie, RN, RM, PhD, marie.hutchinson@scu.edu.au; Jackson, Debra, RN, PhD;
Abstract:
Purpose:

To date attention has largely focused upon hostile physician behaviours and their relationship to clinical outcomes. Drawing upon the findings from a mixed-method systematic review the implications of nurse-nurse HPR will be presented.

Methods:

 Examining the relationship between hostile professional relationships (HPR), patient care, and clinical outcomes a broad search strategy for the period 1990-2011 examined 8 electronic databases for the terms bullying, incivility, violence, horizontal violence, lateral violence, disruptive behaviour, aggression, with nurs*, patient care, clinical outcomes, patient safety, and quality. Standardised critical appraisal instruments from the Joanna Briggs Institute assessed the quality of retrieved quantitative and qualitative studies. 21 publications were retained for review. The outcomes of the quantitative studies were grouped into broad categories and content analysis was used to develop a taxonomy from the qualitative findings (Sandelowski and Barrosso, 2003).

Results:

 The analysis provided a conceptual summary of the data in three broad domains - Implicating clinical care in hostility, Directly involving patients in hostility, and Reduced performance relating to exposure to HPR.

Conclusion:

The taxonomy derived from this review identifies features of HPR not currently included in measurement instruments. The implications of HPR upon patient care and clinical outcomes are more profound and extensive than often understood. Further research is required to explore the impact of nurse-nurse HPR on patient care and clinical outcomes and determine appropriate intervention strategies.

  Sandelowski, M. and J. Barroso (2003). "Toward a metasynthesis of qualitative findings on motherhood in HIV-positive women." Research in Nursing and Health 2003(26).

Keywords:
hostile professional relationships; clilnical outcomes; metasynthesis
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Impact of Hostile Nurse-Nurse Relationships Upon Clinical Outcomes: Implications of a Mixed-Methods Systematic Reviewen_GB
dc.contributor.authorHutchinson, Marieen_GB
dc.contributor.authorJackson, Debraen_GB
dc.author.detailsHutchinson, Marie, RN, RM, PhD, marie.hutchinson@scu.edu.au; Jackson, Debra, RN, PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243353-
dc.description.abstract<b>Purpose: </b> <p>To date attention has largely focused upon hostile physician behaviours and their relationship to clinical outcomes. Drawing upon the findings from a mixed-method systematic review the implications of nurse-nurse HPR will be presented. <p><b>Methods: </b> <p>&nbsp;Examining the relationship between hostile professional relationships (HPR), patient care, and clinical outcomes a broad search strategy for the period 1990-2011 examined 8 electronic databases for the terms <i>bullying, incivility, violence, horizontal violence, lateral violence, disruptive behaviour, aggression, </i>with<i> nurs*, patient care, clinical outcomes, patient safety, and quality.</i> Standardised critical appraisal instruments from the Joanna Briggs Institute assessed the quality of retrieved quantitative and qualitative studies. 21 publications were retained for review. The outcomes of the quantitative studies were grouped into broad categories and content analysis was used to develop a taxonomy from the qualitative findings (Sandelowski and Barrosso, 2003). <p><b>Results: </b> <p>&nbsp;The analysis provided a conceptual summary of the data in three broad domains - <i>Implicating clinical care in hostility, Directly involving patients in hostility, and Reduced performance relating to exposure to HPR</i>. <p><b>Conclusion: </b> <p>The taxonomy derived from this review identifies features of HPR not currently included in measurement instruments. The implications of HPR upon patient care and clinical outcomes are more profound and extensive than often understood. Further research is required to explore the impact of nurse-nurse HPR on patient care and clinical outcomes and determine appropriate intervention strategies. <p>&nbsp;&nbsp;Sandelowski, M. and J. Barroso (2003). "Toward a metasynthesis of qualitative findings on motherhood in HIV-positive women." Research in Nursing and Health <b>2003</b>(26).en_GB
dc.subjecthostile professional relationshipsen_GB
dc.subjectclilnical outcomesen_GB
dc.subjectmetasynthesisen_GB
dc.date.available2012-09-12T09:21:01Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:21:01Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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