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Effects of a smartphone application for cognitive rehearsal intervention on workplace bullying and turnover intention among nurses
Author(s) -
Kang Jiyeon,
Jeong Yeon Jin
Publication year - 2019
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12786
Subject(s) - intervention (counseling) , cognition , workplace bullying , intimidation , nursing , psychology , randomized controlled trial , coping (psychology) , medicine , clinical psychology , social psychology , psychiatry , surgery
Background Bullying in nursing workplaces has been considered a serious problem that increases nurse turnover. Aim To develop a cognitive rehearsal intervention for workplace bullying and examine its effects on nurses' bullying experiences and turnover intentions. Methods We developed a smartphone application to cognitively train nurses to handle bullying situations in the workplace. This application included common bullying situations and appropriate non‐violent communication scenarios. A cluster quasi‐randomized trial was performed with 72 hospital nurses working in a university hospital in South Korea from November 2016 to January 2017. We measured workplace bullying experiences and turnover intention before intervention and 4 and 8 weeks after intervention in both intervention and control groups. Results The cognitive rehearsal intervention developed in this study was effective for decreasing nurses' person‐related bullying, work‐related bullying experiences, and turnover intention. However, it had no effects on intimidation‐related bullying experiences. Conclusions The smartphone application‐based cognitive rehearsal intervention can serve as a personal coping measure for person‐related and work‐related bullying among nurses. It is recommended that the intervention developed in this study be applied as a strategy to reduce nurse turnover.