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Exploring the influence of workplace violence and bystander behaviour on patient safety in Korea: A pilot study
Author(s) -
Kim Kyoungja
Publication year - 2020
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12991
Subject(s) - bystander effect , workplace violence , incivility , patient safety , occupational safety and health , medicine , nursing , workplace bullying , suicide prevention , human factors and ergonomics , poison control , nursing management , injury prevention , psychology , medical emergency , health care , social psychology , pathology , economics , economic growth
Aims To explore the influences of clinical nurses’ workplace violence and bystander behaviour on patient safety. Background Bystanders’ role in social violence affects the consequences of said violence; however, few studies have explored the relationship between workplace violence and patient safety among nurses working in clinical settings. Methods A cross‐sectional survey design was conducted using a structured questionnaire pertaining to workplace violence, bystander behaviour, patient safety culture and nurse‐assessed patient safety outcomes. The questionnaire was administered to 185 bedside nurses at a university hospital in a metropolitan city in Korea. Results A regression model with department, patient safety culture, workplace bullying, incivility and bystander behaviour explained approximately 34.0% of patient safety. Further, defending bystander behaviour, facilitating bystander behaviour, work‐related bullying and co‐worker incivility influenced the patient safety. Conclusion Being a facilitating bystander was a threat to patient safety, while being a defending bystander enhanced patient safety. Implications for nursing management The negative consequences of workplace violence on patient safety may be mitigated by colleagues’ reaction to violence; therefore, nursing policymakers should emphasize the role of positive bystanders as an organisational strategy against workplace violence.