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Organizational culture and workplace bullying in nurses
858
Abstracts
inductively determine themes, clusters, and categories. Data saturation was achieved, and methodological rigor was established. Results: Main roles were described as patient advocacy; educating and supporting patient and family; optimal symptom management; and promoting a comfortable, dignified death. Roles evolving from the data included encouraging family presence during the dying process and protecting and creating positive memories for families. Role modeling coping and self-care skills while mentoring and teaching novice clinicians were important. Conclusions: Study results have important implications for practice, education, and research. Nurses may be unprepared for roles encountered during end-of-life care. Teaching these roles in nursing education and orientation classes is essential. Future research can determine best practice to mentor, teach, and prepare nurses to provide optimal end-of-life care. Keywords: Nursing roles, Patient/family advocacy
reactions in the protocol group and preimplementation group are respectively equal to 0 and 0.3 (t = − 2.7572, P = .009). Conclusions: Despite the lack of randomization and relatively small sample size, the protocol demonstrates that sedation and analgesia infusions can be safety titrated together to achieve the desired level of sedation and pain relief in a short period, thus reducing the adverse effects of over sedation and analgesia usage. Keywords: Sedation, Analgesia, Combined, Protocol http://dx.doi.org/10.1016/j.jcrc.2015.04.113
Abstract Organizational culture and workplace bullying in nurses Yuseon Ana, Jiyeon Kangb a
http://dx.doi.org/10.1016/j.jcrc.2015.04.112
Abstract Validation of a combined analgesia and sedation protocol for ICU patients Mark Fielding, Tiju Abraham Rashid Hospital, Dubai Health Authority, United Arab Emirates Background/Purpose: The purpose of this study was to develop and validate a combined, evidence-based analgesia and sedation protocol for ICU patients to allow effective and timely titration of both sedatives and analgesics, which may reduce the duration of incidence of adverse effects associated with these medications. Methods: The study occurred in a large tertiary referral hospital in the Middle East. The study population consisted of patients within a medical and surgical ICU. The study design was prospective using a convenience sample of 30 patients. Sedation and analgesia assessment tools were selected. Times to achieve the desired sedation and analgesia scores were collected and compared to preimplementation times. Results: The average number of hours to achieve the desired sedation and analgesia score was 5.567 in the protocol group and to 19.367 in the preimplementation group (t = − 12.5716, P b .001). The protocol also reduced the number of necessary titrations by almost 6 in the subsequent hours (P b .001). The numbers of adverse
Dong-A University Medical Center, Republic of Korea Dong-A University College of Medicine, Republic of Korea
b
Background/Purpose: Workplace bullying has been perceived as one of the serious problems in the nursing profession. The purpose of this study was to identify the relationship between nursing organizational culture and workplace bullying in Korean nurses. Methods: Participants were 298 hospital nurses in B city of Korea. The nursing organizational culture and workplace bullying in nurses were surveyed using structured questionnaires from July 1 to August 15, 2014. Results: Participants were aware of their organizational culture as rank-oriented (45.5%), relation-oriented (36.0%), innovation-oriented (10.4%), and task-oriented culture in order (8.1%). The prevalence of workplace bullying was 15.8% according to the operational bullying criteria. A multivariate logistic regression analysis revealed that the risk of being bullying victim was 2.58 times higher in nurses of rank-oriented culture than in those of relation-oriented culture (OR, 2.58; 95% CI, 1.12-5.94). Conclusions: The above results have suggested that nursing organizational culture impacts on workplace bullying in Korean nurses. Further research is needed to develop interventions that can foster relation-oriented culture to prevent workplace bullying in nurses. Keywords: Nurse, Workplace, Bullying, Organizational culture http://dx.doi.org/10.1016/j.jcrc.2015.04.114
Abstracts
inductively determine themes, clusters, and categories. Data saturation was achieved, and methodological rigor was established. Results: Main roles were described as patient advocacy; educating and supporting patient and family; optimal symptom management; and promoting a comfortable, dignified death. Roles evolving from the data included encouraging family presence during the dying process and protecting and creating positive memories for families. Role modeling coping and self-care skills while mentoring and teaching novice clinicians were important. Conclusions: Study results have important implications for practice, education, and research. Nurses may be unprepared for roles encountered during end-of-life care. Teaching these roles in nursing education and orientation classes is essential. Future research can determine best practice to mentor, teach, and prepare nurses to provide optimal end-of-life care. Keywords: Nursing roles, Patient/family advocacy
reactions in the protocol group and preimplementation group are respectively equal to 0 and 0.3 (t = − 2.7572, P = .009). Conclusions: Despite the lack of randomization and relatively small sample size, the protocol demonstrates that sedation and analgesia infusions can be safety titrated together to achieve the desired level of sedation and pain relief in a short period, thus reducing the adverse effects of over sedation and analgesia usage. Keywords: Sedation, Analgesia, Combined, Protocol http://dx.doi.org/10.1016/j.jcrc.2015.04.113
Abstract Organizational culture and workplace bullying in nurses Yuseon Ana, Jiyeon Kangb a
http://dx.doi.org/10.1016/j.jcrc.2015.04.112
Abstract Validation of a combined analgesia and sedation protocol for ICU patients Mark Fielding, Tiju Abraham Rashid Hospital, Dubai Health Authority, United Arab Emirates Background/Purpose: The purpose of this study was to develop and validate a combined, evidence-based analgesia and sedation protocol for ICU patients to allow effective and timely titration of both sedatives and analgesics, which may reduce the duration of incidence of adverse effects associated with these medications. Methods: The study occurred in a large tertiary referral hospital in the Middle East. The study population consisted of patients within a medical and surgical ICU. The study design was prospective using a convenience sample of 30 patients. Sedation and analgesia assessment tools were selected. Times to achieve the desired sedation and analgesia scores were collected and compared to preimplementation times. Results: The average number of hours to achieve the desired sedation and analgesia score was 5.567 in the protocol group and to 19.367 in the preimplementation group (t = − 12.5716, P b .001). The protocol also reduced the number of necessary titrations by almost 6 in the subsequent hours (P b .001). The numbers of adverse
Dong-A University Medical Center, Republic of Korea Dong-A University College of Medicine, Republic of Korea
b
Background/Purpose: Workplace bullying has been perceived as one of the serious problems in the nursing profession. The purpose of this study was to identify the relationship between nursing organizational culture and workplace bullying in Korean nurses. Methods: Participants were 298 hospital nurses in B city of Korea. The nursing organizational culture and workplace bullying in nurses were surveyed using structured questionnaires from July 1 to August 15, 2014. Results: Participants were aware of their organizational culture as rank-oriented (45.5%), relation-oriented (36.0%), innovation-oriented (10.4%), and task-oriented culture in order (8.1%). The prevalence of workplace bullying was 15.8% according to the operational bullying criteria. A multivariate logistic regression analysis revealed that the risk of being bullying victim was 2.58 times higher in nurses of rank-oriented culture than in those of relation-oriented culture (OR, 2.58; 95% CI, 1.12-5.94). Conclusions: The above results have suggested that nursing organizational culture impacts on workplace bullying in Korean nurses. Further research is needed to develop interventions that can foster relation-oriented culture to prevent workplace bullying in nurses. Keywords: Nurse, Workplace, Bullying, Organizational culture http://dx.doi.org/10.1016/j.jcrc.2015.04.114