Workplace mistreatment (bullying, horizontal violence, and incivility) has been
shown to impact nurses’ work satisfaction, job turnover, and physical and mental health.
However, there are limited studies that examine its effect on patient outcomes. A
correlational descriptive study of 79 acute care nurses was used to test a social justice
model for examining the relationship between workplace mistreatment, quantified as
threats to dimensions of nurses’ well-being (health, personal security, reasoning, respect,
attachment, and self-determination), and nurses’ ability to provide quality patient care. In
addition, this study considered the moderating effect of caring work environment among
co-workers on nurses’ ability to provide quality patient care in the face of workplace
mistreatment. Stories of workplace mistreatment were collected anonymously and
analyzed for alignment with threats to six dimensions of well-being. Ability to provide
patient care was measured using the Healthcare Productivity Survey and a caring work
environment was measured via the Culture of Companionate Love scale. The results demonstrated that threats to all six dimensions of well-being described
by Powers and Faden (2006) were expressed in nurses’ stories of workplace
mistreatment. Furthermore, 87% reported a decrease in ability to provide patient care
after an incident of workplace mistreatment. Yet frequency of threatened dimensions did
not have a significant relationship with ability to provide patient care. Moreover, there
was a significant moderator effect of the caring work environment on the relationship
between number of threatened dimensions of well-being and ability to provide quality
patient care. Nurses in high caring environments loss less ability to provide care than
nurses in low caring environments when one to three dimensions of well-being were
threatened. However, this relationship reversed when four or more dimensions were
threatened. Implications include further research on the relationship between workplace
mistreatment and nurse well-being and changing practice to include fostering a caring
work environment in healthcare facilities. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2017. / FAU Electronic Theses and Dissertations Collection
| Identifer | oai:union.ndltd.org:fau.edu/oai:fau.digital.flvc.org:fau_39774 |
| Contributors | Moffa, Christine M. (author), Liehr, Patricia (Thesis advisor), Florida Atlantic University (Degree grantor), Christine E. Lynn College of Nursing |
| Publisher | Florida Atlantic University |
| Source Sets | Florida Atlantic University |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation, Text |
| Format | 136 p., application/pdf |
| Rights | Copyright © is held by the author, with permission granted to Florida Atlantic University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder., http://rightsstatements.org/vocab/InC/1.0/ |
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