Workplace bullying of general surgery residents by nurses

Lisa L Schlitzkus, Kelly N. Vogt, Maura E. Sullivan, Kimberly D Schenarts

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective Workplace bullying is at the forefront of social behavior research, garnering significant media attention. Most of the medical research has addressed bullying of nurses by physicians and demonstrates that patient care and outcomes may suffer. The intent of this study was to determine if general surgery residents are bullied by nurses.

Design A survey instrument previously validated (Negative Acts Questionnaire - Revised) to evaluate for workplace bullying was modified to reflect the resident-nurse relationship. After institutional review board approval, the piloted online survey was sent to general surgery program directors to forward to general surgery residents. Demographic data are presented as percentages, and for negative acts, percentages of daily, weekly, and monthly frequencies are combined.

Setting Allopathic general surgery residencies in the United States.

Participants General surgery residents.

Results The response rate was 22.1% (n = 452). Most respondents were men (55%) and had a mean age of 29 years (standard deviation = 7). Although 27.0% of the respondents were interns, the remaining classes were equally represented (12%-18% of responses/class). The respondents were primarily from medium-sized residency programs (45%), in the Midwest (28%), training in university programs (72%), and rotating primarily in a combined private and county hospital that serves both insured and indigent patients (59%). The residents had experienced each of the 22 negative acts (11.5%-82.5%). Work-related bullying occurs more than person-related bullying and physical intimidation. Ignoring of recommendations or orders by nurses occurs on a daily, weekly, or monthly basis for 30.2% of residents (work-related bullying). The most frequent person-related bullying act is ignoring the resident when they approach or reacting in a hostile manner (18.0%), followed by ignoring or excluding the resident (17.1%).

Conclusions Workplace bullying of general surgery residents by nurses is prominent. Future research is needed to determine the toll on the resident's well-being and patient outcomes.

Original languageEnglish (US)
Pages (from-to)e149-e154
JournalJournal of Surgical Education
Volume71
Issue number6
DOIs
StatePublished - Nov 1 2014

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Bullying
Workplace
surgery
nurse
exclusion
workplace
Nurses
resident
Internship and Residency
County Hospitals
Private Hospitals
Social Behavior
Research Ethics Committees
human being
Poverty
medical research
social behavior
online survey
Surveys and Questionnaires
Biomedical Research

Keywords

  • general surgery resi-dents
  • nurses
  • workplace bullying

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Workplace bullying of general surgery residents by nurses. / Schlitzkus, Lisa L; Vogt, Kelly N.; Sullivan, Maura E.; Schenarts, Kimberly D.

In: Journal of Surgical Education, Vol. 71, No. 6, 01.11.2014, p. e149-e154.

Research output: Contribution to journalArticle

Schlitzkus, Lisa L ; Vogt, Kelly N. ; Sullivan, Maura E. ; Schenarts, Kimberly D. / Workplace bullying of general surgery residents by nurses. In: Journal of Surgical Education. 2014 ; Vol. 71, No. 6. pp. e149-e154.
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abstract = "Objective Workplace bullying is at the forefront of social behavior research, garnering significant media attention. Most of the medical research has addressed bullying of nurses by physicians and demonstrates that patient care and outcomes may suffer. The intent of this study was to determine if general surgery residents are bullied by nurses.Design A survey instrument previously validated (Negative Acts Questionnaire - Revised) to evaluate for workplace bullying was modified to reflect the resident-nurse relationship. After institutional review board approval, the piloted online survey was sent to general surgery program directors to forward to general surgery residents. Demographic data are presented as percentages, and for negative acts, percentages of daily, weekly, and monthly frequencies are combined.Setting Allopathic general surgery residencies in the United States.Participants General surgery residents.Results The response rate was 22.1{\%} (n = 452). Most respondents were men (55{\%}) and had a mean age of 29 years (standard deviation = 7). Although 27.0{\%} of the respondents were interns, the remaining classes were equally represented (12{\%}-18{\%} of responses/class). The respondents were primarily from medium-sized residency programs (45{\%}), in the Midwest (28{\%}), training in university programs (72{\%}), and rotating primarily in a combined private and county hospital that serves both insured and indigent patients (59{\%}). The residents had experienced each of the 22 negative acts (11.5{\%}-82.5{\%}). Work-related bullying occurs more than person-related bullying and physical intimidation. Ignoring of recommendations or orders by nurses occurs on a daily, weekly, or monthly basis for 30.2{\%} of residents (work-related bullying). The most frequent person-related bullying act is ignoring the resident when they approach or reacting in a hostile manner (18.0{\%}), followed by ignoring or excluding the resident (17.1{\%}).Conclusions Workplace bullying of general surgery residents by nurses is prominent. Future research is needed to determine the toll on the resident's well-being and patient outcomes.",
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