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KMID : 0367020200320060642
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Journal of Korean Academic of Adult Nursing
2020 Volume.32 No. 6 p.642 ~ p.652
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The Influences of Workplace Violence and Bystander Type on Handover Error of Nurses Caring For Adult Patients
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Kim Kyoung-Ja
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Abstract
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Purpose: Workplace violence affects workplace performance. Bystanders’ role in social violence affects theconsequences of violence. The purpose of current study was to explore the influences of workplace violence andbystander type on handover error of nurses caring for adult patients.
Methods: A cross-sectional survey design wasconducted using a structured questionnaire pertaining to teamwork, workplace violence, bystander type andhandover error. This study involved adult patients nurses working in a tertiary university hospital having over 1,100beds, located in a city. The questionnaire was administered to 193 bedside nurses at September 2019.
Results:Nurses’ handover error was significantly correlated with overall workplace violence (p<.001), teamwork (p<.001),and all three bystander types; facilitating (p<.001), abdicating (p<.001) and defending (p<.001). A hierarchicalmultiple regression model with career, teamwork, workplace violence and bystander type explained 27.0% of nurses’handover error (F=13.55, p<.001). Among input variables, positive bystander type-defender (β=-.20, p=.005) wasthe most powerful influential factors on nurses’ handover error. Negative bystander types - facilitating, abdicatingbystander (β=.18, p=.025) workplace violence (β=.18, p=.015), and teamwork (β=-.15, p=.026) influenced nurses’handover error, also.
Conclusion: Bystanders is more than simple witnesses or observers. In this study, a positivebystander reduced the handover error in the clinical area, while a negative bystander exacerbated the handovererror. Therefore, it is necessary to educate hospital nurses regarding positive bystanders and it’s importance forhandover error and develop strategies to reduce nurse handover error.
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KEYWORD
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Workplace violence, Bystander effect, Nursing handover, Errors
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