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Table 1 Studies included in the review

From: Hostile clinician behaviours in the nursing work environment and implications for patient care: a mixed-methods systematic review

Author(s) country

Setting or context

Aim(s) of the study

Design and sample

Curtis, Bowen et al. [19] Australia

Students enrolled in one university nursing program

Student nurses experience of horizontal violence

Non-randomised cross sectional sample with open ended responses

   

152 Student nurses

Corney [20] Australia

Registered nurses

Nurses experience of aggression

Qualitative research Heideggerian methodology.

   

Sample 2 nurses

Chairella and McInnes [43] Australia

Nursing case law

Explore legal and ethical frameworks that inform nursing practice

Review of case law 1904–2002 pertaining to nursing

   

180 cases reviewed

Farrell [21] Australia

Registered nurses

Nurses experience of aggression in the clinical setting

Sequential mixed method

   

Non-randomised cross sectional survey. Sample 270

   

Qualitative component -Grounded theory. Sample 29 nurses (n = 7 university lecturers, 20 clinical staff & 7 university lecturers)

Fasolino and Snyder, [22] United States

Nurses in 1 hospital

Relationships between nurse practice environment and medication errors

Non-randomised cross sectional survey

   

Sample 248 RNs

Gunnarsdo’ttir et al., [23] Iceland

Nurses in one hospital

Aspects of nurses’ work environment linked with job outcomes and assessments of quality of care

Non-randomised cross sectional survey

   

Sample 695 nurses

Hanrahan et al., [24] United States

Psychiatric registered nurses 67 general hospitals

Relationship between nurse practice environment and adverse events

Non-randomised cross sectional survey linked to secondary hospital data

   

Sample 353

Tervo - Heikkinen et al., [25]

Registered nurses 34 inpatient wards

Relationship between nurse’s work environment and nursing outcomes

Non-randomised cross sectional survey

   

Sample 664

Higgins and MacIntosh [26] Canada

OR nurses

Nurses perceptions of physician perpetrated abuse

Qualitative research

   

Purposive sample from cohort of randomly selected nurses n = 10

Hutchinson, Vickers et al. [7] Australia

Registered and Enrolled nurses

Nature and extent of bullying in the Australian nursing workplace

Qualitative research

   

Convenience sample n = 26 nurses

Institute for Safe Medication Practices [27] United States

Health care providers

Not specified

Non-randomised cross-sectional Sample N = 2,095

   

(1,565 nurses, 354 pharmacists, 176 others)

Jackson, Peters et al. [28] Australia

Registered and Enrolled nurses

Experiences of nurse whistleblowers

Qualitative research Narrative Inquiry

   

Non-randomised convenience sample n = 18

Lyndon, [29] United States

Registered nurses (RNs), physicians (MDs), and CNMs 2 hospitals

Interpersonal, structural, and social processes affecting individual and collective among nurses and physicians

Qualitative research Grounded theory research

   

Purposive sample

   

19 providers (12 RNs, 2 CNMs, and 5 MDs.) Observation of 10 of the 19 participants (7 RNs, 2 MDs, and 1 CNM).

Mallidou et al., [30] Canada

Nurses in 12 hospitals

Relationships and mechanisms between nursing specialty subcultures and selected patient outcomes

Non-randomised cross sectional and secondary data analysis

   

Sample 1937 nurses

McKenna, Smith et al. [31] New Zealand

Nurses registered to practice in the previous year

Horizontal violence experiences of newly registered nurses

Non-randomised cross sectional survey with open ended responses

   

Sample 584 Registered Nurses

MacKusick and Minick [32] United States

Registered nurses

Identify the factors influencing the decision of RNs to leave clinical nursing practice

Phenomenological design

   

Purposive sample n = 10

McCusker et al., [33] Canada

Nurses in 13 units in one hospital

Confirm sub-scales from (NWI-R) assess the nursing work environment

Non-randomised cross sectional

   

Sample 283

Randle [34] United Kingdom

Student nurses in one program

Influence of pre-registration experiences on self-esteem

Qualitative research - Grounded theory

   

56 students at commencement, 39 at conclusion

Rice Simpson and Lyndon, [35] United States

Midwives obstetric nurses one metropolitan area

Describe how nurses would respond in common clinical situations

Non-randomised cross-sectional survey with open ended response

   

Sample 704

Roche 2010 [44] Australia

94 nursing wards in 21 hospitals between 2004 and 2006

Relationships between nurses’ self-rated perceptions of violence, and the nursing working environment and patient outcomes

Non-randomised cross-sectional survey and secondary analysis of data

   

Sample 3,099

Rosenstein, [15] United States

Health workers 142 acute hospitals

Relationships between nurse-physician relationships and nurse satisfaction and retention

Non-randomised cross-sectional survey

   

Sample 2562

   

Nurses = 1615

   

Physicians = 389

   

Executives = 104

Rosenstein and O’Daniel [8] United States

Large multi facility health care network

Investigate prevalence and impact of disruptive behaviour on clinical outcomes

Non-randomised cross-sectional survey with open ended responses

   

Sample 1509 (1091 RN, 402 physicians, 16 administrators survey first distributed in 2003 and ongoing

Rosenstein and O’Daniel [36] United States

Clinical staff in Four VHA regions

Significance of disruptive behaviour on communication and collaboration and impact on patient care

Non-randomised cross-sectional survey with open ended responses

   

Sample 4,500 participants completed survey (2,846 nurses, 944 physicians, 40 executives, 700 not specified)

Rosenstein and O’Daniel [36] United States

Staff in large metropolitan academic medical centre

Disruptive behaviours in peri operative services

Non-randomised cross-sectional survey with open ended responses

   

Sample 244 professional staff (82 MDs, 71 RNs, 24 nurse anesthetists, 18 surgical technologists, and 49 others)

Sofield and Salmond [37] United States

Nurse in three-hospital health system

Nurses experiences of verbal abuse and association with intent to leave

Randomised cross sectional survey

   

Sample 465

Simons and Mawn [38] United States

Newly registered nurses in one state

Investigation of bullying among newly registered nurses

Non-randomised cross sectional survey with open ended response

   

Sample 511

Strauss [39] United States

CRNAs in one state

Investigated nurses exposure to 20 types of bullying behaviour by physicians

Randomized cross-sectional survey with open ended responses

   

Sample size not specified

Smith [40] United States

Peri-operative nurses

Relationship between bullying and patient outcomes in terms of five surgical never events

Non-randomised cross sectional survey

   

Sample 853

Walrath, Dang et al. [41] United States

Registered nurses 1 hospital

Nurses experiences of disruptive clinician behaviour

Qualitative study

   

Purposive sample of 96 RNs

Weisbrod [42] United States

Students nurses one university program

Perceptions of violence in the clinical setting

Mixed method

   

Non-randomised cross sectional survey with open ended responses & focus groups. Sample 37