간호사의 직장 내 괴롭힘 중재의 효과: 체계적 문헌고찰

Purpose: The aim of this study was to evaluate the effectiveness of interventions for workplace bullying amongnurses. Methods: First, risk factors of workplace bullying were categorized in order to create analysis criteria. A searchof 8 databases, and manual searching resulted in the identification of 3,096 relevant articles. Three of the authorsdid article selection, data extraction, and quality assessment using the Risk of Bias (RoB) and the Risk of Bias forNonrandomized studies (ROBANS). Results: Interventions in workplace bullying were classified as individual, interactions,and organizational approach. Twelve intervention studies (10 individual interventions, 1 team approach, 1multi-level approach) were selected. Four of the individual interventions decreased bullying, but three had no effect. One multi-level intervention reported that bullying did not occur. Individual interventions improved bullying awarenessin four articles, decreased turnover intention in two articles, and increased skill and knowledge of bullying managementin five articles. One team approach increased nurse interactions and group cohesion. The quality of selectedarticles was low overall. Conclusion: Individual interventions have a possibility to improve awareness and knowledgeabout bullying, but there is a lack of evidence on preventing bullying. Further research is required on multi-levelsinterventions with well-designed controlled trials.