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Recognizing and Responding to the "Toxic" Work Environment

Worker Safety, Patient Safety, and Abuse/Neglect in Nursing Homes

Bibliographic Data

ID4630697
AuthorsCarolyn E Z Pickering (University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA), Carolyn Pickering (0000-0003-3885-4119, The University of Texas at San Antonio Health Science Center, corresponding author), Katie Nurenberg (Michigan State University, East Lansing, Michigan, USA), Lawrence Schiamberg (Michigan State University, East Lansing, Michigan, USA), Lawrence B Schiamberg (0000-0002-5282-8593, Michigan State University)
Year2017
Volume27
Issue12
Pages1870-1881
Publication date2017-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732317723889
PMID28805151
OpenAlexW2746216876
LanguageEN
Citations received12
References cited35

This grounded theory study examined how the certified nursing assistant (CNA) understands and responds to bullying in the workplace. Constant comparative analysis was used to analyze data from in-depth telephone interviews with CNAs ( N = 22) who experienced bullying while employed in a nursing home. The result of the analysis is a multistep model describing CNA perceptions of how, over time, they recognized and responded to the "toxic" work environment. The strategies used in responding to the "toxic" environment affected their care provision and were attributed to the development of several resident and worker safety outcomes. The data suggest that the etiology of abuse and neglect in nursing homes may be better explained by institutional cultures rather than individual traits of CNAs. Findings highlight the relationship between worker and patient safety, and suggest worker safety outcomes may be an indicator of quality in nursing homes

Health care · Job satisfaction · Medical emergency · Neglect · Occupational safety and health · Patient safety · Work environment · Elder Abuse and Neglect · Engineering · Geriatric Care and Nursing Homes · Healthcare Decision-Making and Restraints · Medicine · Nursing · Psychology · Social Psychology

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Unique citing works12
Citations per year1,5
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 11
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