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Nurse Bullying Measure Nurse Bullying Measure NQF Endorsement Status Not Endorsed NQF ID 9999 Measure Type Outcome Measure Content Last Updated 2021-06-30 Info As Of Not Available Properties Description This measure calculates the rate of nurse bullying at hospitals by using the Negative Acts Questionnaire--Revised - United States (NAQR-US.) The NAQR-US is a survey instrument that asks nurses about their experience with nurse bullying during the previous six-month period. It was developed by Simons, Stark & DeMarco. (Simons, S. R., Stark, R. B., & DeMarco, R. F. (2011). A new, four item instrument to measure workplace bullying. Research in Nursing & Health, 34(2), 132e140.) Written permission has been obtained from the lead author to use the survey. Numerator The NAQR-US survey contains four items that address whether the nurse has experienced specific negative acts at work, and if so, how often. The content of the survey instrument is as follows: Over the last six months, how often have you been subjected to the following negative acts at work (1=never; 2=now and then; 3=monthly; 4=weekly; 5=daily) 1. Someone withholding information which affects your performance 2. Being humiliated or ridiculed in connection with your work 3. Being ignored or excluded 4. Being exposed to an unmanageable workload Denominator The total number of nurses surveyed. Denominator Exclusions Nurses in managerial or supervisory roles Rationale Nurse bullying has been the subject of research studies for over 25 years (Patterson, 2007). There is empirical evidence showing that it has many detrimental Report Generated: Sat Sep 25 09:51:20 EDT 2021 | Page 1 Nurse Bullying Measure consequences not only in terms of the health and well-being of nurses but also in terms of the safety of patients (Aiken et al., 2012; Hastie, 1996; Hickson, 2013; Institute for Safe Medication Practices, 2004; McKenna, Smith, Poole, & Coverdale, 2003; Quine, 1999; Riskin et al., 2015; Rosenstein & O'Daniel, 2008; Wilson & Phelps, 2013). Despite this, many institutions either deny its existence or accept it as the norm, creating a culture of silence that impedes solutions to the problem (Gaffney, DeMarco, Hofmeyer, Vessey, & Budin, 2012). Please refer to the attached article, which I co-authored and was published in the May/June 2016 issue of Nursing Outlook. It highlights the results of many peer-reviewed studies which support the justification of this measure. (Castronovo, M. A., Pullizzi, A., & Evans, S. (2016, JUNE). Nurse Bullying: A Review And A Proposed Solution. Nursing Outlook, 64(3), 208-214. http://dx.doi.org/10.1016/j.outlook.2015.11.008.) References cited above: Patterson, P. (2007). Lateral violence: Why it's serious and what OR managers can do. OR Manager, 23(12), 1, 7, 9e11. Aiken, L. H., Cimiotti, J. P., Sloane, D. M., Smith, H. L., Flynn, L., & Neff, D. F. (2012). Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Journal of Nursing Administration, 42(10 Suppl), S10eS16. Hastie, C. (1996). Dying for the cause. Australian College of Midwives Incorporated Journal, 9(1), 28e30 Hickson, J. (2013). New nurses" perceptions of hostility and job satisfaction: Magnet versus non-magnet. The Journal of Nursing Administration, 43(5), 293e301. Report Generated: Sat Sep 25 09:51:20 EDT 2021 | Page 2 Nurse Bullying Measure Institute for Safe Medication Practices. (2004). Safety alert! Intimidation: Practitioners speak up about this unresolved problem (Part I). Retrieved from http://ismp.org/Newsletters/acutecare/ articles/20040311_2.asp. McKenna, B. G., Smith, N. A., Poole, S. J., & Coverdale, J. H. (2003). Horizontal violence: Experiences of registered nurses in their first year of practice. Journal of Advanced Nursing, 42(1), 90e96. Quine, L. (1999). Workplace bullying in NHS community trust: Staff questionnaire survey. British Medical Journal, 318, 228e232 Riskin, A., Erez, A., Foulk, T. A., Kugelman, A., Gover, A., Shoris, I. ,. Bamberger, P. A. (2015). The impact of rudeness on medical team performance: A randomized trial. Pediatrics, 136(3), 487e495. Rosenstein, A. H., & O'Daniel, M. (2008). A survey of the impact of disruptive behaviors and communication defects on patient safety. The Joint Commission Journal on Quality and Patient Safety, 34(8), 464e471. Wilson, B. L., & Phelps, C. (2013). Horizontal hostility: A threat to patient safety. Journal of Nursing Administration's Healthcare Law, Ethics, and Regulation, 15(1), 51e57, quiz 58-59. Evidence The measure is important to reduce nurse bullying -- the prevalence of which is extremely common. According to one study, 53% of nurses report the prevalence of bullying as common or very common (Dewitty, Osborne, Friesen, & Rosenkranz, 2009). Similarly, a more recent study reports that 48% of registered nurses admit to being bullied in the workplace during the previous 6 months, with 35% reporting that they had experienced it on a weekly basis, and 28% reporting that they had experienced it on a daily basis (Etienne, 2014). Among new nurses, the numbers are even more significant, with over 72% of new nurses Report Generated: Sat Sep 25 09:51:20 EDT 2021 | Page 3 Nurse Bullying Measure reporting having experienced bullying in the previous month (Berry, Gillespie, Gates, & Schafer, 2012). References: Berry, P. A., Gillespie, G. L., Gates, D., & Schafer, J. (2012). Novice nurse productivity following workplace bullying. Journal of Nursing Scholarship, 44(1), 80e87. Dewitty, V. P., Osborne, J. W., Friesen, M. A., & Rosenkranz, A. (2009). Workforce conflict: What's the problem Nursing Management, 40(5), 31e37. Etienne, E. (2014). Exploring workplace bullying in nursing. Workplace Health & Safety, 62(1), 6e11. Developer/Steward Steward Other Contact Not Available Measure Developer Not specified Development Stage Not Available Characteristics Measure Type Outcome Meaningful Measure Area Not Available Healthcare Priority Making Care Safer by Reducing Harm Caused in the Delivery of Care eCQM Spec Available Not Available NQF Endorsement Status Not Endorsed NQF ID 9999 Last NQF Update Not Available Report Generated: Sat Sep 25 09:51:20 EDT 2021 | Page 4 Nurse Bullying Measure Target Population Age Not Specified Target Population Age (High) Not Available Target Population Age (Low) Not Available Reporting Level Not Available Conditions Not Available Subconditions Not Available Care Settings Not Available Groups Core Measure Set Not Available Measure Links Measure Program: Hospital Inpatient Quality Reporting Info As Of Not Available Program / Model Notes Data Sources Not Specified Purposes Not Available Quality Domain Not Available Reporting Frequency Not Available Impacts Payment Not Available Report Generated: Sat Sep 25 09:51:20 EDT 2021 | Page 5 Nurse Bullying Measure Reporting Status Inactive Data Reporting Begin Date Not Available Data Reporting End Date 2016-12-01 Measure Program Links https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment- Instruments/HospitalQualityInits/HospitalRHQDAPU.html Milestones Milestone: Declined Effective Date 2016-12-01 Comments Not Available Other Data Name Value MUC ID MUC16-374 Milestone: Reference Effective Date 1900-01-01 Comments Not Available Measure Program: Prospective Payment System-Exempt Cancer Hospital Quality Reporting Info As Of Not Available Program / Model Notes Data Sources Not Specified Purposes Not Available Report Generated: Sat Sep 25 09:51:20 EDT 2021 | Page 6 Nurse Bullying Measure Quality Domain Not Available Reporting Frequency Not Available Impacts Payment Not Available Reporting Status Inactive Data Reporting Begin Date Not Available Data Reporting End Date 2016-12-01 Measure Program Links https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/PCHQR.html Milestones Milestone: Declined Effective Date 2016-12-01 Comments Not Available Other Data Name Value MUC ID MUC16-374 Milestone: Reference Effective Date 1900-01-01 Comments Not Available Measure Program: Hospital Value-Based Purchasing Info As Of Not Available Program / Model Notes Data Sources Not Specified Report Generated: Sat Sep 25 09:51:20 EDT 2021 | Page 7 Nurse Bullying Measure Purposes Not Available Quality Domain Not Available Reporting Frequency Not Available Impacts Payment Not Available Reporting Status Inactive Data Reporting Begin Date Not Available Data Reporting End Date 2016-12-01 Measure Program Links https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based- Programs/HVBP/Hospital-Value-Based-Purchasing Milestones Milestone: Declined Effective Date 2016-12-01 Comments Not Available Other Data Name Value MUC ID MUC16-374 Milestone: Reference Effective Date 1900-01-01 Comments Not Available Report Generated: Sat Sep 25 09:51:20 EDT 2021 | Page 8.
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