Intimidation: A Concept Analysis

Springfield Technical Community College, Amhert, MA, USA.
Nursing Forum 01/2010; 45(1):54-65. DOI: 10.1111/j.1744-6198.2009.00162.x
Source: PubMed


Patient safety is being compromised by intimidating communication and ineffective teamwork among healthcare providers. The Joint Commission Update indicates that ineffective communication has been the leading root cause of the majority of sentinel events since 1996. Furthermore, the organizational implementation of policies and procedures for addressing this dangerous situation is now mandated by The Joint Commission Sentinel Event Alert. However, in order to consistently identify and address this problem, there must be a clear and universal definition of intimidation.
The purpose of this article is to clarify the definition of intimidation in healthcare settings. Without this clarity, the role of intimidation as a precursor to the occurrence of medical errors will inevitably be obscured. The framework for concept analysis proposed by Walker and Avant is used to explicate the definition, attributes, antecedents, consequences, and cases of intimidation.
Analyzing the extent of the relationship between intimidation and medical errors will provide healthcare organizations and professionals with a foundation for the development of strategies to combat the effects of intimidation on medical errors and patient safety.
The necessity to create a culture of safety in healthcare settings is paramount.

41 Reads
  • Source
    • "Support for the staff, and assistance in creating a good working atmosphere, where views and concerns are heard, is important. If unprofessional behaviour occurs, such as intimidation, the reaction to it is important as it can affect performance and compromise safe care (Lamontagne 2010). When adverse events happen there should be a support system for staff to address them (Scholefield 2007). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Patient safety is widely discussed, but little has been written from the perspective of psychiatric inpatient care, nor on which factors create its patient safety. This paper seeks to understand the concept of patient safety and its intension in psychiatric inpatient care, and to identify factors in organization management, staff and patients' roles which constitute patient safety in such units. A literature search was conducted, and the articles selected were analysed by identifying factors defined to be connected to patient safety and classifying them according to their connection to organization management, staff and patient roles. According to the literature, organization safety culture is present in all aspects of patient safety. Organization management has the main role in patient safety within the organization culture, for example, through leadership, safety practices and creating good working conditions and environment for the staff. Staff's role is influenced by management, but has more individual input in different areas, while the patient's role is more that of an informant so that care can be planned according to the patient's preferences. When developing patient safety it is important to remember the diversity of the concept so that all areas are considered in the developmental work.
    Journal of Psychiatric and Mental Health Nursing 07/2012; 20(6). DOI:10.1111/j.1365-2850.2012.01949.x · 0.84 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Nurse leaders play a critical role in patient safety. They are essential in building a culture of safety and engineering resilience into workflows and patient care processes enabling healthcare organizations to progress toward high reliability. In part 1 of this 2-part series, the authors discuss the critical nature of a safety culture: why trust and respect lead to teamwork and collaboration in preventing serious safety events. Part 2 will introduce the emerging healthcare concept of high reliability, described through examples of health systems that have successfully adapted models from other industries. Use of technology and other advancements provides a context for advancing patient safety. Aligning culture and engineering technology for safety, when coupled with effective leadership, can provide a long-term approach for safe and effective care.
    The Journal of nursing administration 10/2011; 41(10):397-400. DOI:10.1097/NNA.0b013e31822edb4d · 1.27 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The first year of nursing practice is critical to developing new graduate nurses into safe practitioners. Many new graduate nurses leave the profession because of job stress, lack of organizational support, poor nurse-physician relations, unreasonable workloads, uncivil work environments, and difficulty transitioning into practice. In response, Nurse Residency programs reflect an organizational commitment to support new nurses, allowing them time and support to become competent professional nurses. Thirty-seven new graduate nurses employed in a hospital in a northwestern state participated in a descriptive qualitative study to examine the "lived experience" as new nurses and to assess the level of job satisfaction during the first year of their nursing practice. New graduate nurses described themes related to their first year of nursing practice including rhythm in the chaos, feeling valued, stress from 'not knowing', life-long learning, and preserving the profession. Having supportive preceptors and nursing staff, feeling valued by the health care team, and being perceived as a vital member of the organization contributed to job satisfaction and overall commitment to the profession.
    Nursing outlook 10/2011; 60(4):e2-8. DOI:10.1016/j.outlook.2011.08.003 · 1.59 Impact Factor
Show more