A conflicted tribe under pressure: A qualitative study of negative workplace behaviour in nursing

AimThis study explored workplace interactions of Australian nurses in regional acute care hospitals through an examination of nurses' experiences and perceptions of workplace behaviour. DesignThis research is informed by Social Worlds Theory and is the qualitative component of an overarching mixed methods sequential explanatory study. MethodsBetween January and March 2019, data were collected from 13 nursing informants from different occupational levels and roles, who engaged in semi-structured, in-depth, face-to-face interviews. Data analysis was guided by Straussian grounded theory to identify the core category and subcategories. ResultsTheoretical saturation occurred after 13 interviews. The core category identified is A conflicted tribe under pressure, which is comprised of five interrelated subcategories: Belonging to the tribe; 'It's a living hell'; Zero tolerance-'it's a joke'; Conflicted priorities; Shifting the cultural norm. ConclusionThis study provides valuable insight into the nursing social world and the organizational constraints in which nurses work. Although the inclination for an individual to exhibit negative behaviours cannot be dismissed, this behaviour can either be facilitated or impeded by organizational influences. ImpactBy considering the nurses' experiences of negative workplace behaviour and identifying the symptoms of a struggling system, nurse leaders can work to find and implement strategies to mitigate negative behaviour and create respectful workplace behaviours. Patient or Public ContributionThis study involved registered nurse participants and there was no patient or public contribution. Clinical Trial RegistrationStudy registration Australian New Zealand Clinical Trials Registry (Registration No. ACTRN12618002007213; December 14, 2018).

Automated summary

This study investigated the workplace interactions of Australian nurses in regional acute care hospitals, focusing on their experiences and perceptions of workplace behavior. The findings revealed that nurses work in a conflicted tribe under pressure, consisting of subcategories such as belongingness, a challenging work environment, zero tolerance policies, conflicting priorities, and cultural norm shifts. By considering nurses' experiences and identifying the symptoms of a struggling system, nurse leaders can implement strategies to mitigate negative behavior and promote a respectful workplace environment.