国际护理科学（英文）2021，Vol.8Issue(3)：361-366,封3,7.
组织文化和新自由主义与医疗机构中的不文明和欺凌行为
The impacts of organizational culture and neoliberal ideology on the continued existence of incivility and bullying in healthcare institutions:A discussion paper
Michael LaGuardia 1Nelly D.Oelke1
作者信息
摘要
Abstract
Countless research studies have demonstrated the detrimental effects of incivility and bullying in healthcare.Despite the abundance of proposed solutions to this issue,many healthcare leaders continue to fail in mitigating the existence of such negative behaviors in the workplace.Personality attributes of perpetrators and victims have received attention,but much less research has examined the organiza-tional and neoliberal causations of incivility and bullying in healthcare.Being the largest occupational group in the health sector,nursing professionals have the greatest influence and are crucial in ending these behaviors.This discussion paper outlines the effects of incivility and bullying in healthcare and provides a critical analysis on how organizational culture and neoliberal ideology influence the perva-siveness and persistence of these negative behaviors.The analysis reveals that organizational cultures that misuse power,disregard equality,and facilitate oppression,foster the existence of incivility and bullying in the workplace.Such cultures permit perpetrators to misuse their authority to control resource allocation,ignorance to social inequalities,and the silence of victims.Furthermore,the neoliberal concept of deregulation,austerity,and individualism further these behaviors.The neoliberal reforms have led to underfunding of anti-bullying programs and policies,use of bullying behaviours as man-agement strategies,and victim-blaming for profit maximization.Financial cutbacks have resulted in denial and acceptance of uncivil and bullying behaviours in healthcare institutions,which endangers the rights of healthcare providers to a safe workplace environment.To curtail these negative behaviors,robust anti-bullying policies and programs must be strictly enforced and sustained in practice.Further exploration on the association of organizational culture and neoliberal principles to incivility and bullying in healthcare is greatly warranted.关键词
财政紧缩/欺负/卫生人员/不文明/组织文化/资源配置/工作场所Key words
Austerity/Bullying/Health personnel/Incivility/Neoliberalism/Organizational culture/Resource allocation引用本文复制引用
Michael LaGuardia,Nelly D.Oelke..组织文化和新自由主义与医疗机构中的不文明和欺凌行为[J].国际护理科学（英文）,2021,8(3):361-366,封3,7.
