{"id":"https://openalex.org/W2948935858","doi":"https://doi.org/10.1097/naq.0000000000000353","title":"Our Own Worst Enemies","display_name":"Our Own Worst Enemies","publication_year":2019,"publication_date":"2019-06-03","ids":{"openalex":"https://openalex.org/W2948935858","doi":"https://doi.org/10.1097/naq.0000000000000353","mag":"2948935858","pmid":"https://pubmed.ncbi.nlm.nih.gov/31162347","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6716575"},"language":"en","primary_location":{"id":"doi:10.1097/naq.0000000000000353","doi":"https://doi.org/10.1097/naq.0000000000000353","is_oa":true,"landing_page_url":"https://doi.org/10.1097/naq.0000000000000353","pdf_url":null,"source":{"id":"https://openalex.org/S2754252760","display_name":"Nursing Administration Quarterly","issn_l":"0363-9568","issn":["0363-9568","1550-5103"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing Administration Quarterly","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1097/naq.0000000000000353","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052096903","display_name":"Cole Edmonson","orcid":"https://orcid.org/0000-0002-5133-062X","observed_orcids":["https://orcid.org/0000-0002-5133-062X"]},"institutions":[{"id":"https://openalex.org/I4210104425","display_name":"AMN Healthcare (United States)","ror":"https://ror.org/01bwbj624","country_code":"US","type":"company","lineage":["https://openalex.org/I4210104425"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cole Edmonson","raw_affiliation_strings":["AMN Healthcare, Dallas, Texas (Dr Edmonson); and Scrubs Magazine, Chatsworth, California (Ms Zelonka)","Edmonson)","Zelonka)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"AMN Healthcare, Dallas, Texas (Dr Edmonson); and Scrubs Magazine, Chatsworth, California (Ms Zelonka)","institution_ids":["https://openalex.org/I4210104425"]},{"raw_affiliation_string":"Edmonson)","institution_ids":[]},{"raw_affiliation_string":"Zelonka)","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5079144802","display_name":"Caroline Zelonka","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Caroline Zelonka","raw_affiliation_strings":["AMN Healthcare, Dallas, Texas (Dr Edmonson)","and Scrubs Magazine, Chatsworth, California (Ms Zelonka)","Edmonson)","Zelonka)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"AMN Healthcare, Dallas, Texas (Dr Edmonson)","institution_ids":[]},{"raw_affiliation_string":"and Scrubs Magazine, Chatsworth, California (Ms Zelonka)","institution_ids":[]},{"raw_affiliation_string":"Edmonson)","institution_ids":[]},{"raw_affiliation_string":"Zelonka)","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5079144802"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":19.3952,"has_fulltext":false,"cited_by_count":158,"citation_normalized_percentile":{"value":0.99369672,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"43","issue":"3","first_page":"274","last_page":"279"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11647","display_name":"Workplace Violence and Bullying","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11647","display_name":"Workplace Violence and Bullying","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12244","display_name":"Healthcare Education and Workforce Issues","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/workplace-bullying","display_name":"workplace harassment","score":0.9190000295639038},{"id":"https://openalex.org/keywords/nursing-work-environment","display_name":"nursing work environment","score":0.6150000095367432},{"id":"https://openalex.org/keywords/nurse-turnover","display_name":"nurse turnover","score":0.9710000157356262},{"id":"https://openalex.org/keywords/nursing-shortage","display_name":"nursing shortage","score":0.7229999899864197},{"id":"https://openalex.org/keywords/organizational-culture","display_name":"organizational culture","score":0.7540000081062317},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.7250000238418579},{"id":"https://openalex.org/keywords/organizational-culture-change","display_name":"organizational culture change","score":0.382999986410141}],"concepts":[{"id":"https://openalex.org/C2780591783","wikidata":"https://www.wikidata.org/wiki/Q7070284","display_name":"Nursing shortage","level":3,"score":0.7202024459838867},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.7103434801101685},{"id":"https://openalex.org/C194051981","wikidata":"https://www.wikidata.org/wiki/Q1337691","display_name":"Economic shortage","level":3,"score":0.565624475479126},{"id":"https://openalex.org/C2781037410","wikidata":"https://www.wikidata.org/wiki/Q2273650","display_name":"Workplace bullying","level":2,"score":0.5562056303024292},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.551949679851532},{"id":"https://openalex.org/C2718322","wikidata":"https://www.wikidata.org/wiki/Q629463","display_name":"Job satisfaction","level":2,"score":0.5175858736038208},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.5124555230140686},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.49976158142089844},{"id":"https://openalex.org/C67674302","wikidata":"https://www.wikidata.org/wiki/Q730573","display_name":"Organizational culture","level":2,"score":0.4303652346134186},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4235134422779083},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.421726256608963},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4214390516281128},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.38866811990737915},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.3540402054786682},{"id":"https://openalex.org/C113616995","wikidata":"https://www.wikidata.org/wiki/Q13378080","display_name":"Nurse education","level":2,"score":0.2362768054008484},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.19753408432006836},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.13810357451438904},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.1252959668636322},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.10980388522148132},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007400","descriptor_name":"Interprofessional Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007588","descriptor_name":"Job Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009726","descriptor_name":"Nurses","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D017132","descriptor_name":"Workplace","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D017132","descriptor_name":"Workplace","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D033182","descriptor_name":"Intention","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058445","descriptor_name":"Bullying","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1097/naq.0000000000000353","doi":"https://doi.org/10.1097/naq.0000000000000353","is_oa":true,"landing_page_url":"https://doi.org/10.1097/naq.0000000000000353","pdf_url":null,"source":{"id":"https://openalex.org/S2754252760","display_name":"Nursing Administration Quarterly","issn_l":"0363-9568","issn":["0363-9568","1550-5103"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing Administration Quarterly","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6716575","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6716575","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nurs Adm Q","raw_type":"Text"},{"id":"pmid:31162347","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31162347","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing administration quarterly","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1097/naq.0000000000000353","doi":"https://doi.org/10.1097/naq.0000000000000353","is_oa":true,"landing_page_url":"https://doi.org/10.1097/naq.0000000000000353","pdf_url":null,"source":{"id":"https://openalex.org/S2754252760","display_name":"Nursing Administration Quarterly","issn_l":"0363-9568","issn":["0363-9568","1550-5103"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing Administration Quarterly","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8048999905586243,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":13,"referenced_works":["https://openalex.org/W90022191","https://openalex.org/W1963790027","https://openalex.org/W2009617535","https://openalex.org/W2016496087","https://openalex.org/W2061499668","https://openalex.org/W2119483615","https://openalex.org/W2128312482","https://openalex.org/W2143358058","https://openalex.org/W2157005108","https://openalex.org/W2316688800","https://openalex.org/W2415482029","https://openalex.org/W2804565339","https://openalex.org/W2888183220"],"related_works":["https://openalex.org/W2229140847","https://openalex.org/W2034794446","https://openalex.org/W2254438247","https://openalex.org/W334424418","https://openalex.org/W2900690848","https://openalex.org/W2326465103","https://openalex.org/W2330841990","https://openalex.org/W2760405207","https://openalex.org/W2793016670","https://openalex.org/W2808160109"],"abstract_inverted_index":{"Nurse":[0],"bullying":[1,37,47,91,124],"is":[2,38],"a":[3,16,51,87,106],"systemic,":[4],"pervasive":[5],"problem":[6],"that":[7,123],"begins":[8,92],"well":[9],"before":[10],"nursing":[11,130],"school":[12],"and":[13,36,67,73,102,104,111,121],"continues":[14],"throughout":[15],"nurse's":[17],"career.":[18],"A":[19,46],"significant":[20],"percentage":[21],"of":[22,33,64],"nurses":[23],"leave":[24],"their":[25,34],"first":[26],"job":[27],"due":[28],"to":[29,40,50,58,84,117],"the":[30,42,79,95,119,129],"negative":[31],"behaviors":[32],"coworkers,":[35],"likely":[39],"exacerbate":[41],"growing":[43],"nurse":[44,53,75,90],"shortage.":[45],"culture":[48],"contributes":[49],"poor":[52],"work":[54,116],"environment,":[55],"increased":[56],"risk":[57],"patients,":[59],"lower":[60],"Hospital":[61],"Consumer":[62],"Assessment":[63],"Healthcare":[65],"Providers":[66],"Systems":[68],"(HCAHPS)":[69],"patient":[70],"satisfaction":[71],"scores,":[72],"greater":[74],"turnover,":[76],"which":[77],"costs":[78],"average":[80],"hospital":[81],"$4":[82],"million":[83,86],"$7":[85],"year.":[88],"Addressing":[89],"with":[93],"acknowledging":[94],"problem,":[96],"raising":[97],"awareness,":[98],"mitigating":[99],"contributing":[100],"factors,":[101],"creating":[103],"enforcing":[105],"strong":[107],"antibullying":[108],"policy.":[109],"Nurses":[110],"stakeholders":[112],"also":[113],"must":[114],"actively":[115],"change":[118],"culture,":[120],"understand":[122],"has":[125],"no":[126],"place":[127],"in":[128,135],"profession":[131],"or":[132],"anywhere":[133],"else":[134],"health":[136],"care.":[137]},"counts_by_year":[{"year":2026,"cited_by_count":21},{"year":2025,"cited_by_count":45},{"year":2024,"cited_by_count":24},{"year":2023,"cited_by_count":16},{"year":2022,"cited_by_count":27},{"year":2021,"cited_by_count":13},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":4}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2019-06-14T00:00:00"}