title: Positive work environments of early-career registered nurses and the correlation with physician verbal abuse.
abstract: BACKGROUND
  Verbal abuse in the workplace is experienced by registered nurses (RNs) worldwide; physicians are one of the main sources of verbal abuse.
  
  
  OBJECTIVE
  To examine the relationship between levels of physician verbal abuse of early-career RNs and demographics, work attributes, and perceived work environment.
  
  
  METHODS
  Fourth wave of a mailed national panel survey of early career RNs begun in 2006.
  
  
  CONCLUSIONS
  RNs' perception of verbal abuse by physicians was significantly associated with poor workgroup cohesion, lower supervisory and mentor support, greater quantitative workload, organizational constraints, and nurse-colleague verbal abuse, as well as RNs' lower job satisfaction, organizational commitment, and intent to stay.
  
  
  CONCLUSIONS
  RNs working in unfavorable work environments experience more physician abuse and have less favorable work attitudes. Causality is unclear: do poor working conditions create an environment in which physicians are more likely to be abusive, or does verbal abuse by physicians create an unfavorable work environment?
authors.affiliation: University at Buffalo School of Nursing, Buffalo, NY. Electronic address: csbrewer@buffalo.edu.
authors.forename: Carol S
authors.initials: CS
authors.lastname: Brewer
authors.forename: Christine T
authors.initials: CT
authors.lastname: Kovner
authors.forename: Rana F
authors.initials: RF
authors.lastname: Obeidat
authors.forename: Wendy C
authors.initials: WC
authors.lastname: Budin
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D058445:Bullying / Q000523:psychology*; D005260:Female; D006801:Humans; D033182:Intention; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D010558:Personnel Loyalty; D010563:Personnel Turnover; D019555:Physician-Nurse Relations; D010820:Physicians / Q000523:psychology*; D012931:Social Environment; D014705:Verbal Behavior; D017132:Workplace / Q000458:organization & administration / Q000523:psychology
keywords: Bullying; Disruptive behavior; Early career registered nurses; Verbal abuse; Work environment