How Nursing Managers Respond to Intraprofessional Aggression: Novel Strategies to an Ongoing Challenge
Abstract
Nursing managers are identified as playing a central role in workplace aggression management. In effect, employees' decisions to report unacceptable behavior is said to be directly influenced by how a manager will respond to their claims. Using principles from critical nursing ethnography, data were collected from interviews, organizational documents, and observation of physical environment. Twenty-three semistructured interviews were conducted in both a university-affiliated psychiatric hospital and a community hospital located in a large metropolitan city in Ontario. The study aimed at broadening the understanding of how nurse managers respond to intraprofessional and interprofessional workplace aggression. Several strategies were described by managers including coaching individuals so they feel capable of addressing the issue themselves, acting as mediator to allow both sides to openly and respectfully talk about the issue, and disciplining employees whose actions warrant harsh consequences. As part of the study, managers reported that dealing with workplace aggression could be difficult and time consuming and admitted that they sometimes came to doubt their abilities to be able to positively resolve such a widespread problem. Conclusions drawn from the study suggest that aggression management is not solely the responsibility of managers but must involve several actors including the aggressive individual, peers, human resources department, and unions.
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The sub-practice of giving autonomy to employees empowered employees to resolve conflicts independently.
“This sub-practice also empowered employees to resolve conflicts independently (St-Pierre 2012) and helped them maintain an ownership mentality that motivated them to excel (Wei et al. 2020).”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
When giving support, managers acted as mentors and offered tools.
“When giving support, managers acted as mentors and offered tools (St-Pierre 2012)”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Managers empowered employees and enhanced IPC through their sub-practice of physical presence in the workplace.
“Managers empowered employees and enhanced IPC through their sub-practice of physical presence in the workplace (St-Pierre 2012).”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
The core practice of communicating and informing includes defining goals.
“defining goals (Al Sayah et al. 2014;Clark and Greenawald 2013;St-Pierre 2012;Verbeek et al. 2024)”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
The sub-practice of proactivity consisted of conducting regular interventions and follow-up meetings, and addressing issues without delay.
“conducting regular interventions and follow-up meetings, and addressing issues without delay (St-Pierre 2012).”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Managers' clear expectations had a positive effect on group dynamics and on managing aggression in the workplace.
“Managers' clear expectations had a positive effect on group dynamics and on managing aggression in the workplace (St-Pierre 2012).”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
IPC was enhanced through managers' sub-practice of taking responsibility, including recognising their own responsibilities and being accountable for multidisciplinary procedure.
“IPC was enhanced through managers' subpractice of taking responsibility, including recognising their own responsibilities (St-Pierre 2012) and being accountable for multidisciplinary procedure (Aagaard et al. 2020).”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Several of the included studies primarily aimed to explore interprofessional conflicts and strategies to resolve them.
“Several of the included studies primarily aimed to explore interprofessional conflicts and strategies to resolve them (Brown et al. 2011;St-Pierre 2012).”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Studies emphasising managers' physical presence were addressing collaboration from the viewpoints of newly graduated nurses or interprofessional conflicts.
“It is noteworthy that studies emphasising managers' physical presence were addressing collaboration from the viewpoints of newly graduated nurses (Pfaff, Baxter, Jack, and Ploeg 2014;Pfaff, Baxter, Ploeg, and Jack 2014) or interprofessional conflicts (St-Pierre 2012).”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Studies that examined interprofessional conflicts or establishment of new interdisciplinary procedures were articulating especially toward managers' proactivity and responsibility.
“Notably, studies that examined interprofessional conflicts (Brown et al. 2011;St-Pierre 2012) or establishment of new interdisciplinary procedures (Aagaard et al. 2020;Wills et al. 2023) were articulating especially toward managers' proactivity and responsibility.”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Empowering employees to resolve conflict by themselves enhances interprofessional collaboration.
“Empower employees to resolve conflict by themselves”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Regular interventions enhance interprofessional collaboration.
“Regular interventions”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Addressing issues without delay enhances interprofessional collaboration.
“Addressing issues without delay”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Organising follow up-meetings enhances interprofessional collaboration.
“Organising follow up-meetings”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Recognising one's own responsibilities enhances interprofessional collaboration.
“Recognising one's own responsibilities”
From Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review (2026) · cites this paper as St-Pierre 2012
Cited by
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Leadership of Nurses' Interprofessional Collaboration: A Mixed‐Methods Systematic Review
Kamppila, H., Czabanowska, K., Kämäräinen, P., Younas, A., & Kvist, T. (2026) · Journal of Advanced Nursing · doi:10.1111/jan.70543 · Cited by 3 · see citing works
- Authors
- St-Pierre, I.
- Venue
- The Health Care Manager
- Published
- 2012-07
- Volume
- 31
- Issue
- 3
- Pages
- 247-258
- ISSN
- 1525-5794 (ISSN-L)
- OpenAlex
- W2031012564
- Cited by
- 8
- References
- 0
- Citations by year
- 2026: 1 · 2021: 1 · 2017: 1 · 2016: 2 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 3.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Health Care Manager (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Workplace Violence and Bullying
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Social Sciences › Sociology and Political Science › Conflict Management and Negotiation
- Keywords
- workplace aggression, nurse managers, aggression management, mediation (conflict resolution), employee discipline, coaching, psychiatric hospital nursing, community hospital nursing, human resources, unions
- MeSH terms
- Aggression, Employee Discipline, Humans, Interprofessional Relations, Terminology as Topic, Nurse Administrators, Peer Group, Personnel Administration, Hospital, Violence, Occupational Exposure, Workplace, Qualitative Research
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