{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T18:07:37Z","timestamp":1776622057648,"version":"3.51.2"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T00:00:00Z","timestamp":1607990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000182","name":"WorkSafeBC","doi-asserted-by":"publisher","award":["RS2018-IG17"],"award-info":[{"award-number":["RS2018-IG17"]}],"id":[{"id":"10.13039\/501100000182","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>Much of the literature examining the staffing\u2013care quality link in long-term care (LTC) homes focuses on staffing ratios; that is, how many staff are on shift. Far less attention is devoted to exploring the impact of staff members\u2019 workplace relationships, or who is on shift. As part of our work exploring workplace incivility and bullying among residential care aides (RCAs), we examined how RCAs\u2019 workplace relationships are shaped by peer incivility and bullying and the impact on care delivery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research Design and Methods<\/jats:title>\n                  <jats:p>Using critical ethnography, we conducted 100 hr of participant observation and 33 semistructured interviews with RCAs, licensed practical nurses, support staff, and management in 2 nonprofit LTC homes in British Columbia, Canada.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Three key themes illustrate the power relations underpinning RCAs\u2019 encounters with incivility and bullying that, in turn, shaped care delivery. Requesting Help highlights how exposure to incivility and bullying made RCAs reluctant to seek help from their coworkers. Receiving Help focuses on how power relations and notions of worthiness and reciprocity impacted RCAs\u2019 receipt of help from coworkers. Resisting Help\/ing outlines how workplace relationships imbued with power relations led some RCAs to refuse assistance from their coworkers, led longer-tenured RCAs to resist helping newer RCAs, and dictated the extent to which RCAs provided care to residents for whom another RCA was responsible.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>Findings highlight \u201cwho\u201d is on shift warrants as much attention as \u201chow many\u201d are on shift, offering additional insight into the staffing-care quality link.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geront\/gnaa203","type":"journal-article","created":{"date-parts":[[2020,12,12]],"date-time":"2020-12-12T06:08:31Z","timestamp":1607753311000},"page":"563-572","source":"Crossref","is-referenced-by-count":15,"title":["Not Just How Many but Who Is on Shift: The Impact of Workplace Incivility and Bullying on Care Delivery in Nursing Homes"],"prefix":"10.1093","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3262-7989","authenticated-orcid":false,"given":"Heather A","family":"Cooke","sequence":"first","affiliation":[{"name":"School of Nursing, University of British Columbia, Vancouver, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3915-6881","authenticated-orcid":false,"given":"Jennifer","family":"Baumbusch","sequence":"additional","affiliation":[{"name":"School of Nursing, University of British Columbia, Vancouver, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,20]]},"reference":[{"issue":"1","key":"2021060210394369000_CIT0001","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1186\/1472-6963-14-244","article-title":"Local interaction strategies and capacity for better care in nursing homes: A multiple case study","volume":"14","author":"Anderson","year":"2014","journal-title":"BMC Health Services Research"},{"issue":"3","key":"2021060210394369000_CIT0002","doi-asserted-by":"crossref","first-page":"452","DOI":"10.5465\/amr.1999.2202131","article-title":"Tit for tat? 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