Exploration of Workplace Bullying among Nurses: A Focus on Clinical Settings
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Sample and Setting
2.3. Measurements
2.4. Data Collection
2.5. Data Analysis
2.6. Ethical Consideration
3. Results
4. Discussion
4.1. Implications
4.2. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Al-Surimi, K.; Al Omar, M.; Alahmary, K.; Salam, M. Prevalence of workplace bullying and its associated factors at a multi-regional Saudi Arabian Hospital: A cross-sectional study. Risk Manag. Health Policy 2020, 13, 1905–1914. [Google Scholar] [CrossRef]
- The Joint Commission, Division of Health Care Improvement. Quick Safety 24: Bullying Has No Place in Health Care (Updated June 2021). Available online: https://www.jointcommission.org/resources/news-and-multimedia/newsletters/newsletters/quick-safety/quick-safety-issue-24-bullying-has-no-place-in-health-care/bullying-has-no-place-in-health-care/ (accessed on 5 May 2023).
- Branch, S.; Ramsay, S.; Barker, M. Workplace bullying, mobbing, and general harassment: A review. Int. J. Manag. Rev. 2013, 15, 280–299. [Google Scholar] [CrossRef]
- Torkelson, E.; Holm, K.; Bäckström, M.; Schad, E. Factors contributing to workplace incivility: The importance of organizational aspects and experiencing incivility from others. Work Stress 2016, 30, 115–131. [Google Scholar] [CrossRef]
- Lim, F.A.; Bernstein, I. Civility and workplace bullying: Resonance of Nightingale’s persona and current best practices. Nurs. Forum 2014, 49, 124–129. [Google Scholar] [CrossRef]
- Ariza-Montes, A.; Muniz, N.M.; Montero-Simó, M.J.; Araque-Padilla, R.A. Workplace bullying among healthcare workers. Int. J. Environ. Res. Public Health 2013, 10, 3121–3139. [Google Scholar] [CrossRef]
- Al Muharraq, E.H.; Baker, O.G.; Alallah, S.M. The prevalence and the relationship of workplace bullying and nurses turnover intentions: A cross-sectional study. SAGE Open Nurs. 2022, 8, 23779608221074655. [Google Scholar] [CrossRef]
- Olsen, E.; Bjaalid, G.; Mikkelsen, A. Work climate and the mediating role of workplace bullying related to job performance, job satisfaction, and work ability: A study among hospital nurses. J. Adv. Nurs. 2017, 73, 2709–2719. [Google Scholar] [CrossRef]
- Berry, P.A.; Gillespie, G.L.; Gates, D.; Schafer, J. Novice nurse productivity following workplace bullying. J. Nurs. Scholarsh. 2012, 44, 80–87. [Google Scholar] [CrossRef]
- Fu, C.; Ren, Y.; Wang, G.; Shi, X.; Cao, F. Fear of future workplace violence and its influencing factors among nurses in Shandong, China: A cross-sectional study. BMC Nurs. 2021, 20, 123. [Google Scholar] [CrossRef]
- Ahmed, A.H.; El-Shaer, A.; Fekry, N. Workplace bullying and absenteeism rate among staff nurses at Mansoura University Hospital. Med. J. Cairo Univ. 2015, 83, 47–54. [Google Scholar]
- Al Omar, M.; Salam, M.; Al-Surimi, K. Workplace bullying and its impact on the quality of healthcare and patient safety. Hum. Resour. Health 2019, 17, 1. [Google Scholar] [CrossRef]
- Al-Ghabeesh, S.H.; Qattom, H. Workplace bullying and its preventive measures and productivity among emergency department nurses. BMC Health Serv. Res. 2019, 19, 445. [Google Scholar] [CrossRef]
- Anjum, A.; Muazzam, A.; Manzoor, F.; Visvizi, A.; Pollock, G.; Nawaz, R. Measuring the scale and scope of workplace bullying: An alternative workplace bullying scale. Sustainability 2019, 11, 4634. [Google Scholar] [CrossRef]
- McPeake, J.; Bateson, M.; O’Neill, A. Electronic surveys: How to maximize success. Nurse Res. 2014, 21, 24–26. [Google Scholar] [CrossRef]
- Scott, A.; Jeon, S.H.; Joyce, C.M.; Humphreys, J.S.; Kalb, G.; Witt, J.; Leahy, A. A randomized trial and economic evaluation of the effect of response mode on response rate, response bias, and item non-response in a survey of doctors. BMC Med. Res. Methodol. 2011, 11, 126. [Google Scholar] [CrossRef]
- Bryman, A. Social Research Methods; Oxford University Press: Oxford, UK, 2016. [Google Scholar]
- Salin, D. Prevalence and forms of bullying among business professionals: A comparison of two different strategies for measuring bullying. Eur. J. Work. Organ. Psychol. 2001, 10, 425–441. [Google Scholar] [CrossRef]
- Mikkelsen, E.G.; Einarsen, S. Basic assumptions and symptoms of post-traumatic stress among victims of bullying at work. Eur. J. Work. Organ. Psychol. 2022, 11, 87–111. [Google Scholar] [CrossRef]
- Chowdhury, S.R.; Kabir, H.; Chowdhury, M.R.; Hossain, A. Workplace bullying and violence on burnout among Bangladeshi registered nurses: A survey following a year of the COVID-19 pandemic. Int. J. Public Health 2022, 67, 1604769. [Google Scholar] [CrossRef]
- Mammen, B.N.; Lam, L.; Hills, D. Newly qualified graduate nurses’ experiences of workplace incivility in healthcare settings: An integrative review. Nurse Educ. Pract. 2023, 69, 103611. [Google Scholar] [CrossRef]
- Hosier, S.; Zhang, H.; Goh, H.S. Workplace bullying among nurses in Singapore: A quantitative survey. Malays. J. Nurs. 2023, 14, 55–66. [Google Scholar] [CrossRef]
- Awai, N.S.; Ganasegeran, K.; Abdul Manaf, M.R. Prevalence of Workplace Bullying and Its Associated Factors among Workers in a Malaysian Public University Hospital: A Cross-Sectional Study. Risk Manag. Health Policy 2021, 14, 75–85. [Google Scholar] [CrossRef]
- Shi, L.; Zhang, D.; Zhou, C.; Yang, L.; Sun, T.; Hao, T.; Peng, X.; Gao, L.; Liu, W.; Mu, Y.; et al. A cross-sectional study on the prevalence and associated risk factors for workplace violence against Chinese nurses. BMJ Open 2017, 7, e013105. [Google Scholar] [CrossRef]
- Baburajan, C.; Arasu, S.; Naveen, R. Prevalence of bullying among nurses in a tertiary hospital, Bangalore. Int. J. Occup. Saf. Health 2019, 9, 8–12. [Google Scholar] [CrossRef]
- Rashwan, T. Workplace bullying among nurses in primary health care centers in Port Said. Port Said Sci. J. Nurs. 2021, 8, 163–183. [Google Scholar]
- Rai, A.; Agarwal, U.A. Linking Workplace Bullying and Work Engagement: The Mediating Role of Psychological Contract Violation. South Asian J. Hum. Resour. Manag. 2017, 4, 42–71. [Google Scholar] [CrossRef]
Study Variables | n (%) |
---|---|
Age group | |
| 106 (25.5%) |
| 244 (58.7%) |
| 57 (13.7%) |
| 09 (02.2%) |
Sex | |
| 96 (23.1%) |
| 320 (76.9%) |
Marital status | |
| 135 (32.5%) |
| 257 (61.8%) |
| 24 (05.8%) |
Professional rank | |
| 256 (61.5%) |
| 160 (38.5%) |
Educational level | |
| 45 (10.8%) |
| 371 (89.2%) |
Years of experience | |
| 67 (16.1%) |
| 139 (33.4%) |
| 210 (50.5%) |
Work area | |
| 202 (48.6%) |
| 214 (51.4%) |
Hospital | |
| 84 (20.2%) |
| 90 (21.6%) |
| 125 (30.0%) |
| 62 (14.9%) |
| 55 (13.2%) |
Variables | Mean ± SD |
---|---|
Work-related bullying score | 22.0 ± 10.2 |
Person-related bullying score | 24.8 ± 10.4 |
Overall WBS score | 46.8 ± 20.2 |
Prevalence of WBS | n (%) |
| 228 (54.8%) |
| 188 (45.2%) |
Factor | Work-Related Score (50) Mean ± SD | Person-Related Score (55) Mean ± SD | Overall WBS Score (105) Mean ± SD |
---|---|---|---|
Age group | |||
| 20.9 ± 10.7 | 24.2 ± 11.0 | 45.2 ± 21.2 |
| 23.1 ± 10.1 | 25.7 ± 10.1 | 48.8 ± 19.8 |
| 19.5 ± 9.22 | 22.3 ± 10.1 | 41.8 ± 18.9 |
H-test; p-value | 8.514; 0.014 ** | 8.518; 0.014 ** | 8.813; 0.012 ** |
Sex | |||
| 23.8 ± 9.42 | 26.5 ± 10.0 | 50.3 ± 18.9 |
| 21.5 ± 10.3 | 24.2 ± 10.5 | 45.7 ± 20.4 |
Z-test; p-value | 2.473; 0.013 ** | 2.207; 0.027 ** | 2.412; 0.016 ** |
Marital status | |||
| 21.7 ± 10.8 | 24.6 ± 11.3 | 46.3 ± 21.7 |
| 22.2 ± 9.79 | 24.9 ± 9.79 | 47.1 ± 19.2 |
Z-test; p-value | 0.927; 0.354 | 0.946; 0.344 | 1.011; 0.312 |
Professional rank | |||
| 20.9 ± 10.2 | 23.9 ± 10.5 | 44.8 ± 20.3 |
| 23.7 ± 10.5 | 26.2 ± 10.0 | 49.9 ± 19.6 |
Z-test; p-value | 3.094; 0.002 ** | 2.647; 0.008 ** | 2.978; 0.003 ** |
Educational level | |||
| 16.4 ± 7.28 | 19.3 ± 7.82 | 35.8 ± 14.7 |
| 22.7 ± 10.3 | 25.4 ± 10.5 | 48.1 ± 20.3 |
Z-test; p-value | 4.067; <0.001 ** | 3.928; <0.001 ** | 4.128; <0.001 ** |
Years of experience | |||
| 22.7 ± 11.1 | 25.6 ± 11.4 | 48.3 ± 22.1 |
| 25.6 ± 10.1 | 27.9 ± 9.94 | 53.6 ± 19.5 |
| 19.4 ± 9.15 | 22.4 ± 9.81 | 41.8 ± 18.6 |
H-test; p-value | 33.172; <0.001 ** | 28.722; <0.001 ** | 32.539; <0.001 ** |
Work area | |||
| 21.0 ± 10.2 | 23.9 ± 10.6 | 45.0 ± 20.5 |
| 22.9 ± 10.0 | 25.5 ± 10.2 | 48.4 ± 19.7 |
Z-test; p-value | 2.171; 0.030 ** | 1.933; 0.053 | 2.074; 0.038 ** |
Hospital | |||
| 17.5 ± 8.41 | 20.9 ± 8.92 | 38.4 ± 16.9 |
| 21.9 ± 9.49 | 24.6 ± 9.14 | 46.5 ± 18.3 |
| 23.9 ± 11.6 | 27.1 ± 12.3 | 51.1 ± 23.4 |
| 24.5 ± 9.40 | 26.2 ± 9.30 | 50.7 ± 18.3 |
| 21.7 ± 9.08 | 24.0 ± 9.32 | 45.7 ± 18.0 |
H-test; p-value | 26.233; <0.001 ** | 18.684; 0.001 ** | 22.612; <0.001 ** |
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Share and Cite
Alharbi, M.F.; Alotebe, S.M.; Alotaibi, T.M.; Sindi, N.A.; Alrashidi, D.N.; Alanazi, H.K. Exploration of Workplace Bullying among Nurses: A Focus on Clinical Settings. Healthcare 2024, 12, 1706. https://doi.org/10.3390/healthcare12171706
Alharbi MF, Alotebe SM, Alotaibi TM, Sindi NA, Alrashidi DN, Alanazi HK. Exploration of Workplace Bullying among Nurses: A Focus on Clinical Settings. Healthcare. 2024; 12(17):1706. https://doi.org/10.3390/healthcare12171706
Chicago/Turabian StyleAlharbi, Manal F., Sami M. Alotebe, Turki M. Alotaibi, Nawal A. Sindi, Dalal N. Alrashidi, and Hala K. Alanazi. 2024. "Exploration of Workplace Bullying among Nurses: A Focus on Clinical Settings" Healthcare 12, no. 17: 1706. https://doi.org/10.3390/healthcare12171706