NURSE-ON-NURSE VIOLENCE: EXPLORING COLLEAGUE BULLYING IN NURSING

Year 2024, Volume: 9 Issue: 1, 25 - 36, 29.02.2024

İrem Uyanık , Ayşe Çiçek Korkmaz

https://doi.org/10.33457/ijhsrp.1416325

Abstract

Colleague violence in nursing, identified as bullying, represents a significant issue. This cross-sectional and descriptive study aims to investigate the prevalence of workplace bullying among nurses and how these perceptions of bullying vary according to their individual-professional characteristics, frequency of support from managers and colleagues, and the bullying situations encountered. The study was conducted on 323 nurses, with data collected through an online survey using a descriptive information form and the Negative Act Questionnaire-Revised (NAQ-R). Descriptive statistics, Mann Whitney U, and Kruskal Wallis H tests were utilized for the analysis in SPSS. The findings indicate that the mean score of nurses on the NAQ-R is 35.61±12.34. Significant differences were found in the scale mean scores based on age, type of institution, unit worked, shift type, frequency of support from managers and colleagues, and the bullying situations encountered (p<0.05). However, no significant differences were observed based on gender, marital status, educational level, position, individual, institutional, and clinical experience, and the perpetrators of bullying (p˃0.05). Results suggest that perceived workplace bullying among nurses is moderate and varies based on individual-professional characteristics, managerial and colleague support, and bullying situations. Consequently, it is critical to better understand and combat the issue of bullying among nurses in the workplace.

Keywords

bullying, nurses, negative acts, violence

Ethical Statement

This study was approved by Bandırma Onyedi Eylül University Faculty of Health Sciences Non-Interventional Researches Ethics Committee (18.10.2022; 2022-150), and permission was obtained from the author for the scale used in the research.

Supporting Institution

-

Project Number

no

Thanks

Thank you to all our colleagues who participated in our research.

References

• Amoo S.A., Menlah A., Garti I., Appiah E.O., “Bullying in the clinical setting: Lived experiences of nursing students in the Central Region of Ghana,” PLoS ONE, 16(9), e0257620, 2021. https://doi.org/10.1371/journal.pone.0257620
• Goh H.S., Hosier S., Zhang H., “Prevalence, Antecedents, and Consequences of Workplace Bullying among Nurses—A Summary of Reviews,” International Journal of Environmental Research and Public Health, 19(14), 8256, 2022. https://doi.org/10.3390/ijerph19148256
• Abe, K., Henly, S. J., “Bullying (ojime) among Japanese hospital nurses: modeling responses to the revised Negative Acts Questionnaire,” Nursing Research, 59(2), 110-118, 2010. https://doi.org/10.1097/NNR.0b013e3181d1a709
• Hartin, P., Birks, M., Lindsay, D., “Bullying in nursing: How has it changed over four decades? Journal of Nursing Management, 28(7), 1619-1626, 2020. https://doi.org/10.1111/jonm.13117
• Serafin, L.I., Czarkowska-Pączek, B., “Prevalence of bullying in the nursing workplace and determinant factors: a nationwide cross-sectional Polish study survey.” BMJ open, 9(12), 2019 10.1136/bmjopen-2019-033819
• Savaşan, A., Özgür, G., “The relationship between personality characteristics and workplace bullying of nurses,” Journal of Psychiatric Nursing, 9(1), 29-35, 2018 https://doi.org 10.14744/phd.2017.66487
• Yosep I., Hikmat R., Mardhiyah A., “Types of Nursing Intervention to Reduce Impact of Bullying and Aggression on Nurses in the Workplace.” Healthcare, 10(8):1463, 2022. https://doi.org/10.3390/healthcare10081463
• Johnson, S.L., “Workplace bullying, biased behaviors and performance review in the nursing profession: A qualitative study,” Journal of Clinical Nursing, 28(9-10), 1528-1537, 2019. https://doi.org/10.1111/jocn.14758
• Castronovo, M.A., Pullizzi, A., Evans, S., “Nurse bullying: A review and a proposed solution,” Nursing Outlook, 64(3), 208-214, 2016. https://doi.org/10.1016/j.outlook.2015.11.008
• Johnson, A. H., Benham‐Hutchins, M., “The influence of bullying on nursing practice errors: a systematic review,” AORN Journal, 111(2), 199-210, 2020. https://doi.org/10.1002/aorn.12923
• 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 management and healthcare policy, 75-85, 2021. https://doi.org/10.2147/RMHP.S280954
• Hsiao, S.T.S., Ma, S.C., Guo, S.L., Kao, C.C., Tsai, J.C., Chung, M. H., Huang, H.C., “The role of workplace bullying in the relationship between occupational burnout and turnover intentions of clinical nurses,” Applied nursing research, 68, 151483, 2022. https://doi.org/10.1016/j.apnr.2021.151483
• Fang, L., Huang, S.H., & Fang, S.H., “Workplace bullying among nurses in South Taiwan,” Journal of Clinical Nursing, 25(17-18), 2450-2456, 2016 https://doi.org/10.1111/jocn.13260
• Karatuna, I., Jönsson, S., Muhonen, T., “Workplace bullying in the nursing profession: A cross-cultural scoping review,” International Journal of Nursing Studies, 111, 103628, 2020. https://doi.org/10.1016/j.ijnurstu.2020.103628
• 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 Nursing, 8, 2022. https://doi.org/10.1177/23779608221074655
• De Cieri, H., Sheehan, C., Donohue, R., Shea, T. and Cooper, B., "Workplace bullying: an examination of power and perpetrators," Personnel Review, 48 (2), 324-341, 2019. https://doi.org/10.1108/PR-02-2018-0057
• Giorgi, G., Mancuso, S., Fiz Perez, F., Castiello D'Antonio, A., Mucci, N., Cupelli, V., Arcangeli, G., “Bullying among nurses and its relationship with burnout and organizational climate,” International journal of nursing practice, 22(2), 160-168, 2016. https://doi.org/10.1111/ijn.12376
• Turkish Ministry of Health. (2023). Health Statistics Yearbook of 2021 [Online]. Available: https://www.saglik.gov.tr/TR-84930/saglik-istatistikleri-yilliklari.html
• Aydın, O., Öcel, H., “The Negative Act Questionnaire: A Study for Validity and Reliability.” Turkish Psychological Articles, 12(24), 94-103, 2009.
• Yıldırım D., “Bullying among nurses and its effects,” International Nursing Review, 56, 504–511, 2009.
• Etienne, E., “Exploring workplace bullying in nursing. Workplace Health & Safety, 62(1), 6-11, 2014. https://doi.org/10.1177/216507991406200102
• Spector, P.E., Zhou, Z.E., Che, X.X. “Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review,” International Journal of Nursing Studies, 51(1), 72-84, 2014. https://doi.org/10.1016/j.ijnurstu.2013.01.010
• Bambi, S., Foà, C., De Felippis, C., Lucchini, A., Guazzini, A., Rasero, L., “Workplace incivility, lateral violence and bullying among nurses. A review about their prevalence and related factors”, Acta Bio Medica: Atenei Parmensis, 89(Suppl 6), 51, 2018. 10.23750/abm.v89i6-S.7461
• Ganz, F. D., Levy, H., Khalaila, R., Arad, D., Bennaroch, K., Kolpak, O., Drori, Y., Benbinishty, J., Raanan, O., (2015). “Bullying and its prevention among intensive care nurses”, Journal of Nursing Scholarship, 47(6), 505-511, 2015. https://doi.org/10.1111/jnu.12167
• Şahin, B., Gaygısız, Ş., Balcı, F.M., Öztürk, D., Sönmez, M.B., Kavalcı, C., “Violence Against Emergency Medical Personnel Assistant”, Turkish Journal of Emergency Medicine, 11(3), 110-114, 2011.
• Fontes, K.B., Santana, R.G., Pelloso, S.M., Carvalho, M.D.D.B. “Factors associated with bullying at nurses' workplaces”, Revista latino-americana de enfermagem 21, 758-764, 2013. https://doi.org/10.1590/S0104-11692013000300015
• Obeidat, R. F., Qan’ir, Y., Turaani, H. “The relationship between perceived competence and perceived workplace bullying among registered nurses: A cross sectional survey”, International Journal of Nursing Studies, 88, 71-78, 2018. https://doi.org/10.1016/j.ijnurstu.2018.08.012
• Shahjalal, M., Gow, J., Alam, M.M., Ahmed, T., Chakma, S.K., Mohsin, F. M., Hawlader, M.D.H., Mahumud, R. A. “Workplace violence among health care professionals in public and private health facilities in Bangladesh”, International journal of public health, 66, 1604396, 2021. https://doi.org/10.3389/ijph.2021.1604396
• Seyrek, H., Ekici, D. “Nurses’ perception of organisational justice and its effect on bullying behaviour in the hospitals of Turkey”. Hospital Practices and Research, 2(3), 2017.
• Ghareeb, N.S., El-Shafei, D.A., Eladl, A.M. “Workplace violence among healthcare workers during COVID-19 pandemic in a Jordanian governmental hospital: the tip of the iceberg”, Environ Sci Pollut Res 28, 61441–61449, 2021. https://doi.org/10.1007/s11356-021-15112-w
• Tuna, R., Kahraman, B., “Workplace bullying: A qualitative study on experiences of Turkish nurse managers,” Journal of Nursing Management, 27(6), 1159-1166, 2019. https://doi.org/10.1111/jonm.12787
• Yokoyama, M., Suzuki, M., Takai, Y., Igarashi, A., Noguchi‐Watanabe, M., Yamamoto‐Mitani, N., “Workplace bullying among nurses and their related factors in Japan: a cross‐sectional survey.” Journal of Clinical Nursing, 25(17-18), 2478-2488, 2016. https://doi.org/10.1111/jocn.13270