Workplace Bullying among Nurses in Singapore: A Quantitative Survey
DOI:
https://doi.org/10.31674/mjn.2023.v14i03.007Abstract
Abstract: The high prevalence rate of workplace bullying among nurses is alarming given the consequences for nurses and organizations. It is poorly understood in Asia due to limited studies. This study employed a quantitative, cross-sectional design using an electronic survey to examine the prevalence, antecedents, and consequences of workplace bullying among nurses in Singapore. Data collection took place between November 2021 and February 2022, with 152 nurses of different grades completing the electronic survey (response rate of 65%). Our survey showed that 42.8% of the nurses (n = 65) reported experiencing occasional workplace bullying or workplace incivility during the past six months, and 11.8% (n = 18) were identified as victims of workplace bullying during the past six months. Logistic regression identified three variables (working hours per week, personality, emotional stability, and work environment) that were significant predictors of workplace bullying. Workplace bullying significantly impacts nurses' job stress, job satisfaction, and turnover intention but does not affect their work productivity or absenteeism. The study demonstrates that workplace bullying will continue to persist and manifest differently in different countries. Workplace environment and hierarchy have a greater and more immediate impact on workplace bullying in Singapore than individual characteristics.
Keywords:
Workplace Bullying, Incivility, Violence, Nurses, Healthcare, Survey, Quantitative, Cross-SectionalDownloads
References
Awai, N. S., Ganasegeran, K., & Abdul Manaf, M. R. (2021). 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, 14, 75–85. https://doi.org/10.2147/RMHP.S280954
Al-Surimi, K., Al Omar, M., Alahmary, K., & Salam, M. (2020). Prevalence of workplace bullying and its associated factors at a multi-regional Saudi Arabian Hospital: a cross-sectional study. Risk Management and Healthcare Policy, 13, 1905. https://doi.org/10.2147/RMHP.S265127
Alyaemni, A., & Alhudaithi, H. (2016). Workplace violence against nurses in the emergency departments of three hospitals in Riyadh, Saudi Arabia: a cross-sectional survey. NursingPlus Open, 2, 35-41. https://doi.org/10.1016/j.npls.2016.09.001
Balante, J., van den Broek, D., & White, K. (2021). How does culture influence work experience in a foreign country? An umbrella review of the cultural challenges faced by internationally educated nurses. International Journal of Nursing Studies, 118, 103930. https://doi.org/10.1016/j.ijnurstu.2021.103930
Bambi, S., Foà, C., De Felippis, C., Lucchini, A., Guazzini, A., & Rasero, L. (2018). 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. https://doi.org/10.23750/abm.v89i6-S.7461
Bothma, C. F., & Roodt, G. (2013). The validation of the turnover intention scale. SA Journal of Human Resource Management, 11(1), 1-12. https://hdl.handle.net/10520/EJC134707
Brayfield, A. H., & Rothe, H. F. (1951). An index of job satisfaction. Journal of Applied Psychology, 35(5), 307–311. https://doi.org/10.1037/h0055617
Gea-Caballero, V., Juárez-Vela, R., Díaz-Herrera, M. Á., Mármol-López, M. I., Blazquez, R. A., & Martínez-Riera, J. R. (2019). Development of a short questionnaire based on the Practice Environment Scale-Nursing Work Index in primary health care. Peer-Reviewed Journal 7, e7369. https://doi.org/10.7717/peerj.7369
Gosling, S. D., Rentfrow, P. J., & Swann Jr, W. B. (2003). A very brief measure of the Big-Five personality domains. Journal of Research in Personality, 37(6), 504-528. https://doi.org/10.1016/S0092-6566(03)00046-1
Gillen, P. A., Sinclair, M., Kernohan, W. G., Begley, C. M., & Luyben, A. G. (2017).Interventions for prevention of bullying in the workplace. Cochrane Database of Systematic Reviews, (1). ttps://doi.org/10.1002/14651858.CD009778.pub2
Goh, H. S., Tang, M. L., Lee, C. N., & Liaw, S. Y. (2019). The development of Singapore nursing education system–Challenges, opportunities and implications. International Nursing Review, 66(4), 467-473. https://doi.org/10.1111/inr.12539
Hutchinson, M., & Jackson, D. (2013). Hostile clinician behaviours in the nursing work environment and implications for patient care: a mixed-methods systematic review. BMC Nursing, 12(1), 1-12. https://doi.org/10.1186/1472-6955-12-25
Hartin, P., Birks, M., & Lindsay, D. (2018). Bullying and the nursing profession in Australia: An integrative review of the literature. Collegian, 25(6), 613-619. https://doi.org/10.1016/j.colegn.2018.06.004
Hutchinson, M., & Hurley, J. (2013). Exploring leadership capability and emotional intelligence as moderators of workplace bullying. Journal of Nursing Management, 21(3),553-562. https://dx.doi.org/10.1111/j.1365-2834.2012.01372.x.
Houck, N. M., & Colbert, A. M. (2017). Patient safety and workplace bullying: an integrative review. Journal of Nursing Care Quality, 32(2), 164-171. https://doi.org/10.1097/NCQ.0000000000000209
Kang, J., & Lee, M. (2016). Pooled prevalence of workplace bullying in nursing: Systematic review and meta-analysis. Journal of Korean Critical Care Nursing, 9(1), 51-65.
Kocalevent, R. D., Zenger, M., Hinz, A., Klapp, B., & Brähler, E. (2017). Resilient coping in the general population: standardization of the brief resilient coping scale (BRCS). Health and Quality of Life Outcomes, 15(1), 1-8. https://doi.org/10.1186/s12955-017-0822-6
Karatuna, I., Jönsson, S., & Muhonen, T. (2020). Workplace bullying in the nursing profession: A cross-cultural scoping review. International Journal of Nursing Studies, 111, 103628. https://doi.org/10.1016/j.ijnurstu.2020.103628
Kocalevent, R. D., Zenger, M., Hinz, A., Klapp, B., & Brähler, E. (2017). Resilient coping in the general population: standardization of the brief resilient coping scale (BRCS). Health and Quality of Life Outcomes, 15(1), 1-8. https://doi.org/10.1186/s12955-017-0822-6
Leong, Y. M. J., & Crossman, J. (2016). Tough love or bullying? New nurse transitional experiences. Journal of Clinical Nursing, 25(9-10), 1356-1366. https://doi.org/10.1111/jocn.13225
Lever, I., Dyball, D., Greenberg, N., & Stevelink, S. A. (2019). Health consequences of bullying in the healthcare workplace: a systematic review. Journal of Advanced Nursing, 75(12), 3195-3209. https://doi.org/10.1111/jan.13986
Lu, L., Dong, M., Wang, S. B., Zhang, L., Ng, C. H., Ungvari, G. S., ... & Xiang, Y. T. (2020). Prevalence of workplace violence against health-care professionals in China: a comprehensive meta-analysis of observational surveys. Trauma, Violence, & Abuse, 21(3), 498-509. https://doi.org/10.1177/1524838018774429
Notelaers, G., & Einarsen, S. (2013). The world turns at 33 and 45: Defining simple cutoff scores for the Negative Acts Questionnaire–Revised in a representative sample. European Journal of Work and Organizational Psychology, 22(6), 670-682. https://doi.org/10.1080/1359432X.2012.690558
Nielsen, M. B., Matthiesen, S. B., & Einarsen, S. (2010). The impact of methodological moderators on prevalence rates of workplace bullying. A meta‐analysis. Journal of Occupational and Organizational Psychology, 83(4), 955-979. https://doi.org/10.1348/096317909X481256
Nielsen, M. B., & Einarsen, S. (2012). Outcomes of exposure to workplace bullying: A meta-analytic review. Work & Stress, 26(4), 309-332. https://doi.org/10.1080/02678373.2012.734709
Nielsen, M. B., & Einarsen, S. V. (2018). What we know, what we do not know, and what we should and could have known about workplace bullying: An overview of the literature and agenda for future research. Aggression and Violent Behavior, 42, 71-83. https://doi.org/10.1016/j.avb.2018.06.007
Nielsen, M. B., Glasø, L., & Einarsen, S. (2017). Exposure to workplace harassment and the Five Factor Model of personality: A meta-analysis. Personality and Individual Differences, 104, 195-206. https://doi.org/10.1016/j.paid.2016.08.015
Oh, H., Uhm, D. C., & Yoon, Y. J. (2016). Factors affecting workplace bullying and lateral violence among clinical nurses in Korea: descriptive study. Journal of Nursing Management, 24(3), 327-335. https://doi.org/10.1111/jonm.12324
Parker, D. F., & DeCotiis, T. A. (1983). Organizational determinants of job stress. Organizational Behavior and Human Performance, 32(2), 160-177. https://doi.org/10.1016/0030-5073(83)90145-9
Polit, D. F., & Beck, C. T. (2018). Essentials of Nursing Research: Appraising Evidence for Nursing Practice (9th ed.). Philadelphia: Lippincott, Williams & Wilkins.
Pfeifer, L. E., & Vessey, J. A. (2017). An integrative review of bullying and lateral violence among nurses in Magnet® organizations. Policy, Politics, & Nursing Practice, 18(3), 113-124. https://doi.org/10.1177/1527154418755802
Pai, H. C., & Lee, S. (2011). Risk factors for workplace violence in clinical registered nurses in Taiwan. Journal of Clinical Nursing, 20(9‐10), 1405-1412. https://doi.org/10.1111/j.1365-2702.2010.03650.x
Pung, L. X., & Goh, Y. S. (2017). Challenges faced by international nurses when migrating: an integrative literature review. International Nursing Review, 64(1), 146-165. https://doi.org/10.1111/inr.12306
Rosander, M., & Blomberg, S. (2019). Levels of workplace bullying and escalation–a new conceptual model based on cut-off scores, frequency and self-labelled victimization. European Journal of Work and Organizational Psychology, 28(6), 769-783. https://doi.org/10.1080/1359432X.2019.1642874
Rutherford, D. E., Gillespie, G. L., & Smith, C. R. (2019). Interventions against bullying of prelicensure students and nursing professionals: An integrative review. In Nursing Forum, 54(1), 84-90. https://doi.org/10.1111/nuf.12301
Sinval, J., & Marôco, J. (2020). Short index of job satisfaction: Validity evidence from Portugal and Brazil. PLoS One, 15(4), e0231474. https://doi.org/10.1371/journal.pone.0231474
Sinclair, V. G., & Wallston, K. A. (2004). The development and psychometric evaluation of the Brief Resilient Coping Scale. Assessment, 11(1), 94-101. https://doi.org/10.1177/1073191103258144
Serafin, L., Sak‐Dankosky, N., & Czarkowska‐Pączek, B. (2020). Bullying in nursing evaluated by the Negative Acts Questionnaire‐Revised: A systematic review and meta‐analysis. Journal of Advanced Nursing, 76(6), 1320-1333. https://doi.org/10.1111/jan.14331
Stagg, S. J., & Sheridan, D. (2010). Effectiveness of bullying and violence prevention programs: A systematic review. Aaohn Journal, 58(10), 419-424. https://doi.org/10.1177/216507991005801003
Schilgen, B., Nienhaus, A., Handtke, O., Schulz, H., & Moesko, M. (2017). Health situation of migrant and minority nurses: A systematic review. PloS One, 12(6), e0179183. https://doi.org/10.1371/journal.pone.0179183
Salin, D., Cowan, R., Adewumi, O., Apospori, E., Bochantin, J., D’Cruz, P., ... & Zedlacher, E. (2018). Workplace bullying across the globe: A cross-cultural comparison. Personnel Review, 48(1), 204-219. https://doi.org/10.1108/PR-03-2017-0092
Spector, P. E., Zhou, Z. E., & Che, X. X. (2014). Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies, 51(1), 72-84. https://doi.org/10.1016/j.ijnurstu.2013.01.010
Stagg, S. J., & Sheridan, D. (2010). Effectiveness of bullying and violence prevention programs: A systematic review. Aaohn Journal, 58(10), 419-424.
Trépanier, S. G., Fernet, C., Austin, S., & Boudrias, V. (2016). Work environment antecedents of bullying: A review and integrative model applied to registered nurses. International Journal of Nursing Studies, 55, 85-97. https://doi.org/10.1016/j.ijnurstu.2015.10.001
Varghese, A., Joseph, J., Vijay, V. R., Khakha, D. C., Dhandapani, M., Gigini, G., & Kaimal, R. (2022). Prevalence and determinants of workplace violence among nurses in the South‐East Asian and Western Pacific Regions: a systematic review and meta‐analysis. Journal of Clinical Nursing, 31(7-8), 798-819. https://doi.org/10.1111/jocn.15987
Van Saane, N., Sluiter, J. K., Verbeek, J. H. A. M., & Frings‐Dresen, M. H. W. (2003). Reliability and validity of instruments measuring job satisfaction—a systematic review. Occupational Medicine, 53(3), 191-200. https://doi.org/10.1093/occmed/kqg038
Yang, Y. M., & Zhou, L. J. (2021). Workplace bullying among operating room nurses in China: A cross‐sectional survey. Perspectives in Psychiatric Care, 57(1), 27-32. https://doi.org/10.1111/ppc.12519
Yokoyama, M., Suzuki, M., Takai, Y., Igarashi, A., Noguchi‐Watanabe, M., & Yamamoto‐ Mitani, N. (2016). Workplace bullying among nurses and their related factors in Japan: a cross‐sectional survey. Journal of Clinical Nursing, 25(17-18), 2478-2488. https://doi.org/10.1111/jocn.13270
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