New Graduate Nurses' Perception of the Workplace: Have They Experienced Bullying?

Vogelpohl, Darla A.; Rice, Susan K.; Edwards, Mary; Bork, Christopher E.

doi:10.1016/j.profnurs.2012.10.008

Cited by 72 publications

(66 citation statements)

References 13 publications

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“…In addition, the result showed that bullying experience affect psychological empowerment, which serves as a mitigating factor to reduce effects of bullying experience on psychological well-being [7]. As mentioned before [3,4], bullying experience and hierarchical structures are pervasive in nursing culture, nursing staff with higher hierarchy feeling superior to unskilled nursing students and engaging in bullying behavior. In China, doctor-patient relationships have been deteriorating for the past 10 years.…”

Section: Effects Of Conflict Management Styles and Psychological Empomentioning

confidence: 74%

“…Increasing retention of nursing students is essential for shortage in nursing profession, but about a third of new graduate nurses intend to leave their occupation because of experiencing bullying [3]. Due to a high risk of being bullied in clinical placement, nursing students have low level of psychological well-being and do not able to successfully transform from undergraduate students to new graduate nurses [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…A hierarchy, with medicine at alienated and removed from autonomy and control over their working condition, leading to a cycle of low self-esteem and feelings of powerlessness [3]. Instead of fighting back and risking retaliation from superiors, nurses tend to alleviate their own suffering associated with their powerlessness through bullying young coworkers or subordinates [19].…”

Section: Introductionmentioning

confidence: 99%

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Effects of Bullying Experience on Psychological Well-Being Mediated by Conflict Management Styles and Psychological Empowerment among Nursing Students in Clinical Placement: A Structural Equation Modeling Approach

Ren

Kim

2017

J Korean Acad Nurs

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This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0)If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium. ORIGINAL ARTICLE Effects of Bullying Experience on Psychological Well-Being Mediated by Conflict Management Styles and Psychological Empowerment among Nursing Students in Clinical Placement: A Structural Equation Modeling ApproachRen, Liping 1 · Kim, Hyunli Purpose: This study aimed to test a proposed structural equation model in which bullying experience, conflict management styles and psychological empowerment predict psychological well-being among Chinese nursing students in clinical placement. Methods: Three hundred and sixtysix nursing students recruited from five hospitals in J city and Y city were assessed with self-report questionnaires on bullying experience, conflict management styles, psychological empowerment and psychological well-being including depression, self-esteem, and academic major satisfaction. Data were analyzed using SPSS version 20.0 and AMOS version 22.0. Results: The evaluation parameters included the comparative fit index at .90, the goodness of fit index at .93, the root mean square error of approximation at .07, and c 2 /df ratio at 2.66, indicating that the proposed structural equation model provided a good fit to the data. Experience of being bullied during clinical placement, conflict management styles and psychological empowerment explained 93.0% of the variance and had significant effects on psychological well-being, with conflict management styles and psychological empowerment mediating the association between bullying and psychological well-being. Conclusion: The findings indicated that mediation by conflict management styles and psychological empowerment alleviated the negative influence of bullying on psychological well-being. To limit bullying and its negative effects, development of effective guidelines to deal with bullying will be a critical tool for both Chinese nursing students and their instructors. Further research should incorporate conflict management styles and psychological empowerment into the specific intervention strategies for handling bullying behaviors among nursing students and staff nurses and promoting nursing students' psychological well-being.Key words: Nursing students; Bullying; Depression; Self concept; Personal satisfaction INTRODUCTIONNursing shortage is a global issue, more serious in China than in many developed counties [1,2]. Increasing retention of nursing students is essential for shortage in nursing profession, but about a third of new graduate nurses intend to leave their occupation because of experiencing bullying [3]. Due to a high risk of being bullied in clinical placement, nursing students have low level of psychological well-being and do not able to successfully transform from undergraduate students to new graduate nurses [4...

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Section: Effects Of Conflict Management Styles and Psychological Empomentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of Bullying Experience on Psychological Well-Being Mediated by Conflict Management Styles and Psychological Empowerment among Nursing Students in Clinical Placement: A Structural Equation Modeling Approach

Ren

Kim

2017

J Korean Acad Nurs

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“…Several instruments emerged from the literature review, including the Organizational Civility Scale (Clark, Landrum, & Nguyen, 2013), the Nursing Incivility Scale (Guidroz, Burnfield-Geimer, Clark, Schwetschenau, & Jex, 2010), the Workplace Incivility Scale (Cortina, Magley, Williams, & Langhout, 2001), and the Negative Acts Questionnaire-Revised (Einarsen, Hoel, & Notelaers, 2009). The 22-item Negative Acts Questionnaire-Revised was selected for use in the study because of its widespread national and international usage (Abe & Henly, 2010;Nam, Kim, Kim, Koo, & Park, 2010;O'Farrell & Collins, 2005;Tsuno, 2010;Vogelpohl, Rice, Edwards, & Bork, 2013); strong construct validity, factor structure, and psychometric properties (Beckmann, 2012;Einarsen et al, 2009); and successful use across multiple professions in a variety of organizational settings (Etienne, 2014;Hogh, Hansen, Mikkelsen, & Persson, 2012). The 22 items on the NAQ-R are written in behavioral terms and avoid the use of terms such as bullying, harassment, or incivility.…”

Section: Methodsmentioning

confidence: 99%

Categorizing the Magnitude and Frequency of Exposure to Uncivil Behaviors: A New Approach for More Meaningful Interventions

Evans

2017

J of Nursing Scholarship

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Purpose: To examine turnover intentions, as well as the prevalence and frequency of uncivil behaviors, from the perspective of registered nurses, respiratory therapists, and imaging professionals, using a new method to categorize exposure magnitude. Design and Methods: Data were collected using the 22-item Negative Acts Questionnaire-Revised (NAQ-R). Additional items, informed by Price and Mueller's causal model of turnover, were included, as were select demographic variables. The final sample included 170 healthcare professionals. Descriptive statistics were used to describe the sample, a chi-square test was constructed to test for significant differences in exposure to uncivil behavior based on demographics, and Cochran-Mantel-Haenszel statistics were used to test associations between variables and calculation of raw sum scores to implement a new method of analysis for the NAQ-R, allowing for categorization of exposure magnitude. Findings: Exposure to uncivil behavior was reported more often among nursing staff than other healthcare professionals. Lack of exposure to uncivil behavior was a significant predictor of intention to stay. Perceptual differences were found between nurses prepared at the baccalaureate and associate degree levels. Lastly, no significant correlations between exposure to uncivil behavior and selected demographic variables were found, suggesting that exposure is not dependent upon age, race, unit type, or educational level. Conclusions: Findings support prior research associating negative organizational climate with higher turnover intentions. Uncivil behavior was reported across the organization, most predominantly among units staffed with nurses. Finally, use of newly defined cutoff points for the NAQ-R provide organizations with the ability to use both subjective and objective data to identify targets of uncivil behaviors to construct meaningful interventions. Clinical Relevance: There is a need to develop more meaningful interventions to support targets of uncivil behaviors. Use of the NAQ-R, coupled with the proposed cutoff scores, allows for the identification of targets, the magnitude of exposure, and the construction of meaningful primary, secondary, and tertiary intervention programs that may improve turnover and quality of care.

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“…An administrator with authority over an AT creates a power disparity, which is a key facet of WPB. 29 Recent nursing research by Vogelpohl et al 30 identified those in power positions over staff nurses (eg, physicians, supervisors) as likely bullies. These authors were surprised that their findings revealed the patient's family was also a source of bullying.…”

Section: Factors Associated With Wpbmentioning

confidence: 99%

Experiences With and Perceptions of Workplace Bullying Among Athletic Trainers in the Secondary School Setting

Pitney

Weuve

Mazerolle

2016

Journal of Athletic Training

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Context: Workplace bullying (WPB) has recently received much attention in society. Research on WPB in athletic training practice settings is limited.Objective: To determine the prevalence of WPB in the secondary school setting and explore the factors related to it.Design: Mixed-methods study. , aged 36.5 6 11.1 years with 11.9 6 9.5 years of experience took part in phase I. Ten participants (7 women and 3 men), aged 39.3 6 10.1 years with 14.3 6 8.3 years of experience, took part in phase II.Data Collection and Analysis: For the online survey, we used the previously validated and reliable (Cronbach a ¼ .84) Athletic Training Workplace Environment Survey, which included the Negative Acts Questionnaire-Revised. The prevalence of WPB was measured with descriptive statistics, and v 2 analyses were used to compare differences between groups (ie, females and males, perpetrators' titles). The interview data were examined using an inductive content analysis.Results: Of the participants, 44 (7.8%) were empirically identified as targets of bullying, though a higher percentage (12.4%, n ¼ 70) self-identified as bullying targets. Men and women did not differ with respect to having experienced WPB, but more perpetrators were male (71.6%, n ¼ 48) than female (28.4%, n ¼ 19; v 2 1 ¼ 12.55, P ¼ ,.001). We also observed a difference in perpetrators' titles, with the vast majority of bullies being coaches or administrators (v 2 6 ¼ 33.82, P ¼ ,.001). Lack of administrator support and discrimination were antecedents of bullying. Stress, depression, and sleep disturbances were reported consequences. Participants coped with bullying by avoidance and role refocusing.Conclusions: Bullying was experienced by a small percentage of athletic trainers in the secondary school setting, a contrast to the findings in the collegiate practice setting.Key Words: interpersonal conflict, workplace aggression, harassment Key PointsWorkplace bullying of athletic trainers occurred less often in the secondary school than in the collegiate setting. Bullies were typically coaches, administrators, or parents, and women were bullied more frequently than men. Being bullied was associated with stress, depression, sleep disturbances, and self-doubt. Targets dealt with bullying by avoiding the perpetrator and refocusing on their role. Developing workplace-bullying policies and educating employees on proper workplace behavior can help to reduce the level of bullying experienced by employees.

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New Graduate Nurses' Perception of the Workplace: Have They Experienced Bullying?

Cited by 72 publications

References 13 publications

Effects of Bullying Experience on Psychological Well-Being Mediated by Conflict Management Styles and Psychological Empowerment among Nursing Students in Clinical Placement: A Structural Equation Modeling Approach

Effects of Bullying Experience on Psychological Well-Being Mediated by Conflict Management Styles and Psychological Empowerment among Nursing Students in Clinical Placement: A Structural Equation Modeling Approach

Categorizing the Magnitude and Frequency of Exposure to Uncivil Behaviors: A New Approach for More Meaningful Interventions

Experiences With and Perceptions of Workplace Bullying Among Athletic Trainers in the Secondary School Setting

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