Pooled Prevalence of Workplace Bullying in Nursing: Systematic Review and Meta-analysis

간호사간 직장내 괴롭힘 발생률에 관한 체계적 문헌고찰과 메타분석

  • Kang, Jiyeon (Department of Nursing, Dong-A University) ;
  • Lee, Minju (Surgical Intensive Care Unit, Kosin University Gospel Hospital)
  • 강지연 (동아대학교 간호학과) ;
  • 이민주 (고신대학교 복음병원 외과계중환자실)
  • Received : 2016.03.25
  • Accepted : 2016.04.25
  • Published : 2016.06.30

Abstract

Purpose: This study aimed to estimate the pooled prevalence of workplace bullying among nurses and examine the effect of moderate factors. Methods: Studies that assessed nursing workplace bullying using the negative act questionnaire developed by Einarsen et al. were searched for in 8 databases. The pooled prevalence was calculated with overall event rate and meta-ANOVA was performed for subgroup analysis. A funnel plot and Egger's linear regression asymmetry test were performed to confirm the publication bias of meta-analyzed studies. Results: A total of 23 studies (N=11,748) were included in the systematic review, and 14 studies (N=4,585) that reported prevalence using operational criteria of victim were selected for meta-analysis. The pooled prevalence of workplace bullying was 22.2% (95% CI: 19.0~25.7). Domestic studies reported lower prevalence than international studies (18.6% vs. 27.0%, Q=8.75, p=.003). The prevalences were different according to publication year (30.6% in 2008~2010, 19.5% in 2011~2014, 21.8% in 2015, Q=11.89, p=.003). Studies that recruited only new nurses reported higher prevalence than others (28.4% vs. 20.6%, Q=3.92, p=.048). Publication bias was not found. Conclusions: Workplace bullying is prevalent in the nursing profession, and is more serious for new graduate nurses. Individual and organizational measures for preventing workplace bullying among nurses need to be sought.

Keywords

References

  1. Choi, S. E., Lee, S. S., & Kim, S. D. (2013). Relationships of workplace bullying to self-esteem and turnover intention among clinical nurses at small and medium-sized hospitals. Korean Journal of Occupational Health Nursing, 22(4), 267-274. https://doi.org/10.5807/kjohn.2013.22.4.267
  2. Choi, M. G., & Kim, H. K. (2015). The effect of workplace bullying and ego-resilience on turnover intention of nurses in the public hospital. Journal of the Korea Academia-Industrial Cooperation Society, 16(5), 3257-3267. https://doi.org/10.5762/KAIS.2015.16.5.3257
  3. Granz, F. D., Levy, H., Kjalaila, R., Arad, D., Bennaroch, K.., Kolpak, O., et al. (2015). Bullying and its prevention among intensive care nurses. Journal of Nursing Scholarship, 47(6), 505-511. https://doi.org/10.1111/jnu.12167
  4. Han, J. H., Yang, I. S., & Yom, Y. H. (2013). An empirical study on burnout in clinical nurses: focused on bullying and negative affectivity. Korean Academy of Nursing Administration, 19(5), 578-588. https://doi.org/10.11111/jkana.2013.19.5.578
  5. Han, M. R., Gu, J. A., & Yoo, I. Y. (2014). Influence of workplace bullying and leader-member exchange on turnover intention among nurses. Journal of Korean Academy of Nursing Administration, 20(4), 383-393. https://doi.org/10.11111/jkana.2014.20.4.383
  6. Jo, E. A., & Kang, J. Y. (2015). Influence of workplace bullying and resilience on organizational socialization in new graduate nurses. Journal of Muscle and Joint Health, 22(2), 78-86. https://doi.org/10.5953/JMJH.2015.22.2.78
  7. Johnson, S. L., & Rea, R. E. (2009). Workplace bullying concerns for nurse leaders. Journal of Nursing Administration, 39(2), 84-90. https://doi.org/10.1097/NNA.0b013e318195a5fc
  8. Kim, H. J., & Park, D. H. (2016). The effects of workplace bullying on turnover intention in hospital nurses. Journal of Digital Convergence, 14(1), 241-252. https://doi.org/10.14400/JDC.2016.14.1.241
  9. Laschinger, H. K. S., Grau, A. L., Finegan, J., & Wilk P. (2010). New graduate nurses' experiences of bullying and burnout in hospital settings. Journal of Advanced Nursing, 66(12), 2732-2742. https://doi.org/10.1111/j.1365-2648.2010.05420.x
  10. Laschinger, H. K. S., Wong, C. A., & Grau, A. L. (2012). The influence of authentic leadership on newly graduated nurses' experiences of workplace bullying, burnout and retention outcomes: A cross-sectional study. International Journal of Nursing Studies, 49(10), 1266-1276. https://doi.org/10.1016/j.ijnurstu.2012.05.012
  11. Laschinger, H. K. S., & Nosko, A. (2015). Exposure to workplace bullying and post-traumatic stress disorder symptomology: the role of protective psychological resources. Journal of Nursing Management, 23(2), 252-262. https://doi.org/10.1111/jonm.12122
  12. Laschinger, H. K. S., & Nosko, A. (2015). Exposure to workplace bullying and post-traumatic stress disorder symptomology: the role of protective psychological resources. Journal of Nursing Management, 23(2), 252-262. https://doi.org/10.1111/jonm.12122
  13. Lee, Y. J, Lee, M. Y., & Bernstein, K. (2013). Effect of workplace bullying and job stress on turnover intention in hospital nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 22(2), 77-87. https://doi.org/10.12934/jkpmhn.2013.22.2.77
  14. Park, K. O., Kim, S.Y., & Kim, J. K. (2013). Hospital nurses' experience of bullying in the workplace and burnout, organizational commitment, turnover intention and nursing productivity. Journal of Korean Clinical Nursing Research, 19(2), 169-180. https://doi.org/10.22650/JKCNR.2013.19.2.169
  15. Purpora, C., Blegen, M. A., & Stotts, N. A. (2015). Hospital staff registered nurses' perception of horizontal violence, peer relationships, and the quality and safety of patient care. Work, 51(1), 29-37. https://doi.org/10.3233/WOR-141892
  16. Reknes, I., Pallesen, S., Mageroy, N., Moen, B. E., Bjorvatn, B., &Einarsen, S. (2014). Exposure to bullying behaviors as a predictor of mental health problems among Norwegian nurses: Results from the prospective SUSSH-survey. International Journal of Nursing Studies, 51(3), 479-487. https://doi.org/10.1016/j.ijnurstu.2013.06.017
  17. Simons, S. (2008). Workplace bullying experienced by Massachusetts registered nurses and the relationship to intention to leave the organization. Advances in Nursing Science, 31(2), E48-E59. https://doi.org/10.1097/01.ANS.0000319571.37373.d7
  18. Topa, G., & Moriano, J. A. (2013). Stress and nurses' horizontal mobbing: moderating effects of group identity and group support. Nursing Outlook, 61(3), E25-E31. https://doi.org/10.1016/j.outlook.2013.03.002
  19. Trepanier, S. G., Fernet, C., & Austin, S. (2013). Workplace psychological harassment in Canadian nurses: A descriptive study. Journal of Health Psychology, 18(3), 383-396. https://doi.org/10.1177/1359105312443401
  20. Trepanier, S. G., Fernet, C, & Austin, S. (2015). A longitudinal investigation of workplace bullying, basic need satisfaction, and employee functioning. Journal of Occupational Health Psychology, 20(1), 105-116. https://doi.org/10.1037/a0037726
  21. Wright, W., & Khatri, N. (2015). Bullying among nursing staff: relationship with psychological/behavioral responses of nurses and medical errors. Health Care Management Review, 40(2), 139-147. https://doi.org/10.1097/HMR.0000000000000015
  22. Yun, S. Y., Kang, J. Y., Lee, Y. O., & Yi, Y. H. (2014). Work environment and workplace bullying among Korean intensive care unit nurses. Asian Nursing Research, 8(3), 219-225. https://doi.org/10.1016/j.anr.2014.07.002
  23. Yun, S. Y., & Kang, J. Y. (2014). Factors affecting workplace bullying in Korean hospital nurses. Korean Journal of Adult Nursing, 26(5), 553-562. https://doi.org/10.7475/kjan.2014.26.5.553