Workplace Bullying in Healthcare: A Critically Appraised Topic

in International Journal of Athletic Therapy and Training

Click name to view affiliation

Jonathan I. Hochstetler Greater Regional Health

Search for other papers by Jonathan I. Hochstetler in
Current site
Google Scholar
PubMed Close
*
,
Anne C. Russ Temple University

Search for other papers by Anne C. Russ in
Current site
Google Scholar
PubMed Close
*
,
Ryan Tierney Temple University

Search for other papers by Ryan Tierney in
Current site
Google Scholar
PubMed Close
*
, and
Jamie L. Mansell Temple University

Search for other papers by Jamie L. Mansell in
Current site
Google Scholar
PubMed Close
*
DOI:
https://doi.org/10.1123/ijatt.2019-0115
Keywords:
harassment; safe workplace; mental wellness; psychological abuse
First Published Online:
12 Sep 2020
In Print:
Volume 26: Issue 3
Page Range:
130–135
Restricted access

Focused Clinical Question: In athletic training, what is the percentage of workplace bullying compared to the percentage in nursing? Clinical Bottom Line: There is evidence that workplace bullying is prevalent in the athletic training and nursing professions.

Hochstetler is with Greater Regional Health, Creston, IA, USA. Russ, Tierney, and Mansell are with the Department of Health and Rehabilitation Sciences, Temple University, Philadelphia, PA, USA.

Hochstetler (jon_hochstetler@yahoo.com) is corresponding author.
  • Collapse
  • Expand

International Journal of Athletic Therapy and Training

Cover International Journal of Athletic Therapy and Training
  • 1.

    Srabstein JC, Leventhal BL. Prevention of bullying-related morbidity and mortality: a call for public health policies. Bull World Health Organ. 2010;88(6):403. doi:10.2471/BLT.10.077123

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Namie G. 2017 WBI U.S. survey: national prevalence, 60.3 million workers affected by workplace bullying. Workplace Bullying Institute website. June 23, 2017. https://www.workplacebullying.org/2017-prevalence/. Accessed July 7, 2019.

    • Search Google Scholar
    • Export Citation
  • 3.

    Hsieh YH, Wang HH, Ma SC. The mediating role of self-efficacy in the relationship between workplace bullying, mental health, and an intention to leave among nurses in Taiwan. Int J Occup Med Environ Health. 2019;32(3):245–254.

    • Search Google Scholar
    • Export Citation
  • 4.

    Purpora C, Cooper A, Sharifi C. The prevalence of nurses’ perceived exposure to workplace bullying and its effect on nurse, patient, organization, and nursing-related outcomes in clinical settings: a quantitative systematic review protocol. JBI Database System Rev Implement Rep. 2015;13(9):51–62. PubMed ID: 26470660 doi:10.11124/01938924-201513090-00007

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Rahm G, Rystedt I, Wilde-Larsson B, Nordstrom G, Strandmark M. Workplace bullying among healthcare professionals in Sweden: a descriptive study. Scand J Caring Sci. 2019;1(1):1–10.

    • Search Google Scholar
    • Export Citation
  • 6.

    Vaillancourt T, Duku E, Becker S, et al. Peer victimization, depressive symptoms, and high salivary cortisol predict poorer memory in children. Brain Cogn. 2011;77(2):191–199. PubMed ID: 21855200 doi:10.1016/j.bandc.2011.06.012

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Hansen AM, Hogh A, Persson R. Frequency of bullying at work, physiological response, and mental health. J Psychosom Res. 2011;70(1):19–27. PubMed ID: 21193097 doi:10.1016/j.jpsychores.2010.05.010

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Pranjic N, Males-Bilic L, Beganlic A, Mustajbegovic J. Mobbing, stress, and work ability index among physicians in Bosnia and Herzegovina: survey study. Croat Med J. 2006;47(5):750–758. PubMed ID: 17042067

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Reknes I, Pallesen S, Mageroy N, et al. Exposure to bullying behaviors as a predictor of mental health problems among Norwegian nurses: results from the prospective SUSSH-survey. Int J Nurs Stud. 2014;51(3):479–487 PubMed ID: 23891534 doi:10.1016/j.ijnurstu.2013.06.017

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Ekici D, Beder A. The effects of workplace bullying on physicians and nurses. Aust J Adv Nurs. 2014;31(4):24–33.

  • 11.

    Loerbroks A, Weigl M, Li J, et al. Workplace bullying and depressive symptoms: a prospective study among junior physicians in Germany. J Psychosom Res. 2015;78(2):168–172. PubMed ID: 25454681 doi:10.1016/j.jpsychores.2014.10.008

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Iglesias MEL, Vallejo RBDB. Prevalence of bullying at work and its association with self-esteem scores in a Spanish nurse sample. Contemp Nurse. 2012;42(1):2–10. doi:10.5172/conu.2012.42.1.2

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Vartia MA. Consequences of workplace bullying with respect to the well-being of its targets and the observers of bullying. Scand J Work Environ Health. 2001;27(1):63–69. PubMed ID: 11266149 doi:10.5271/sjweh.588

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Aykut G, Efe EM, Bayraktar S, et al. Mobbing exposure of anaesthesiology residents in Turkey. Turk J Anaesthesiol Reanim. 2016;44(4):177–189. PubMed ID: 27909591 doi:10.5152/TJAR.2016.79446

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Sterud T, Hem E, Lau B, Ekeberg O. Suicidal ideation and suicide attempts in a nationwide sample of operational Norwegian ambulance personnel. J Occup Health. 2008;50(5):406–414. PubMed ID: 18654042 doi:10.1539/joh.L8025

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Spence Laschinger HK, Nosko A. Exposure to workplace bullying and post-traumatic stress disorder symptomology: the role of protective psychological resources. J Nurs Manag. 2015;23(2):252–262. doi:10.1111/jonm.12122

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Tatar ZB, Yuksel S. Mobbing at workplace-psychological trauma and documentation of psychiatric symptoms. Noro Psikiyatr Ars. 56(1):57–62.

  • 18.

    Chatziioannidis I, Bascialla FG, Chatzivalsama P, Vouzas F, Mitsiakos G. Prevalence, causes, and mental health impact of workplace bullying in the Neonatal Intensive Care Unit environment. BMJ Open. 2018;8(2):e018766. doi:10.1136/bmjopen-2017-018766

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Carter M, Thompson N, Crampton P, et al. Workplace bullying in the UK NHS: a questionnaire and interview study on prevalence, impact and barriers to reporting. BMJ Open. 3(6):1–12.

    • Search Google Scholar
    • Export Citation
  • 20.

    Demir D, Rodwell J. Psychosocial antecedents and consequences of workplace aggression for hospital nurses. J Nurs Scholarsh. 2012;44(4):376–384. PubMed ID: 23062249 doi:10.1111/j.1547-5069.2012.01472.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Hostinar CE, Gunnar MR. Future directions in the study of social relationships as regulators of the HPA axis across development. J Clin Child Adolesc Psychol. 2013;42(4):564–575. PubMed ID: 23746193 doi:10.1080/15374416.2013.804387

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Knack JM, Jensen-Campbell LA, Baum A. Worse than sticks and stones? Bullying is associated with altered HPA axis functioning and poorer health. Brain Cogn. 2011;77(2):183–190. PubMed ID: 21839567 doi:10.1016/j.bandc.2011.06.011

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Niedhammer I, David S, Degionanni S, et al. Workplace bullying and sleep disturbances: findings from a large scale cross-sectional survey in the French working population. Sleep. 2009;32(9):1211–1219. PubMed ID: 19750926 doi:10.1093/sleep/32.9.1211

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Hansen AM, Hogh A, Garde AH, Persson R. Workplace bullying and sleep difficulties: a 2-year follow up study. Int Arch Occup Environ Health. 2014;87(3):285–294. doi:10.1007/s00420-013-0860-2

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Wright W, Khatri N. Bullying among nursing staff: relationship with psychological/behavioral responses of nurses and medical errors. Health Care Manage Rev. 2015;40(2):139–147. PubMed ID: 24566251 doi:10.1097/HMR.0000000000000015

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Yildirim A, Yildirim D. Mobbing in the workplace by peers and managers: mobbing experienced by nurses working in healthcare facilities in Turkey and its effect on nurses. J Clin Nurs. 2007;16(8):1444–1453. PubMed ID: 17655532 doi:10.1111/j.1365-2702.2006.01814.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Fattori A, Neri L, Aguglia E. Estimating the impact of workplace bullying: humanistic and economic burden among workers with chronic medical conditions. Biomed Res Int. 2015;2015(1):1–12. doi:10.1155/2015/708908

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 28.

    Kostev K, Rex J, Waehlert L, Hog D, Heilmaier C. Risk of psychiatric and neurological diseases in patients with workplace mobbing experience in Germany: a retrospective database analysis. Ger Med Sci. 2014;12(1):1–9.

    • Search Google Scholar
    • Export Citation
  • 29.

    Xu T, Magnusson Hanson LL, Lange T, et al. Workplace bullying and workplace violence as risk factors for cardiovascular disease: a multi-cohort study. Eur Heart J. 2019;40(14):1124–1134. PubMed ID: 30452614 doi:10.1093/eurheartj/ehy683

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Kivimaki M, Virtanen M, Vartia M, et al. Workplace bullying and the risk of cardiovascular disease and depression. Occup Environ Med. 2003;60(10):779–783. PubMed ID: 14504368 doi:10.1136/oem.60.10.779

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Xu T, Magnusson Hanson LL, Lange T, et al. Workplace bullying and violence as risk factors for type 2 diabetes: a multicohort study and metanalysis. Diabetologia. 2018;61(1):75–83. PubMed ID: 29130114 doi:10.1007/s00125-017-4480-3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32.

    Hollis LP. Bully university? The cost of workplace bullying and employee disengagement in American higher education. SAGE Open. 2015;1(1):1–11.

    • Search Google Scholar
    • Export Citation
  • 33.

    Rosenstein AH, Naylor B. Incidence and impact of physician and nurse disruptive behaviors in the emergency department. J Emerg Med. 2012;43(1):139–148. PubMed ID: 21421291 doi:10.1016/j.jemermed.2011.01.019

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Wilson BL, Phelps C. Horizontal hostility: a threat to patient safety. JONAS Health Law Ethics Regul. 2013;15(1):51–57. doi:10.1097/NHL.0b013e3182861503

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 35.

    Aiken LH, Cimiotti JP, Sloane DM, et al. Effects of nurse staffing and nurse education on patient deaths in hospitals with different work environments. J Nurs Adm. 2012;42(suppl 10):S10–S16.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 36.

    Al-Ghabeesh SH, Qattom H. Workplace bullying and its preventive measures and productivity among emergency department nurse. Isr J Health Policy Res. 2019;8(1):1–9.

    • Search Google Scholar
    • Export Citation
  • 37.

    Vogelpohl DA, Rice SK, Edwards ME, Bork CE. New graduate nurses’ perception of the workplace: have they experienced bullying? J Prof Nurs. 2013;29(6):414–422. PubMed ID: 24267937 doi:10.1016/j.profnurs.2012.10.008

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Spence Laschinger HK, Fida R. A time-lagged analysis of the effect of authentic leadership on workplace bullying, burnout, and occupational turnover intentions. Eur J Work Organ Psychol. 2014;23(5):1–17.

    • Search Google Scholar
    • Export Citation
  • 39.

    Allen BC, Holland P, Reynolds R. The effect of bullying on burnout in nurses: the moderating role of psychological detachment. J Adv Nurs. 2015;71(2):381–390. PubMed ID: 25082131 doi:10.1111/jan.12489

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 40.

    Janssens H, Braeckman L, De Clercq B, et al. The indirect association of job strain with long-term sickness absence through bullying: a mediation analysis using structural equation modeling. BMC Public Health. 2016;16(1):1–12.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 41.

    Giga SI, Hoel H, Lewis D. The costs of workplace bullying. London, UK: Unite the Union/Department of Business, Enterprise and Regulatory Reform;May 2008. https://www.researchgate.net/publication/260246863_The_Costs_of_Workplace_Bullying. Accessed June 9, 2019.

    • Search Google Scholar
    • Export Citation
  • 42.

    Ajoudani F, Baghaei R, Lotfi M. Moral distress and burnout in Iranian nurses: the mediating effect of workplace bullying. Nurs Ethics. 2018;1(1):1–14.

    • Search Google Scholar
    • Export Citation
  • 43.

    Ganz FD, Levy H, Khalaila R, et al. Bullying and its prevention among intensive care nurses. J Nurs Scholarsh. 2015;47(6):505–511. PubMed ID: 26444570 doi:10.1111/jnu.12167

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 44.

    Olender L. The relationship between and factors influencing staff nurses’ perceptions of nurse manager caring and exposure to workplace bullying in multiple healthcare settings. J Nurs Adm. 2017;47(10):501–507. PubMed ID: 28957868 doi:10.1097/NNA.0000000000000522

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 45.

    Weuve C, Pitney WA, Martin M, Mazerolle SM. Experiences with workplace bullying among athletic trainers in the collegiate setting. J Athl Train. 2014;49(5):706–718. PubMed ID: 25098658 doi:10.4085/1062-6050-49.3.13

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 46.

    Pitney WA, Weuve C, Mazerolle SM. Experiences with and perceptions of workplace bullying among athletic trainers in the secondary school setting. J Athl Train. 2016;51(9):709–716. PubMed ID: 27718590 doi:10.4085/1062-6050-51.10.14

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 47.

    Lindsay R, Hanson L, Taylor M, McBurney H. Workplace stressors experienced by physiotherapists working in regional public hospitals. Aust J Rural Health. 2008;16(4):194–200. doi:10.1111/j.1440-1584.2008.00980.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 48.

    Ling M, Young CJ, Shepherd HL, Mak C, Saw RP. Workplace bullying in surgery. World J Surg. 2016;40(11):2560–2566. PubMed ID: 27624759 doi:10.1007/s00268-016-3642-7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 49.

    Rouse LP, Gallagher-Garza S, Gebhard RE, Harrison SL, Wallace LS. Workplace bullying among family physicians: a gender focused study. J Womens Health (Larchmt). 2016;25(9):882–888. doi:10.1089/jwh.2015.5577

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 50.

    Malinauskiene V, Einarsen S. Workplace bullying and post-traumatic stress symptoms among family physicians in Lithuania: an occupation and region specific approach. Int J Occup Med Environ Health. 2014;27(6):919–932. PubMed ID: 25503894 doi:10.2478/s13382-014-0328-y

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 51.

    National Athletic Trainers Association. Athletic training in the hospital and clinical setting: an FAQ for athletic trainers. www.nata.org. Accessed January 18, 2020.

    • Search Google Scholar
    • Export Citation
  • 52.

    Kroshus E, Baugh CM, Daneshvar DH, et al. Pressure on sports medicine clinicians to prematurely return collegiate athletes to play after concussion. J Athl Train. 2015;50(9):944–951. PubMed ID: 26207440 doi:10.4085/1062-6050-50.6.03

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 53.

    National Athletic Trainers Association. Only half or collegiate-level sports programs follow medical model care for student-athletes, survey finds [press release]. June 26, 2019. https://www.nata.org/press-release/062619/only-half-collegiate-level-sports-programs-follow-medical-model-care-student. Accessed January 18, 2020.

    • Search Google Scholar
    • Export Citation
  • 54.

    Gupilan M. Abusive Behavior in Sport: When Does a Coach Cross the Line? [masters thesis]. Brockport, NY: The College at Brockport: State University of New York; 2017.

    • Search Google Scholar
    • Export Citation
  • 55.

    Berry PA, Gillespie GL, Gates D, Schafer J. Novice nurse productivity following workplace bullying. J Nurs Scholarsh. 2012;44(1):80–87. PubMed ID: 22339938 doi:10.1111/j.1547-5069.2011.01436.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 56.

    Obeidat RF, Qan’ir Y, Turaani H. The relationship between perceived competence and perceived workplace bullying among registered nurses: a cross sectional survey. Int J Nurs Stud. 2018;88(1):71–78. doi:10.1016/j.ijnurstu.2018.08.012

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 57.

    Center for Evidence Based Management. Critical appraisal checklist for cross-sectional study. July, 2014. https://www.cebma.org. Accessed July 6, 2019.

  • 58.

    Hong QN, Pluye P, Fàbregues S, et al. Mixed Methods Appraisal Tool (MMAT), Version 2018. Registration of Copyright (#1148552). Canadian Intellectual Property Office, Industry Canada; 2018.

    • Search Google Scholar
    • Export Citation
  • 59.

    Einarsen S, Hoel H, Notelaers G. Measuring exposure to bullying and harassment at work: validity, factor structure and psychometric properties of the Negative Acts Questionnaire-Revised. Work Stress. 2009;23(1):24–44. doi:10.1080/02678370902815673

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 60.

    Ebell MH, Siwek J, Weiss BD, et al. Strength of Recommendation Taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. Am Fam Physician. 2004;69(1):549–557.

    • Search Google Scholar
    • Export Citation
  • 61.

    Spence Laschinger HK, Leiter MP, Day A, Gilin-Oore D, Mackinnon SP. Building empowering work environments that foster civility and organizational trust: testing an intervention. Nurs Res. 2012;61(5):316–325. doi:10.1097/NNR.0b013e318265a58d

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 62.

    Ceravolo DJ, Schwartz DG, Foltz-Ramos KM, Castner J. Strengthening communication to overcome lateral violence. J Nurs Manag. 2012;20(5):599–606. PubMed ID: 22823215 doi:10.1111/j.1365-2834.2012.01402.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 63.

    Rush KL, Adamack M, Gordon J, Janke R. New graduate nurse transition programs: relationships with bullying and access to support. Contemp Nurse. 2014;48(2):219–228. PubMed ID: 25549716 doi:10.1080/10376178.2014.11081944

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 1572 691 45
Full Text Views 223 29 1
PDF Downloads 176 23 3