Korean J Adult Nurs.  2014 Oct;26(5):553-562. 10.7475/kjan.2014.26.5.553.

Factors Affecting Workplace Bullying in Korean Hospital Nurses

  • 1Department of Nursing, Dong-A University, Busan, Korea. jykang@dau.ac.kr


The purpose of this study was to identify factors influencing workplace bullying among Korean hospital nurses.
Subjects in this study included 178 hospital nurses who attended two nationwide nursing educational conferences in 2013. The data was collected using self-report questionnaires which were used to identify the subjects' characteristics, self-esteem, perception of nursing organizational culture, and workplace bullying experience.
The results showed that 19.1% of study subjects reported being victims of workplace bullying and mostly experienced person-related and work-related bullying. Multiple regression analysis was done to identify factors affecting workplace bullying. The perception of relation-oriented culture, task-oriented culture and self-esteem turned out to be variables that explained nurses' workplace bullying, and these factors accounted for 32.0% of the variance.
The findings suggest that nurses experience more workplace bullying in task-oriented cultures. However, they experience less bullying and report higher self-esteem and awareness in relation-oriented cultures. Interventions focused on the characteristics of the organization need to be developed to prevent workplace bullying in hospital nurses.

MeSH Terms

Congresses as Topic
Organizational Culture
Surveys and Questionnaires

Cited by  4 articles

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Ceravolo D. J.., Schwartz D. G.., Foltz-Ramos K. M.., Castner J.2012. Strengthening communication to overcome lateral violence. Journal of Nursing Management. 20:599––606. http://dx.doi.org/10.1111/j.1365-2834.2012.01402.x.
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. 22:267––274. http://dx.doi.org/10.5807/kjohn.2013.22.4.267.
Dumont C.., Meisinger S.., Whitacre M. J.., Corbin G.2012. Horizontal violence survey report. Nursing. 2012:44––49. http://dx.doi.org/10.1097/01.NURSE.0000408487.95400.92.
Egues A. L.., Leinung E. Z.2013. The bully within and without: Strategies to address horizontal violence in nursing. Nursing Forum. 48:185––190. http://dx.doi.org/10.1111/nuf.12028.
Einarsen S.., Hoel H.., Notelaers G.2009. Measuring exposure to bullying and harassment at work: Validity, factor structure and psychometric properties of the Negative Acts Questionnaire-Revised. Work & Stress. 23(1):24––44. http://dx.doi.org/10.1080/02678370902815673.
Griffin M.2004. Teaching cognitive rehearsal as a shield for lateral violence: An intervention for newly licensed nurses. The Journal of Continuing Education in Nursing. 35:257––262.
Han S. J.2001. A study on the relationship between nursing organizational culture and organizational performance. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
Hutchinson M.., Wilkes L.., Jackson D.., Vickers M. H.2010. Integrating individual, work group and organizational factors: Testing a multidimensional model of bullying in the nursing workplace. Journal of Nursing Management. 18:173––181. http://dx.doi.org/10.1111/j.1365-2834.2009.01035.x.
Johnson S. L.., Rea R. E.2009. Workplace bullying: Concerns for nurse leaders. Journal of Nursing Administration. 39:84––90. http://dx.doi.org/10.1097/NNA.0b013e318195a5fc.
Kim M. S.., Han S. J.., Kim J. H.2004. The development of the nursing organization culture measurement tool. The Journal of Korean Nursing Administration Academic Society. 10:175––184.
Kim Y. J.2013. Field research on the nursing organizational culture in hospital setting. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
Lee E. H.., Chang S. J.., Kim H. O.., Roh J. H.., Park E. J.., Won J. U.2007. Relationship between job stress and turnover of registered nurses in a university hospital. Korean Journal of Occupational Environment Medicine. 19:93––104.
Lee Y. J.., Lee M. Y.., Bernstein K. S.2013. Effect of workplace bullying and job stress on turnover intention in hospital nurses. Journal of Academy Psychiatric Mental Health Nursing. 22:77––87. http://dx.doi.org/10.12934/jkpmhn.2013.22.2.77.
Lee Y. O.., Kang J. Y.., Yun S. Y.., Lee Y. H.., Kim B. J.2013. A methodological triangulation study on the experience of horizontal violence in intensive care unit nurses. Journal of Korean Critical Care Nursing. 6(2):37––50.
Losa Iglesias M. E.., Becerro de Bengoa Vallejo R.2012. Prevalence of bullying at work and its association with self-esteem scores in a Spanish nurse sample. Contemporary Nurse. 42(1):2––10. http://dx.doi.org/10.5172/conu.2012.42.1.2.
Lutgen-Sandvik P.., Tracy S. J.., Alberts J. K.2007. Burned by bullying in the American workplace: Prevalence, perception, degree and impact. Journal of Management Studies. 44:837––862. http://dx.doi.org/10.1111/j.1467-6486.2007.00715.x.
Matthiesen S. B.., Einarsen S.2007. Perpetrators and targets of bullying at work: Role stress and individual differences. Violence and Victims. 22:735––753.
McKenna B. G.., Smith N. A.., Poole S. J.., Coverdale J. H.2003. Horizontal violence: Experiences of registered nurses in their first year of practice. Journal of Advanced Nursing. 42(1):90––96.
Mikkelsen E.., Einarsen S.2001. Bullying in Danish work-life: prevalence and health correlates. Europe Journal Work Organization Psychology. 10:393––413. http://dx.doi.org/10.1080/13594320143000816.
Nam W.., Kim J. W.., Kim Y. K.., Koo J. W.., Park C. Y.2010. The Reliability and validity of the Negative Acts Questionnaire-Revised (NAQ-R) for nurses for the assessment of workplace bullying. Korean Journal Occupational Environment Medicine. 22:129––139.
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. 19:169––180.
Randle J.2003. Bullying in the nursing profession. Journal of Advanced Nursing. 43:395––401.
Roberts S. J.1983. Oppressed group behavior: Implications for nursing. Advances in Nursing Science. 5(4):21––30.
Rosenberg M.1965. Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
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. http://dx.doi.org/10.1097/01.ANS.0000319571.37373.d7.
The Joint Commission. 2008. Sentinel Event Alert: Behaviors that undermine a culture of safety. Retrieved June 10, 2014, from. http://www.jointcommission.org/SentinelEventAlert.
Vogelpohl D. A.., Rice S. K.., Edwards M. L.., Bork C. E.2012. New graduate nurses' perception of the workplace: Have they experienced bullying? Journal of Professional Nursing. 29:414––422. http://dx.doi.org/10.1016/j.profnurs.2012.10.008.
Walrafen N.., Brewer M. K.., Mulvenon C.2012. Sadly caught up in the moment: An exploration of horizontal violence. Nursing Economics. 30(1):6––12.
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