Workplace Bullying Against Nurses Health And Social Attention Essay

Workplace violence has surfaced as an area of huge interest to both small and large business recently. Some employers are denying that their business is influenced by this issue but the idea that workplace violence has reach all businesses like the health sector. Workplace violence is a multifaceted problem that it's so pervasive that the Centers for Disease Control (CDC) have classified it as a nationwide epidemic.

Healthcare workers are ornamented by an array of occupational risks including but not limited to back again injuries, needle stick injuries, contact with contagious, stress and assault. (Sullivan, E. & Decker, P. 2005)

Workplace assault includes both physical and non physical violence it could vary from physical assault, homicide to non-physical assault, like verbal misuse, intimate or racial harassment or making risks.

Non-physical kind of violence is rarely discussed. It is harassment however, not recognized as such because there is no discernible discrimination. When the harasser and targeted person are both customers of protected position groups, there is no prohibition, no protection. The offensive, intimidating, intimidating work environment is obviously hostile, not illegally hostile. (Namie, 2005)

The term work place bullying has been described as an umbrella term that incorporates harassment, intimidation and extreme or violent behaviors (Hadikin & O'Driscoll, 2000). Einarsen (2000) defines workplace bullying as:

"When a number of individuals, repeatedly over a period, face negative serves (whether it be intimate harassment, tormenting, social exclusion, offensive remarks, physical misuse or the like) conducted by one or more other individuals. In addition, there should be an imbalance in the power-relationships between gatherings. The individual confronted has to have difficulties defending himself/herself in this example". (pp. 383-384). Obviously, a person would not allow themselves to be bullied if indeed they had the capability to defend themselves (Niedl as cited in Einarsen, 2000).

Workplace bullying evolves in harmful effects on professional medical providers, patients the business and the health system all together. It includes particular importance to the medical profession, in view of the growing concern over the poor professional practice environment of nurses in many countries. Such environment brings about problems in retaining and recruiting nurses, contributing to the overall medical shortage, and eventually resulting in drop in quality patient health care. (ICN) The trend of office bullying is quite new and has only been analyzed for just a little over 2 decades. (Rayner, Hoel, & Cooper, 2002)

"Violence in the workplace is a significant way to obtain inequality, discrimination, stigmatization and discord at the workplace. Increasingly it is now a central man rights concern" (WHO). At exactly the same time, workplace assault is increasingly appearing as a significant, sometimes lethal risk to the efficiency and success of organizations. Assault causes immediate and frequently long-term disruption to social relationships, the organization of work and the entire working environment (ILO, 2002).

Despite the occurrence of workplace violence, studies claim that most happenings in clinics and health care facilities go unreported. Based on the U. S. Team of Justice, Federal Bureau of Exploration, "of great concern is the likely under-reporting of violence and persistent notion within the medical industry that assaults are part of the job. Under-reporting may indicate too little institutional reporting policies, employee opinion that reporting will not gain them, or employee doubts that employers may consider assaults the result of employee neglectfulness or poor job performance". (www. massnurses. org)

Many nurses do not discover the multiplicity and the wide-ranging definition of work area violence. Understanding the sort and rate of recurrence of violent conducts experienced in the healthcare setting will provide the foundation for early recognition and avoidance of violence. Creating a host that does not acknowledge nor tolerate acts of violence will increase staff satisfaction, reduce medical error and improve professional medical outcomes. In this particular study, work area bullying will be outlined as major moral problem, experienced by medical personnel but together overlooked.

Project aim

To determine the prevalence, impact, context, results of workplace bullying among nursing personnel, to be able to assist in expanding legal and programmatic response to boost nurses' basic safety and satisfaction.

Specific purpose for the analysis:

In order to motivated the incidence, prevalence, impact, framework, consequences and reduction strategies of workplace bullying against nursing personnel.

To analyze patients' reaction to violence and the results of workplace violence.

To help out with growing legal and programmatic response to boost providers' security, satisfaction and retention.

Problem assertion:

Violence and physical assault are named significant occupational hazards for the medical care providers worldwide. Assault in societies rises and become another leading cause of death in a few societies (Mayer et al 1999). Bulling is on form of violence that has a devastating effect on employee's life, family and career. To find the scope and the prevalence of place of work bullying, to increase staff awareness of violence with the aim of identifying the perpetrator characteristics, this review will be conducted. To make sure safe working environment in Salmaniya Medical Organic, managers should provide training for professional medical providers with regards to prevention and giving an answer to bullying and aggression. Healthcare providers should understand that violence result from a number of parameters, like stress, pain, concern with unknown, extended longing time to be seen and cured and unpleasant environment

Research questions:

What is the incidence of bullying of medical personnel during the past six months?

Did the variables of age, gender and experience as alter the nurse's connection with bullying?

Dose nurses job satisfaction afflicted by bullying patterns?

The conceptual framework:

The Psychological Harassment Model will be utilized. Psychological harassment is a heterogeneous phenomenon. Each bullying action shows another type of occurrence, has different determinant motivations (e. g. remove someone from the company, competition for tasks, status, improvement, gain a supervisor's favor, or play a tale on someone), a number of effects, and the happening occurs in different circumstances. From this paper's standpoint, mental harassment is first a energetic linear process with four phases, which is illustrated in Figure 1. The connection of three types of antecedents (period 1) can develop psychological harassment habit (period 2), which creates response from the sufferer and the organization (phase 3), and produces three types of effects (stage 4). But, additionally it is a uni-linear process. For example, the antecedents (period 1) can straight influence the responses (phase 3) of an individual (e. g. personality) or a business (e. g. , culture). For example, the personality of the victim can influence the nature of the average person response, or the culture of the company can influence the attribute of the organizational response. Just as, the antecedents (stage 1) can directly influence the effects (stage 4). For example, the personality of the victim can influence the mental health harassment health results.

Figure 1 The Emotional harassment process phase. (Adapted from Polipot-Rocaboy, G. 2006)

Definition of terminology:

Workplace: Any health care facility, no matter the size, location (urban or rural) and the type of service(s) pro-vided, including major recommendation private hospitals of large towns, regional and region hospitals, health care centers, clinics, community health content, rehabilitation centers, long-term care and attention facilities, general practitioners offices, other indie health care experts. In the case of services performed beyond your health care service, such as ambulance services or home attention, anyplace where such services are performed will certainly be a work environment. (ILO et al 2002)

Satisfaction: is generally thought as a person's emotive or affective response, either in a positive or in a poor direction, to some experience or situation. There is some question regarding whether satisfaction is a uni-dimensional theory or a multidimensional one. Some useful reviews of the books in this interconnection have been proposed by Prichard (1960), Vroom (1964), and Napior (1969).

Workplace violence: occurrences where personnel are abused, threatened or assaulted in circumstances related to their work, including commuting to and from work, concerning an explicit or implicit challenge to their safe practices, well-being or health. (Modified from European Percentage, ICN 2007)


Bullying is a sub-lethal, non-physical form of assault mental health in both its execution and effect on targeted individuals, bullying is some sort of long-term hostile patterns detected in employees at workplaces. It entails hostile and unethical communication which is directed in a organized manner by a number of individuals, mainly toward one person, who, credited to mobbing, is pressed into a helpless and defenseless position and organised there by means of carrying on mobbing activities. These actions occur on a regular basis (at least one time weekly) and over an extended period of time (at least six calendar months' duration). (Angeles, M. et al 2006)

Literature review

Through their nationwide work environmental functions Sweden, Finland and Norway support the privileges of workers to remain both physically and mentally healthy at work. Yet, in recent years, a work environment problem has been determined, the lifestyle and extent of which was not known previously. This phenomena has been called "mobbing, " "ganging up on someone" or psychic terror. It occurs as schisms, where the victim is subjected to a systematic stigmatizing through, inter alia, injustices (violation of someone's rights), which after a few years often means that the individual in question is unable to find work in his/her specific trade. Those accountable for this tragic future can either be co-worker or management. (Leymann, 1990)

Women and men are bullies. Women comprise 58% of the perpetrator pool regarding to a research done at the Office Bullying Institute (WBI). One half of all bullying is woman-on-woman. Overall, women comprise the majority of bullied people (80%). Without regulations and none exist in the U. S. , employers are reluctant to recognize, let alone correct or prevent detrimental behavior, preferring to dismiss bullying as "personality clashes. " (Namie, 2005)

Because of the predominance of ladies in the nursing career, subsequent makes an attempt to make clear intimidation in nursing centered on gender-based ideas of the patterns of oppressed organizations. More recently it has been suggested that intimidation may be the consequence of nurses who feel a lack of control attempting to gain control through bullying others. External pressures are often held responsible, such as health care staff' need to discover a scapegoat for mistakes. The impact of the reform of medical good care industry on staff is another reason cited for the living of this behavior. The funding and downsizing of hospitals for example, leads to greater levels of acuity in a healthcare facility patient population and hence increased workloads for nurses. Increased stress is often the result, and this is thought to contribute to an elevated inclination for bullying in the medical workforce. (Stevens, 2002)

According to ILO/ICN/WHO/PSI they identified workplace assault "Incidents where personnel are abused, threatened, or assaulted in circumstances related to their work, including commuting to and from work relating explicit or implicit obstacles to their safe practices, wellness or health". The Californian Occupational Basic safety and Health Supervision (Cal/OSHA), categorized work place assault into three types

Type I: the aggressor has no legitimate employment romance to the staff member or the place of work and, usually, the primary thing of the assault is obtaining cash or valuable prosperity or demonstrating ability. Examples are robbery, mugging, and road rage.

Type II: the aggressor is someone who is the receiver of a service provided by the influenced work place or by the worker. Examples are assault or verbal threats by patients, carers or family of the individual.

Type III: the aggressor is another staff, a supervisor or director. Examples are bullying and harassment.

Type I is referred to as "external assault", Type II as "client initiated" violence and Type III as "internal" violence. The internal violence will be tackled in this study.

Bullying is a sub-lethal, non-physical form of violence mental health in both its execution and effect on targeted individuals, bullying is some sort of long-term hostile action recognized in employees at workplaces. It involves hostile and unethical communication which is directed in a systematic manner by one or more individuals, mainly toward one individual, who, due to mobbing, is pressed into a helpless and defenseless position and organised there by means of carrying on mobbing activities. These activities occur over a consistent basis (at least one time a week) and over an extended period of time (at least six months' period). Due to the high frequency and long length of time of hostile tendencies, this maltreatment leads to considerable mental, psychosomatic and sociable misery". These hostile actions include verbal aggressions, rumors, humiliations, etc. Three types of bullying can be considered with regards to the electric power of victims and aggressors: horizontal, up-down and down-up bullying. Up-down bullying occurs whenever a superior harasses one of her subordinates. Down-up bullying occurs when a worker or a group or staff harasses his/their superior. When bullying occurs between co-workers at the same hierarchical level it is called horizontal bullying.

Workplace violence is often considered area of the job in medical sector and for that reason been more often overlooked than in another industries until just lately.

Workplace violence comes with an impact on the providers' health, productivity and dignity. The impact of assault is not just on specific level but stretch to organizational and communal levels.

The outcomes of violence at work are serious for both an organization and the employee. Victims of work place violence have an increased risk of long-term psychological problems and post-traumatic stress disorder (PTSD), a problem which is common in combat veterans and victims of terrorism, criminal offenses, rape and other violent incidents. Symptoms experienced by victims include self doubt, depression, sleep disturbances, irritability, decreased capability to function at work, increased absenteeism, and disturbances in relationships with family, friends and co-workers (American Federation of Point out, Region and Municipal Employees, n. d). Organizations are significantly affected financially credited to low staff member morale, increased job stress and turnover, reduced trust of management and coworkers, and hostile work conditions (NIOSH, 2002).

A survey from the ILO (1998) figured workplace violence is becoming progressively more global and crosses boarders; additionally it also reported that ladies are especially vulnerable to assault as they work in risky occupations.

Healthcare staff especially nurses are at risky of workplace violence. Half of all claims of aggression in the workplace come from the health sectors (bureau of Justice Information, 1992-1996). Healthcare staff face 16 times the risk of violence from patient/clients than other service staff (Elliot, P. 1997. Nursing Management, 28, 12, 38-41). The Joint Commission's survey found that more than 50 percent of nurses have been the prospective of some form of abuse at the job and even more than 90 percent report having witnessed abusive behavior. Furthermore, 75 percent of nurses who responded thought that this type of behavior can reduce patient satisfaction and disrupt health care.

Despite the severity of the problem, neither the management nor the coworkers will probably interfere or take action to aid the sufferer. On contrary if the sufferer complains they often faces disbelief and questioning their own role. (Einarsen, S. et al. 2003)

Workplace assault is thought to be heavily underreported, because of this of lack of consensus on taxonomy of violence; cultural acceptance of violence; insufficient an appropriate reporting system; lack of career interest; and fear of blame or reprisal (Daniels C. & Marlow P. 2005).

Although a bullying culture in medical is seldom specifically referred to in large-scale studies of nursing homes' medical dissatisfaction and retention strategies, it is clear that tackling this problem may be critical. The books indicates that this sort of medical culture may be more prevalent than the job may caution to acknowledge.


Organization of the analysis:

A popular nonprofit secondary treatment service in the Kingdom of Bahrain will be preferred to conduct this research.

The primary offers health care in Kingdome of Bahrain is the general public health sector; Salmaniya Medical complicated (SMC) is the main clinic in the kingdom, meets the extra and tertiary health care needs of the whole citizens and residents. The majority of the healthcare providers are working in SMC.

Study population:

From the total number of staff nurses working in SMC 300 staff will be decided on randomly.

All major self-control in a healthcare facility will be covered (medicine, surgical, crisis, pediatrics etc. )

Study Design:

Quantitative study design will be utilized to explore the partnership between the place of work bullying and job satisfaction.

Data collection methods:

To assess work environment bullying, the Negative Serves Questionnaire (NAQ) produced by Einarsen and Raknes (1997), will be utilized.

The Negative Serves Questionnaire comprises 22 items referring to particular behaviors in the workplace that may be regarded as bullying as well as a self-report item on victimization. The manners or negative acts are descriptive without labeling the actions as bullying. The conducts include; being shouted at, being humiliated, having viewpoints disregarded, being excluded, repeated reminders of problems, intimidating behavior, increased monitoring of work, and persistent criticism of work and effort.

Participants will be requested to complete a 5-point Likert level about how often that they had been put through these behaviors during the last six months, with response categories which range from never (1), occasionally (2), monthly (3), each week (4) and daily (5). To calculate the regularity of exposure to bullying patterns, Leymann's operational meaning of work environment bullying of 1 incident per week over an interval of at least 6 months was used. The questionnaire is devided into three parts section A. demographic data, section B. the Negative Function Questionnaire and section C. is about the nurses job satisfaction.

Place and time:

The questionnaire will be distributed to the prospective population with a resume cover letter making sure anonymity.

Pilot review:

The questionnaire will be analyzed in a pilot analysis of 50 nurses employed in SMC to check the validity. The employee in the pilot research will not be included in the actual study. Moral endorsement will be obtained for this study.

Data management and evaluation plan:

The data will be analyzed using the Statistical Bundle for the Friendly Sciences (SPSS).

Plan expected and Agenda

Design research plan

1 month

Pilot study, analyze data and revise

15 days

Implementation of the study

1 month

Data analysis


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