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Original Articles
Relationship between Ethical Climate, Workplace Bullying, and Turnover Intention of Hospital Nurses in Korea
Mi-Aie Lee, Hyun Ju Park, Bonghwa Kim
J Korean Acad Nurs Adm 2023;29(4):457-467.   Published online September 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.4.457
Purpose
This study aimed to investigate the relationship between' perceived ethical climate, workplace bullying, and turnover intention among hospital nurses.
Methods
This study was conducted with 190 full-time nurses working in hospitals in Korea as participants. Data were collected from online communities using Google Docs from July 22 to July 25, 2022.
Results
Average values were as follows: ethical climate was 3.79±0.60, workplace bullying was 2.31±0.77, and turnover intention was 3.79±0.60. While turnover intention had no correlation with ethical climate, it had a positive relationship with workplace bullying. Workplace bullying was influenced by verbal aggression (β=.48, p=.001), inappropriate task assignment (β=.26, p=.006), monthly salary (β=.18, p=.001), and working department (β=-.13, p=.012). These four variables may explain 60.0% of hospital nurses' turnover intention.
Conclusion
To prevent turnover of hospital nurses, nursing managers should establish nursing career development programs to ensure adequate retention of experienced nurses. The need to provide nurses with communication skills training to prevent verbal attacks and bullying in the workplace has been identified.

Citations

Citations to this article as recorded by  
  • Effects of Clinical Nurses' Ethical Climate and Ethical Nursing Competence on Moral Distress
    Sun Mi Ha, Yeong Ju Yoon
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 25.     CrossRef
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Purpose
This study was conducted to understand the factors influencing the performance of nurses to identify interventions to promote nursing performance. The study focused on workplace bullying, social interaction anxiety, and positive psychological capital.
Methods
Data were collected from 148 nurses who had been working for over six months at four hospitals and analyzed using the SPSS/WIN 21.0 program.
Results
Significant differences were found in nursing performance grades by age (F=3.93, p=.010), marital status (t=-2.52, p=.013), current department experience (F=3.72, p=.013). Nursing performance had a negative correlation with social interaction anxiety (r=-.27, p=.001) and positive psychological capital (r=.61, p<.001). Factors affecting nursing performance were positive psychological capital and age, such that the 40~49-year-old group had a relatively higher influence on nursing performance than the 29-year-old group. The explanatory power of regression analysis was 3% (F=47.65, p<.001).
Conclusion
The results suggest that to improve nursing performance, positive psychological capital based coaching and educational programs would be suitable for nurses and should be applied to the nursing education curriculum.

Citations

Citations to this article as recorded by  
  • The Influence of Positive Psychological Capital and Mindset on Grit among Nursing Students: A Cross-sectional Survey
    Jinjoo Chang, Eun Jung Bae, Jaewon Joung
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 296.     CrossRef
  • Effects of Nurse-Nurse Collaboration and Nurse-Physician Collaboration on Nursing Performance in Nurses: The Mediating Effect of Patient Safety Management Activities
    JaHyun Kim, Seok Hee Jeong, Hee Sun Kim, Sunmi Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 343.     CrossRef
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Effects of Organizational Silence and Organizational Justice on Bullying among Hospital Nurses at Work
Mi-Aei Lee, Bi-Joo Kim
J Korean Acad Nurs Adm 2023;29(1):1-11.   Published online January 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.1.1
Purpose
This study aimed to investigate the effects of organizational silence and organizational justice on bullying among hospital nurses in their workplace. Methods: This study was a cross-sectional survey conducted on 235 full-time nurses in Korea. Data were collected online using Google Docs from 14 June to 9 July 2021. Results: Nurses who were male, below 30 years of age, unmarried, had less than five years of clinical experience, had worked in special departments, and had no prior experience with workplace bullying were more vulnerable to workplace bullying than nurses with other characteristics. Workplace bullying of hospital nurses was positively correlated with their acquiescent silence and defensive silence, and negatively correlated with their procedural justice and interactional justice. Factors influencing workplace bullying of hospital nurses were defensive silence, bullying experience (have), distributive justice, acquiescent silence, gender (male), and marital status (single). These six variables explained 55% of workplace bullying in hospital nurses. Conclusion: Based on the results of this study, it could be concluded that nursing managers should keep organizational silence low, organizational justice high, and pay more attention to nurses who are vulnerable to bullying in their workplace.

Citations

Citations to this article as recorded by  
  • Development of the Hospital Nurses’ Silence Behavior Scale
    Soojin Chung, Jee-In Hwang
    Journal of Korean Academy of Nursing.2024; 54(2): 279.     CrossRef
  • Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
    Nayeop Lee, Yoonju Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     CrossRef
  • Influence of Clinical Nurses’ Organizational Silence on Organizational Citizenship Behavior: Mediating Effect of Organizational Commitment Moderated by Organizational Justice
    Shin Ae Hwang, Haeyoung Min
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 416.     CrossRef
  • Relationship between Ethical Climate, Workplace Bullying, and Turnover Intention of Hospital Nurses in Korea
    Mi-Aie Lee, Hyun Ju Park, Bonghwa Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 457.     CrossRef
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Structural Equation Modeling on Workplace Incivility of Nurses: Evolution to Bullying
Seo In Kim, Soukyoung Kim
J Korean Acad Nurs Adm 2022;28(4):406-416.   Published online September 30, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.4.406
Purpose
The purpose of this study was to construct and test a hypothetical model based on the Incivility Spiral model for identifying the factors of workplace incivility of nurses and determining if incivility evolve to bullying. Methods: The data were collected from nurses working at 9 hospitals in Seoul, Gyeonggi, Daejeon, Changwon, and Busan province from July 1 to August 15, 2019, using structured questionnaires. Finally, the data from 274 nurses were analyzed. Results: The goodness-of-fit of the hypothetical model was at a good level and 10 out of 13 hypotheses were supported. The workplace incivility was both directly and indirectly affected by anger tendency, leadership of head nurses, and communication competence and directly affected by civility culture. Each of the variables affecting workplace incivility was also found to be a significant factor indirectly affecting workplace bullying and workplace incivility was a factor directly affected on workplace bullying. The variables in this study accounted for 57% of workplace incivility and 65% of workplace bullying. Conclusion: In order to prevent workplace bullying, it is important to initially manage workplace incivility, and for this, clear standards and policies for workplace incivility should be prepared and utilized.
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Validity and Reliability of the Korean Version of the Cyberbullying Scale for Newly Graduated Nurses
Eun-Young Kim, Na-Ri Kim
J Korean Acad Nurs Adm 2021;27(4):282-290.   Published online September 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.4.282
Purpose
This study was done to determine whether the Korean version of the cyberbullying scale developed for adolescents is applicable to newly graduated nurses. Methods: This scale was composed of 14 items with the one-factor structure to measure the degree of cyberbullying and 1 item with multiple responses the media used for cyberbullying. Online survey data were collected from 279 newly graduated nurses who worked in hospital. Internal consistency reliability and construct validity using confirmatory factor analysis were conducted using SPSS/WIN 26.0 and AMOS 26.0. Results: The one-factor structure was validated through confirmatory factor analysis (x 2 =360.22, df=77, Normed Fit Index (NFI)=.91, Tucker Lewis index (TLI)=.92, Comparative Fit Index (CFI)=.93, and Root Mean-Squared Error of Approximation (RMSEA)=.12). The correlation coefficient between cyberbullying and workplace bullying was .50 (p<.01), confirming the criterion-related validity. The Korean version of the cyberbullying scale showed reliable internal consistency with a Cronbach’s ⍺ for the total scale of .97. Conclusion: Findings from this study demonstrate that the Korean version of the cyberbullying scale has satisfactory construct validity and reliability to measure cyberbullying experience among newly graduated nurses. The use of this scale will be valuable for future practice and research related to cyberbullying.

Citations

Citations to this article as recorded by  
  • Greener Communication: To Make Better Understand the Interaction between Aging and the Environment
    Irwansyah, Niken Febrina Ernungstya
    IOP Conference Series: Earth and Environmental Science.2022; 1111(1): 012070.     CrossRef
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Effects of Meaning of Work, Job Embeddedness, and Workplace Bullying on Turnover Intention of Nurses in a University Hospital
Young Suk Sim, Gui Sook Shim, Bong Hi Sim, Joo Hyun Sung
J Korean Acad Nurs Adm 2021;27(4):227-235.   Published online September 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.4.227
Purpose
The purpose of this study was to explore the effect of meaning of work, job embeddedness, and workplace bullying on turnover intention in university hospital nurses. Methods: Data were collected from 126 nurses in a university hospital with more than 500 beds in C-city. Data analysis was performed using multiple linear regression with the SPSS 25.0 program. Results: Significant factors influencing the turnover intention of hospital nurses were meaning of work, job embeddedness and workplace bullying. Conclusion: Negative significant factors influencing the turnover intention of university hospital nurses were meaning of work and job embeddedness. Workplace bullying was the only positive significant factor influencing turnover intention of university hospital nurses. In order to reduce turnover intention, it is necessary to find an alternative that strengthens the meaning of work and job embeddedness and prevents the workplace bullying.

Citations

Citations to this article as recorded by  
  • The effects of communication competence, meaning of work, and work-life balance on turnover intention in Generation Z nurses in South Korea: A cross-sectional study
    Kyu-Yeon Jeong, MiRa Yun, Eun-Hi Choi
    Applied Nursing Research.2025; 83: 151952.     CrossRef
  • Nurses’ job embeddedness and turnover intention: A systematic review and meta-analysis
    Xin Wang, Ming Liu, Angela Y.M. Leung, Xiaoyan Jin, Hongxia Dai, Shaomei Shang
    International Journal of Nursing Sciences.2024; 11(5): 563.     CrossRef
  • Development of a Nurse Turnover Prediction Model in Korea Using Machine Learning
    Seong-Kwang Kim, Eun-Joo Kim, Hye-Kyeong Kim, Sung-Sook Song, Bit-Na Park, Kyoung-Won Jo
    Healthcare.2023; 11(11): 1583.     CrossRef
  • Impact of workplace bullying and resilience on new nurses' turnover intention in tertiary hospitals
    Gyu Li Baek, EunJu Lee
    Nursing & Health Sciences.2022; 24(4): 801.     CrossRef
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Influences of Workplace Bullying and Job Satisfaction on Happiness among Perioperative Nurses
Song I Park, Key Ha Kim
J Korean Acad Nurs Adm 2021;27(1):54-63.   Published online January 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.1.54
Purpose
The purpose of this study was to investigate workplace bullying, job satisfaction, and happiness among perioperative nurses. Methods: Participants were 194 nurses who worked in hospitals with over 100 beds and located in G city and J Province. Data collection was conducted from May 4 to June 4, 2020. Descriptive statistics, independent t-test, one-way ANOVA, and stepwise multiple regression were used with IBM SPSS Statistics 26 program for data analysis. Results: The mean score were, for workplace bullying, 1.87, for job satisfaction, 3.50, and for happiness, 3.87. Happiness of perioperative nurses was significantly influenced by job satisfaction (β=.52, p<.001), leisure time (β=.16, p=.008), and marital status (β=.13, p=.026). Conclusion: The results show that job satisfaction of perioperative nurses is important for happiness. Therefore, there is a need to develop programs to increase job satisfaction to improve happiness in perioperative nurses.

Citations

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  • Investigating the Level of Happiness and Its Relationship with Demographic Variables in Nurses of Educational-therapeutic Centers in Ardabil in 2022
    Kimia Faridi, Mohammad Ail Mohamadi, Behrouz Dadkhah, Saeid Mehri
    Journal of Health and Care.2024; 26(4): 418.     CrossRef
  • Decent work and subjective well-being in Mexico
    Hugo Briseño, Lourdes Maisterrena, Manuel Soto-Pérez
    International Journal of Sociology and Social Policy.2024; 44(1/2): 171.     CrossRef
  • Effects of perceived spiritual management, work engagement, and organizational commitment on job satisfaction among clinical nurses: the mediating role of perceived spiritual management
    Eun-Hye Lee, Hea-Jin Yu
    BMC Nursing.2023;[Epub]     CrossRef
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Effects of Workplace Bullying and Empowerment on Nurses’ Turnover Intention
Yesul Lee, Yoonju Lee, Ju-Young Ha, Minjeong Jo
J Korean Acad Nurs Adm 2021;27(1):1-11.   Published online January 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.1.1
Purpose
This study was done using quantile regression to identify the factors affecting nurses’ turnover intention. Methods: A sample of 163 nurses, who had worked in hospitals for more than 6 months, was recruited from two online nursing communities. Data were collected through self-report questionnaires, which included turnover intention, workplace bullying, empowerment, and sociodemographic and job characteristics. Collected data were analyzed using ANOVA, Kruskal-Wallis test, Mann-Whitney U test, Spearman correlation coefficients, and quantile regression. Results: The factors affecting turnover intentions by quantile were partially different, but the predicting factors over 50% quantile were workplace bullying (Q50, b=0.15, p=.002; Q75, b=0.10, p=.025; Q90, b=0.12, p=.012), structural empowerment (Q50, b=-0.64, p<.001; Q75, b=-0.55, p=.005) and experience in current unit (Q75, b=-0.04, p=.013; Q90: b=-0.05, p=.002). Conclusion: Different factors have an influence on nurses’ turnover intention level. Nursing organizations need to develop customized management strategies to address nurses' turnover intention levels based on policies that reduce workplace bullying and strengthen structural empowerment.

Citations

Citations to this article as recorded by  
  • Relationship between Ethical Climate, Workplace Bullying, and Turnover Intention of Hospital Nurses in Korea
    Mi-Aie Lee, Hyun Ju Park, Bonghwa Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 457.     CrossRef
  • Relationship between a University Hospital Nurses’ Structural Empowerment and Quality of Nursing Work Life: Mediating Effect of Psychological Empowerment
    Eun Bee Baek, Sun Hyoung Bae
    Journal of Health Informatics and Statistics.2022; 47(2): 159.     CrossRef
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Reliability and Validity of the Bullying Measurement in Korean Nurses' Workplace
Hyo-Suk Song, So-Hee Lim
J Korean Acad Nurs Adm 2020;26(5):478-487.   Published online December 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.5.478
Purpose
In this study the validity and reliability of the Korean version of the bullying (bullying-K) measure for nurses in Korea was investigated. Methods: Participants included 392 nurses from general hospitals with over 300 beds in Korea and was carried out for 2 months in the form of self reporting questionnaires. In this study the content validity, construct validity, concurrent validity and reliability were verified using SPSS 18.0 and AMOS 20.0. Results: The Korean version of the bullying measurement which is comprised of six factors, with a total of 37 questions that include eleven regarding attacks towards showing oneself and communication, eight regarding effects on psychology and fatigue, eight regarding effects of the organization and management, five regarding attacks towards personal and professional relationships, two regarding effects on health and three regarding effects on social relationships. The Korean version of the bullying measurement was validated by confirmatory factor analysis (x2 /df=2.90, CFI=.90, GFI=.85, NFI=.86, RMR=.06, RMSEA=.06, TLI=.89). Furthermore, the reliability verification showed Cronbach's ⍺= .85, confirming that the Korean version of the tool in this study was very reliable. Conclusion: This study showed that the Korean version of the bullying measurement is a valid and reliable instrument to assess nurses in Korea.

Citations

Citations to this article as recorded by  
  • Validity and Reliability of the Korean Version of Substance Use Sleep Scale for Patients With Alcohol Use Disorder
    Sook Kyoung Park, Eun Ju Song
    Psychiatry Investigation.2025; 22(5): 531.     CrossRef
  • Effectiveness of cognitive rehearsal programs for the prevention of workplace bullying among hospital nurses: a systematic review and meta-analysis
    Yulliana Jeong, Hye Sun Jung, Eun Mi Baek
    BMC Public Health.2024;[Epub]     CrossRef
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Influence of Job Stress, Team Cohesion and Organizational Justice on Workplace Bullying in Clinical Nurses
Jung Won Kong, Yong Sook Eo
J Korean Acad Nurs Adm 2019;25(5):448-457.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.448
PURPOSE
The purpose of this study was to examine the relationships of job stress, team cohesion, organizational justice and workplace bullying among Korean general hospitals nurses.
METHODS
During December 2016 and January, 2017, a survey of 198 nurses was done using structured self-administered questionnaires. Data were analyzed using descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficients and multiple linear regression analysis.
RESULTS
The prevalence of bullying was 12.1%. The results of the multiple linear regression analysis revealed that task cohesion (β=−.20, p=.040) as a sub-factor of team cohesion and job stress (β=.19, p=.047) were predictive of workplace bullying (Adj. R²=.11, p < .001).
CONCLUSION
These results suggest that team cohesion and job stress are associated with workplace bullying by nurses. Building a well-organized management plan which reduces job stress and promotes team cohesion is recommended for the registered nurses.

Citations

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  • Mitigating the impact of emotional exhaustion among young intensive care unit nurses: A structural equation model based on the conservation of resources theory
    Xiaona Zhang, Haitao Huang, Hua Du, Dan Li
    Nursing in Critical Care.2025;[Epub]     CrossRef
  • The effect of justice on hospital workers’ self-efficiency with the mediating role of job stress: a structural equation analysis approach
    Saeideh Moosavi, Mehran Ghalenoei, Aisa Maleki, Rohollah Kalhor
    International Journal of Human Rights in Healthcare.2024; 17(5): 702.     CrossRef
  • Relationship between Ethical Climate, Workplace Bullying, and Turnover Intention of Hospital Nurses in Korea
    Mi-Aie Lee, Hyun Ju Park, Bonghwa Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 457.     CrossRef
  • The effect of organizational justice on young nurses’ turnover intention: The mediating roles of organizational climate and emotional labour
    Yue Su, Zhe Jiang, Ran Meng, Guangli Lu, Chaoran Chen
    Nurse Education in Practice.2023; 72: 103723.     CrossRef
  • Effects of Organizational Silence and Organizational Justice on Bullying among Hospital Nurses at Work
    Mi-Aei Lee, Bi-Joo Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(1): 1.     CrossRef
  • The Factors That Affect Turnover Intention According to Clinical Experience: A Focus on Organizational Justice and Nursing Core Competency
    Hanna Choi, Sujin Shin
    International Journal of Environmental Research and Public Health.2022; 19(6): 3515.     CrossRef
  • Structural Equation Modeling on Workplace Incivility of Nurses: Evolution to Bullying
    Seo In Kim, Soukyoung Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(4): 406.     CrossRef
  • The Effects of Positive Psychological Capital and Organizational Justice on Job Embeddedness of Clinical Nurses
    Youn Shin Lee, Heeyoung Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 228.     CrossRef
  • The Cycle of Verbal Violence Among Nurse Colleagues in South Korea
    Su-Hyun Park, Eun-Hi Choi
    Journal of Interpersonal Violence.2022; 37(5-6): NP3107.     CrossRef
  • A Brief Measure of Work Environment for Human Service Organizations
    Colleen E. Janczewski, Joshua P. Mersky, ChienTi Plummer Lee
    Human Service Organizations: Management, Leadership & Governance.2021; 45(5): 479.     CrossRef
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PURPOSE
To identify the effects of workplace bullying of hospital nurses on the quality of nursing service and to investigate the moderating effects of professional self-concept in the relationship between workplace bullying and quality of nursing service.
METHODS
The participants in this study were 280 nurses working in hospitals located in J Province. Data were collected from December 20, 2016, to January 20, 2017. A self-administered structured questionnaire was used. Data were analyzed using the SPSS/WIN 22.0 statistical program.
RESULTS
Workplace bullying had significant negative correlations with professional self-concept and nursing service quality. There was a significant positive correlation between professional self-concept and nursing service quality. Professional self-concept was the only variable to show a moderating effect in the relationship between the outcome of workplace bullying and quality of nursing service (β=−.12, p=.023).
CONCLUSION
The findings from this study suggest building a systematic strategy to prevent workplace bullying at the organizational-level, where it threatens quality of nursing service and developing programs to promote professional self-concept, which can control the negative effect of workplace bullying.

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  • The Professional Self-Concept and Problem-Solving Ability in Different Career Stages Among Jordanian Registered Nurses
    Tahani R. Al Manaseer, Nidal F. Eshah, Ahmad Rayan, Anas H. Khalifeh
    Hospital Topics.2025; : 1.     CrossRef
  • Relationships among Nursing Skill Mix, Missed Nursing Care, and Adverse Events in Small and Medium-Sized Hospital Comprehensive Nursing Care Wards
    Yoon Sook Cho, Hyoung Eun Chang, Hyunjung Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 163.     CrossRef
  • The Influence of Attitude toward Job Rotation, Professional Self-concept and Organizational Commitment on Patient Safety Nursing Activities: A Cross-Sectional Study
    Minji Park, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 303.     CrossRef
  • A Qualitative Meta-Synthesis of Studies on Workplace Bullying among Nurses
    Haeyoung Lee, Young Mi Ryu, Mi Yu, Haejin Kim, Seieun Oh
    International Journal of Environmental Research and Public Health.2022; 19(21): 14120.     CrossRef
  • The hopes of nurses who care for people diagnosed with chronic mental illness in closed wards
    Kyung Mi Sung, Sun Ah Park, Jin Hee Ham
    Perspectives in Psychiatric Care.2021; 57(3): 989.     CrossRef
  • The relationship between workplace bullying and professional self‐concept in Iranian nurses
    Amin Hosseini, Seyed Hossein Mousavi, Fatemeh Hajibabaee, Shima Haghani
    Nursing Open.2021; 8(1): 232.     CrossRef
  • Effects of horizontal violence among nurses on patient safety: Mediation of organisational communication satisfaction and moderated mediation of organisational silence
    Eun Young Doo, Sujin Choi
    Journal of Nursing Management.2021; 29(3): 526.     CrossRef
  • Moderating Effects of Structural Empowerment and Resilience in the Relationship between Nurses’ Workplace Bullying and Work Outcomes: A Cross-Sectional Correlational Study
    Heiyoung Kang, Kihye Han
    International Journal of Environmental Research and Public Health.2021; 18(4): 1431.     CrossRef
  • Impact of Job Engagement on the Quality of Nursing Services: The Effect of Person-Centered Nursing in South Korean Nurses
    Hyesun Kim, Kawoun Seo
    Healthcare.2021; 9(7): 826.     CrossRef
  • Effects of Nurses' Patient Safety Management Importance, Patient Safety Culture and Nursing Service Quality on Patient Safety Management Activities in Tertiary Hospitals
    Jung Ha Park
    Journal of Korean Academy of Nursing Administration.2020; 26(3): 181.     CrossRef
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    Eun‐Young Doo, Miyoung Kim
    Research in Nursing & Health.2020; 43(5): 499.     CrossRef
  • Association of Workplace Bullying and the Quality of Nursing Care in Intensive Care Unit and Emergency Department Nurses
    F Hajibabaee, SH Mousavi, A Hosseini, SH Haghani, S Bahramali
    Iran Journal of Nursing.2020; 33(125): 42.     CrossRef
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Effectiveness of Interventions for Workplace Bullying among Nurses: A Systematic Review
Sun Young Park, Hana Shin, Yeuok Cho, Sue Kim
J Korean Acad Nurs Adm 2018;24(4):339-351.   Published online September 30, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.4.339
PURPOSE
The aim of this study was to evaluate the effectiveness of interventions for workplace bullying among nurses.
METHODS
First, risk factors of workplace bullying were categorized in order to create analysis criteria. A search of 8 databases, and manual searching resulted in the identification of 3,096 relevant articles. Three of the authors did article selection, data extraction, and quality assessment using the Risk of Bias (RoB) and the Risk of Bias for Nonrandomized studies (ROBANS).
RESULTS
Interventions in workplace bullying were classified as individual, interactions, and organizational approach. Twelve intervention studies (10 individual interventions, 1 team approach, 1 multi-level approach) were selected. Four of the individual interventions decreased bullying, but three had no effect. One multi-level intervention reported that bullying did not occur. Individual interventions improved bullying awareness in four articles, decreased turnover intention in two articles, and increased skill and knowledge of bullying management in five articles. One team approach increased nurse interactions and group cohesion. The quality of selected articles was low overall.
CONCLUSION
Individual interventions have a possibility to improve awareness and knowledge about bullying, but there is a lack of evidence on preventing bullying. Further research is required on multi-levels interventions with well-designed controlled trials.

Citations

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  • Factors Influencing Hospital Nurses’ Workplace Bullying Experiences Focusing on Meritocracy Belief, Emotional Intelligence, and Organizational Culture: A Cross‐Sectional Study
    Insil Jang, Sun Joo Jang, Sun Ju Chang, Miyuki Takase
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • The Influence of Nurses’ Workplace Bullying, Social Interaction Anxiety and Positive Psychological Capital on Nursing Performance
    Hyang Mi Kim, Sun Hee Jang
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 331.     CrossRef
  • A Pilot Study to Examine the Effects of a Workplace Cyberbullying Cognitive Rehearsal Mobile Learning Program for Head Nurses: A Quasi-Experimental Study
    Mijeong Park, Ok Yeon Cho, Jeong Sil Choi
    Healthcare.2023; 11(14): 2041.     CrossRef
  • Development and Evaluation of a Workplace Bullying Cognitive Rehearsal-Based Nursing Simulation Education Program: A Mixed-Methods Study
    Mijeong Park, Jeong Sil Choi
    International Journal of Environmental Research and Public Health.2023; 20(6): 4974.     CrossRef
  • Workplace bullying among Korean registered nurses: A meta-aggregation of qualitative studies
    Eun-Jun Park, Hyunwook Kang, Ji Woon Ko
    The Journal of Korean Academic Society of Nursing Education.2023; 29(4): 450.     CrossRef
  • Psychometric qualities of measurement tools used to determine workplace horizontal violence: A rapid review
    Noelleen Kiprillis, Richard Gray, Lisa McKenna
    Journal of Evaluation in Clinical Practice.2022; 28(4): 653.     CrossRef
  • Intervention types and their effects on workplace bullying among nurses: A systematic review
    Sun Joo Jang, Youn‐Jung Son, Haeyoung Lee
    Journal of Nursing Management.2022; 30(6): 1788.     CrossRef
  • Dis-eases of Korean nurses: a women’s health perspective
    Moon Jeong Kim
    Korean Journal of Women Health Nursing.2021; 27(4): 268.     CrossRef
  • Relationship of Workplace Violence to Turnover Intention in Hospital Nurses: Resilience as a Mediator
    Hyun-Jung Kang, Jaeyong Shin, Eun-Hyun Lee
    Journal of Korean Academy of Nursing.2020; 50(5): 728.     CrossRef
  • A Systematic Review of Workplace Interventions for the Mental Health of Workers
    Young Joo Lee, Eun Hee Kim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(2): 155.     CrossRef
  • Response Patterns of Nursing Unit Managers regarding Workplace Bullying: A Q Methodology Approach
    Jin Kyu Choi, Byoungsook Lee
    Journal of Korean Academy of Nursing.2019; 49(5): 562.     CrossRef
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Effects of Workplace Bullying, Job Stress, Self-esteem, and Burnout on the Intention of University Hospital Nurses to Keep Nursing Job
Young Hee Yom, In Soon Yang, Jung Hee Han
J Korean Acad Nurs Adm 2017;23(3):259-269.   Published online June 30, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.3.259
PURPOSE
Medical institutions and their patients benefit from continued employment of nurses. In this study an assessment was done of important factors that influence nurses' intention to leaving their jobs.
METHODS
The sample consisted of 229 university hospital nurses. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffé, Pearson's Correlation Analysis, and Hierarchical Multiple Regression.
RESULTS
The control variables, including age, current position, and health status explained 18% (F=16.37, p<.001) of variance in retention intention. The control variables, bullying, job stress, self-esteem, and burnout collectively explained 27% of variance in retention intention.
CONCLUSION
The findings indicate that the factors influencing retention intention are age, current position, and health status, while self-esteem and burnout in work places are new and more recent factors that impact retention intention. These findings can be utilized to develop strategies to increase self-esteem and retention intention.

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PURPOSE
The purpose of this study was to identify relationships among self-esteem, social support, nursing organizational culture, experience of workplace bullying, and the consequences of workplace bullying in hospital nurses, and then to provide basic information for developing workplace bullying prevention programs.
METHODS
Participants were 122 hospital nurses from three general hospitals. Data collection was done during April and May 2015. Data were collected using self-report questionnaires which were used to identify participants' characteristics, self-esteem, social support, nursing organizational culture, and workplace bullying.
RESULTS
Approximately one quarter of the nurses had experienced workplace bullying in the past six months. Hierarchical regression analysis showed that experience of workplace bullying (β=.45) and self-esteem (β=-.31) explained 53.3% of the variance in consequences of workplace bullying.
CONCLUSION
Based on the findings that experiencing workplace bullying and having a low self-esteem were likely to increase workplace bullying in hospital nurses, there is a need to develop prevention and intervention programs on avoiding or dealing with workplace bullying.

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Influence of Workplace Bullying and Leader-Member Exchange on Turnover Intention among Nurses
Mi Ra Han, Jeung Ah Gu, Il Young Yoo
J Korean Acad Nurs Adm 2014;20(4):383-393.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.383
PURPOSE
The purpose of this descriptive study was to identify the impact of workplace bullying and LMX (Leader-Member Exchange) on turnover intention among nurses.
METHODS
The participants were 364 nurses from the Seoul metropolitan area who were attending a continuing education program. A structured questionnaire was used for data collection and data were analyzed using the SPSS/Window program. Hierarchical multiple regression analysis was performed to verify the effect of variables on turnover intention.
RESULTS
Higher workplace bullying was associated with higher turnover intention. Workplace bullying was negatively correlated with leader-member exchange. The most influential factors for turnover intention were LMX (beta=-7.22, p<.001), work load (beta=2.96, p=.003), and workplace bullying (beta=2.64, p=.009). These factors accounted for 28% of the variance in turnover intention.
CONCLUSION
The study results indicate that there is need to develop strategies to prevent workplace bullying and cultivate a good relationship between nursing managers and nurses to lower nurses' turnover intention.

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    Jihyun Kim, Yaki Yang
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    Joohee Kim, Young Ko
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    Youngji Kim, Jeong Sil Choi
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    Mi Young Lee, Youngrye Park
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    Younju Lee
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An Empirical Study on Burnout in Clinical Nurses: Focused on Bullying and Negative Affectivity
Jung Hee Han, In Soon Yang, Young Hee Yom
J Korean Acad Nurs Adm 2013;19(5):578-588.   Published online December 31, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.5.578
PURPOSE
The purpose of this study was to identify the effects of bullying, negative affectivity and burnout in the nurses.
METHODS
The sample consisted of 389 nurses. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe, Pearson Correlation Analysis and Hierarchical Multiple Regression.
RESULTS
The control variables of age, marital status, education level, current position, health status and work unit explained 30.2%(F=28.9, p<.001) of variance in burnout. The control variables, bullying and negative affectivity collectively explained 49.7% of variance in burnout.
CONCLUSION
The results indicate that the demographic factors influencing burnout are age, education level, health status, work unit, while bullying and negative affectivity in the work places are factors that influence burnout. These findings can be utilized to develop strategies to reduce bullying and negative affectivity.

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    Bo-Mi Im, Jong-Min Park, Mi-Jin Kim, Su-Yeon Kim, Jeong-Ho Maeng, Lu-Li Lee, Kyung-Ah Kang
    Korean Journal of Occupational Health Nursing.2015; 24(4): 313.     CrossRef
  • Influence of Workplace Bullying and Leader-Member Exchange on Turnover Intention among Nurses
    Mi Ra Han, Jeung Ah Gu, Il Young Yoo
    Journal of Korean Academy of Nursing Administration.2014; 20(4): 383.     CrossRef
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