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Workplace bullying and its association with secondary traumatic stress and turnover intention among emergency and critical care nurses Cover

Workplace bullying and its association with secondary traumatic stress and turnover intention among emergency and critical care nurses

Open Access
|Mar 2025

Figures & Tables

Sociodemographic characteristics, bullying behavior, TO intention and STS, M (SD)_

Variety and categoryBTOSTS
Gender
   Male61.2 (11.4)51.6 (6.3)30.0 (5.3)
   Female62.9 (11.7)52.4 (8.2)29.5 (6.1)
   t–0.87–0.640.49
   P-value0.6850.0670.390
Age
   r–0.09–0.180.05
   P-value0.2860.033*0.565
Marital status
   Single63.3 (12.4)52.7 (7.5)29.6 (5.8)
   Married60.7 (10.5)51.2 (7.1)29.8 (5.8)
   t1.371.18–0.23
   P-value0.1680.8600.819
Educational attainment
   Bachelor’s62.5 (11.5)52.1 (7.2)29.8 (5.6)
   Master’s58.7 (12.0)51.3 (8.3)28.7 (6.8)
   t1.210.400.75
   P-value0.8440.2330.562
Hospital**
   The government hospital64.26 (11.68)54.35 (6.10)29.86 (5.87)
   Teaching hospital64.0 (5.63)52.35 (5.34)31.05 (3.58)
   Private hospital62.08 (13.43)45.16 (8.42)27.566 (7.17)
   F11.2222.163.29
   P-value0.000*0.000*0.040*
Department**
   ED65.67(9.68)52.15 (7.48)28.5 (7.18)
   Medical-surgical CCU58.06 (11.91)51.15 (6.57)32.1 (8.41)
   NCCU63.94 (12.78)53.8 (7.12)34.10 (7.13)
   Pediatric CCU59.03 (11.71)51.29 (8.31)29.22 (7.70)
   F4.830.600.68
   P-value0.003*0.6160.563
Years of experience as a registered nurse
   r–0.07–0.180.03
   P-value0.3670.025*0.756
Years employed in the current department
   r–0.01–0.210
   P-value0.9090.009*0.980
Patient load per shift
   r0.230.060
   P-value0.005*0.4590.952
Monthly income
   r–0.10–0.12–0.12
   P-value0.2220.1440.158

The unique role of bullying in STS_

RollBStd. errorBetatP-value
Roll 1
   (Constant)24.8752.134 11.6580
   Private hospital2.6921.1570.1882.3260.021
Roll 2
   (Constant)17.5332.691 6.5160
   Private hospital0.9121.1790.0640.7740.440
   Bullying0.1700.0410.3414.1460

Sociodemographic characteristics_

ItemsMeanSDFrequency (n)Percentage (%)
Age (years)284
Years of experience5.63.4
Years employed in current department3.42.6
Number of patients cared for1420
Monthly salary508.787.3
Gender
   Male 7348.7
   Female 7751.3
Marital status
   Single 7852
   Married 7248
Educational attainment
   Bachelor (undergraduate) 13590
   Master’s or PhD (postgraduate) 1510
Hospital
   Government hospital 8053.3
   Teaching hospital 4026.7
   Private hospital 3020
Area of work
   Emergency 6140.7
   Critical care 8959.3
   Medical-surgical CCU 4328.7
   Neonatal CCU 1912.7
   Pediatric CCU 2718

The unique role of bullying in TO intention_

RollBSth. errorBetatP-value
Roll 1
   (Constant)35.685.21 6.840
   Age0.150.190.090.780.436
   Private hospital8.271.320.466.260
   Experience in the nursing–0.320.28–0.15–1.140.257
   Experience in department–0.290.29–0.11–1.030.303
Roll 2
   (Constant)26.075.3104.910
   Age0.160.180.100.930.357
   Private hospital6.021.330.334.520
   Experience in the nursing–0.230.26–0.11–0.880.383
   Experience in department–0.420.27–0.15–1.570.119
   Bullying0.210.050.344.590

The score of NAQ-R and its interpretation_

ItemsMeanSDPossible rangeInterpretationN (%)
Total score of NAQ-R62.111.620–32Not bullied0 (0.0)
33–44Sometimes bullied16 (10.7)
>45A victim of workplace bullying134 (89.3)
Work-related14.82.8
Personal-related13.62.9
Physically intimidating14.33.8
DOI: https://doi.org/10.2478/fon-2025-0009 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 79 - 89
Submitted on: Nov 4, 2023
Accepted on: Jun 15, 2024
Published on: Mar 14, 2025
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Sandi Mashsha, Ahmad Rayan, Manal Hassan Baqeas, Suhair Hussni Al-Ghabeesh, Yasmeen Abu Sumaqa, Nour Ali Assaf Alrida, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.