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

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Mar 14, 2025

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

Variety and category B TO STS
Gender
   Male 61.2 (11.4) 51.6 (6.3) 30.0 (5.3)
   Female 62.9 (11.7) 52.4 (8.2) 29.5 (6.1)
   t –0.87 –0.64 0.49
   P-value 0.685 0.067 0.390
Age
   r –0.09 –0.18 0.05
   P-value 0.286 0.033* 0.565
Marital status
   Single 63.3 (12.4) 52.7 (7.5) 29.6 (5.8)
   Married 60.7 (10.5) 51.2 (7.1) 29.8 (5.8)
   t 1.37 1.18 –0.23
   P-value 0.168 0.860 0.819
Educational attainment
   Bachelor’s 62.5 (11.5) 52.1 (7.2) 29.8 (5.6)
   Master’s 58.7 (12.0) 51.3 (8.3) 28.7 (6.8)
   t 1.21 0.40 0.75
   P-value 0.844 0.233 0.562
Hospital**
   The government hospital 64.26 (11.68) 54.35 (6.10) 29.86 (5.87)
   Teaching hospital 64.0 (5.63) 52.35 (5.34) 31.05 (3.58)
   Private hospital 62.08 (13.43) 45.16 (8.42) 27.566 (7.17)
   F 11.22 22.16 3.29
   P-value 0.000* 0.000* 0.040*
Department**
   ED 65.67(9.68) 52.15 (7.48) 28.5 (7.18)
   Medical-surgical CCU 58.06 (11.91) 51.15 (6.57) 32.1 (8.41)
   NCCU 63.94 (12.78) 53.8 (7.12) 34.10 (7.13)
   Pediatric CCU 59.03 (11.71) 51.29 (8.31) 29.22 (7.70)
   F 4.83 0.60 0.68
   P-value 0.003* 0.616 0.563
Years of experience as a registered nurse
   r –0.07 –0.18 0.03
   P-value 0.367 0.025* 0.756
Years employed in the current department
   r –0.01 –0.21 0
   P-value 0.909 0.009* 0.980
Patient load per shift
   r 0.23 0.06 0
   P-value 0.005* 0.459 0.952
Monthly income
   r –0.10 –0.12 –0.12
   P-value 0.222 0.144 0.158

The unique role of bullying in STS_

Roll B Std. error Beta t P-value
Roll 1
   (Constant) 24.875 2.134 11.658 0
   Private hospital 2.692 1.157 0.188 2.326 0.021
Roll 2
   (Constant) 17.533 2.691 6.516 0
   Private hospital 0.912 1.179 0.064 0.774 0.440
   Bullying 0.170 0.041 0.341 4.146 0

Sociodemographic characteristics_

Items Mean SD Frequency (n) Percentage (%)
Age (years) 28 4
Years of experience 5.6 3.4
Years employed in current department 3.4 2.6
Number of patients cared for 14 20
Monthly salary 508.7 87.3
Gender
   Male 73 48.7
   Female 77 51.3
Marital status
   Single 78 52
   Married 72 48
Educational attainment
   Bachelor (undergraduate) 135 90
   Master’s or PhD (postgraduate) 15 10
Hospital
   Government hospital 80 53.3
   Teaching hospital 40 26.7
   Private hospital 30 20
Area of work
   Emergency 61 40.7
   Critical care 89 59.3
   Medical-surgical CCU 43 28.7
   Neonatal CCU 19 12.7
   Pediatric CCU 27 18

The unique role of bullying in TO intention_

Roll B Sth. error Beta t P-value
Roll 1
   (Constant) 35.68 5.21 6.84 0
   Age 0.15 0.19 0.09 0.78 0.436
   Private hospital 8.27 1.32 0.46 6.26 0
   Experience in the nursing –0.32 0.28 –0.15 –1.14 0.257
   Experience in department –0.29 0.29 –0.11 –1.03 0.303
Roll 2
   (Constant) 26.07 5.31 0 4.91 0
   Age 0.16 0.18 0.10 0.93 0.357
   Private hospital 6.02 1.33 0.33 4.52 0
   Experience in the nursing –0.23 0.26 –0.11 –0.88 0.383
   Experience in department –0.42 0.27 –0.15 –1.57 0.119
   Bullying 0.21 0.05 0.34 4.59 0

The score of NAQ-R and its interpretation_

Items Mean SD Possible range Interpretation N (%)
Total score of NAQ-R 62.1 11.6 20–32 Not bullied 0 (0.0)
33–44 Sometimes bullied 16 (10.7)
>45 A victim of workplace bullying 134 (89.3)
Work-related 14.8 2.8
Personal-related 13.6 2.9
Physically intimidating 14.3 3.8
Language:
English
Publication timeframe:
4 times per year
Journal Subjects:
Medicine, Assistive Professions, Nursing