J Korean Acad Nurs.  2017 Oct;47(5):700-711. 10.4040/jkan.2017.47.5.700.

Effects of Bullying Experience on Psychological Well-Being Mediated by Conflict Management Styles and Psychological Empowerment among Nursing Students in Clinical Placement: A Structural Equation Modeling Approach

• Ren L
• Kim H

• KMID: 2394263
• DOI: http://doi.org/10.4040/jkan.2017.47.5.700

Abstract

PURPOSE
This study aimed to test a proposed structural equation model in which bullying experience, conflict management styles and psychological empowerment predict psychological well-being among Chinese nursing students in clinical placement.
METHODS
Three hundred and sixty-six nursing students recruited from five hospitals in J city and Y city were assessed with self-report questionnaires on bullying experience, conflict management styles, psychological empowerment and psychological well-being including depression, self-esteem, and academic major satisfaction. Data were analyzed using SPSS version 20.0 and AMOS version 22.0.
RESULTS
The evaluation parameters included the comparative fit index at .90, the goodness of fit index at .93, the root mean square error of approximation at .07, and χ²/df ratio at 2.66, indicating that the proposed structural equation model provided a good fit to the data. Experience of being bullied during clinical placement, conflict management styles and psychological empowerment explained 93.0% of the variance and had significant effects on psychological well-being, with conflict management styles and psychological empowerment mediating the association between bullying and psychological well-being.
CONCLUSION
The findings indicated that mediation by conflict management styles and psychological empowerment alleviated the negative influence of bullying on psychological well-being. To limit bullying and its negative effects, development of effective guidelines to deal with bullying will be a critical tool for both Chinese nursing students and their instructors. Further research should incorporate conflict management styles and psychological empowerment into the specific intervention strategies for handling bullying behaviors among nursing students and staff nurses and promoting nursing students' psychological well-being.

Keyword

Nursing students; Bullying; Depression; Self concept; Personal satisfaction

MeSH Terms

Asian Continental Ancestry Group
Bullying*
Depression
Humans
Negotiating
Nursing*
Personal Satisfaction
Power (Psychology)*
Self Concept
Students, Nursing*

Figure

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  Figure 1. Conceptual framework.

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  Figure 2. Path diagrams for the hypothetical model.

Reference

References

1. Pryjmachuk S, Easton K, Littlewood A. Nurse education: Factors associated with attrition. Journal of Advanced Nursing. 2009; 65(1):149–160. https://doi.org/10.1111/j.1365-2648.2008.04852.x.

2. Yun H, Jie S, Anli J. Nursing shortage in China: State, causes, and strategy. Nursing Outlook. 2010; 58(3):122–128. https://doi.org/10.1016/j.outlook.2009.12.002.

3. Vogelpohl DA, Rice SK, Edwards ME, Bork CE. New graduate nurses' perception of the workplace: Have they experienced bullying? Journal of Professional Nursing. 2013; 29(6):414–422. https://doi.org/10.1016/j.profnurs.2012.10.008.

4. Ren L, Kim H, Jung MS. The association between bullying experience related to clinical placement and psychological wellbeing in nursing students. Journal of Korean Academy of Community Health Nursing. 2015; 26(4):321–329. https://doi.org/10.12799/jkachn.2015.26.4.321.

5. Schlossberg NK, Lynch AQ, Chickering AW. Improving higher education environments for adults: Responsive programs and services from entry to departure. San Francisco: Jossey-Bass Inc;1989. p. 17.

6. Lin WF, Lin YC, Huang CL, Chen LH. We can make it better: “We” moderates the relationship between a compromising style in interpersonal conflict and well-being. Journal of Happiness Studies. 2016; 17(1):41–57. https://doi.org/10.1007/s10902-014-9582-8.

7. Pines EW, Rauschhuber ML, Cook JD, Norgan GH, Canchola L, Richardson C, et al. Enhancing resilience, empowerment, and conflict management among baccalaureate students: Outcomes of a pilot study. Nurse Educator. 2014; 39(2):85–90. https://doi.org/10.1097/NNE.0000000000000023.

8. Pines EW, Rauschhuber ML, Norgan GH, Cook JD, Can-chola L, Richardson C, et al. Stress resiliency, psychological empowerment and conflict management styles among baccalaureate nursing students. Journal of Advanced Nursing. 2012; 68(7):1482–1493. https://doi.org/10.1111/j.1365-2648.2011.05875.x.

9. Palaz S. Turkish nursing students’ perceptions and experiences of bullying behavior in nursing education. Journal of Nursing Education and Practice. 2013; 3(1):23–30. https://doi.org/10.5430/jnep.v3n1p23.

10. Beauvais AM, Stewart JG, DeNisco S, Beauvais JE. Factors related to academic success among nursing students: A descriptive correlational research study. Nurse Education Today. 2014; 34(6):918–923. https://doi.org/10.1016/j.nedt.2013.12.005.

11. Budden LM, Birks M, Cant R, Bagley T, Park T. Australian nursing students’ experience of bullying and/or harassment during clinical placement. Collegian. 2017; 24(2):125–133. https://doi.org/10.1016/j.colegn.2015.11.004.

12. Reem MAER. Perception of student nurses' bullying behaviors and coping strategies used in clinical settings. Paper presented at: Nursing Education Research Conference. 2014. 2014 May 13; Indianapolis (IN), USA.

13. Park JE. Nursing student's experience, their response and coping method of violence [master’s thesis]. Busan: Pusan National University;2013. p. 1–75.

14. Kilmann RH, Thomas KW. Developing a forced-choice measure of conflict-handling behavior: The "Mode" instrument. Educational and Psychological Measurement. 1977; 37(2):309–325. https://doi.org/10.1177/001316447703700204.

15. Ting-Toomey S, Jung KKY, Shapiro RB, Garcia W, Wright TJ, Oetzel JG. Ethnic/cultural identity salience and conflict styles in four US ethnic groups. International Journal of Intercultural Relations. 2000; 24(1):47–81. https://doi.org/10.1016/S0147-1767(99)00023-1.

16. Ni C, Liu X, Hua Q, Lv A, Wang B, Yan Y. Relationship between coping, self-esteem, individual factors and mental health among Chinese nursing students: A matched case-control study. Nurse Education Today. 2010; 30(4):338–343. https://doi.org/10.1016/j.nedt.2009.09.003.

17. Spreitzer G. Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of Management Journal. 1995; 38(5):1442–1465. https://doi.org/10.2307/256865.

18. Laschinger HKS, Grau AL, Finegan J, Wilk P. New graduate nurses’ experiences of bullying and burnout in hospital settings. Journal of Advanced Nursing. 2010; 66(12):2732–2742. https://doi.org/10.1111/j.1365-2648.2010.05420.x.

19. Croft RK, Cash PA. Deconstructing contributing factors to bullying and lateral violence in nursing using a postcolonial feminist lens. Contemporary Nurse. 2012; 42(2):226–242. https://doi.org/10.5172/conu.2012.42.2.226.

20. Kline RB. Principles and practice of structural equation modeling. New York: The Guilford Press;2015. p. 16.

21. Sportsman S, Hamilton P. Conflict management styles in the health professions. Journal of Professional Nursing. 2007; 23(3):157–166. https://doi.org/10.1016/j.profnurs.2007.01.010.

22. Li CP, Li XX, Shi K, Chen XF. Psychological empowerment: Measurement and its effect on employee work attitude in China. Acta Psychologica Sinica. 2006; 38(1):99–106.

23. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977; 1(3):385–401. https://doi.org/10.1177/014662167700100306.

24. Gray-Little B, Williams VSL, Hancock TD. An item response theory analysis of the Rosenberg self-esteem scale. Personality and Social Psychology Bulletin. 1997; 23(5):443–451. https://doi.org/10.1177/0146167297235001.

25. Nauta MM. Assessing college students’ satisfaction with their academic majors. Journal of Career Assessment. 2007; 15(4):446–462. https://doi.org/10.1177/1069072707305762.

26. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986; 51(6):1173–1182. https://doi.org/10.1037/0022-3514.51.6.1173.

27. Allison PD. Missing data techniques for structural equation modeling. Journal of Abnormal Psychology. 2003; 112(4):545–557. https://doi.org/10.1037/0021-843X.112.4.545.

28. Jing W, Otten H, Sullivan L, Lovell-Simons L, Granek-Catarivas M, Fritzsche K. Improving the doctor-patient relationship in China: The role of balint groups. The International Journal of Psychiatry in Medicine. 2013; 46(4):417–427. https://doi.org/10.2190/PM.46.4.g.

29. Greg ACY, Christin M. The psychosocial costs of conflict management styles. International Journal of Conflict Management. 2010; 21(4):382–399. https://doi.org/10.1108/10444061011079930.

30. Bradbury-Jones C, Sambrook S, Irvine F. The meaning of empowerment for nursing students: A critical incident study. Journal of Advanced Nursing. 2007; 59(4):342–351. https://doi.org/10.1111/j.1365-2648.2007.04331.x.