J Korean Acad Nurs Adm.  2018 Dec;24(5):375-386. 10.11111/jkana.2018.24.5.375.

Moderating effects of Professional Self-concept in Relationship between Workplace Bullying and Nursing Service Quality among Hospital Nurses

• Lee EM
• Kim DH

• KMID: 2431199
• DOI: http://doi.org/10.11111/jkana.2018.24.5.375

Abstract

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.

Keyword

Nurse; bullying; Self-concept; Nursing service

MeSH Terms

Bullying*
Nursing Services*
Nursing*

Reference

1. Kim HS. Related factors of physicians' and nurses' attitudes toward and intentions behind incident reporting [master's thesis]. Seoul: Seoul National University;2011. 1–58.

2. Kang JY, Yun SY, Won YH, An YS. Organizational culture and workplace bullying of intensive care unit nurses. Journal of Korean Critical Care Nursing. 2014; 7(2):24–33.

3. Yun SY, Kang JY. Factors affecting workplace bullying in Korean hospital nurses. Korean Journal of Adult Nursing. 2014; 26(5):553–562. DOI: 10.7475/kjan.2014.26.5.553.

4. Lee YJ, Lee EJ. Conceptual development of workplace bullying: Focusing on hospital nurses. Korean Journal of Health Education and Promotion. 2014; 31(1):57–70. DOI: 10.14367/kjhep.2014.31.1.57.

5. Choi MG, Kim HK. The effect of workplace bullying and ego-resilience on turnover intention of nurses in the public hospital. Journal of the Korea Academia-Industrial cooperation Society. 2015; 16(5):3257–3267. DOI: 10.5762/KAIS.2015.16.5.3257.

6. Park KO, Kim SY, Kim JK. Hospital nurses' experience of bullying in the workplace and burnout, organizational commitment, turnover intention and nursing productivity. Journal of Korean Clinical Nursing Research. 2013; 19(2):169–180.

7. Lee YJ, Lee MH. Development and Validity of Workplace Bullying in Nursing-Type Inventory (WPBN-TI). Journal of Korean Academy of Nursing. 2014; 44(2):209–218. DOI: 10.4040/jkan.2014.44.2.209.

8. Lee YJ. Development of Workplace Bullying in Nursing-Consequence Inventory (WPBN-CI). Journal of the Korea Academia-Industrial cooperation Society. 2016; 17(2):479–488. DOI: 10.5762/KAIS.2016.17.2.479.

9. Yildirim D. Bullying among nurses and its effects. International Nursing Review. 2009; 56(4):504–511. DOI: 10.1111/j.1466-7657.2009.00745.x.

10. Roche M, Diers D, Duffield C, Catling-Paull C. Violence toward nurses, the work environment and patient outcomes. Journal of Nursing Scholarship. 2010; 42(1):13–22. DOI: 10.1111/j.1547-5069.2009.01321.x.

11. Purpora C, Blegen MA, Stotts NA. Hospital staff registered nurses' perception of horizontal violence, peer relationships, and the quality and safety of patient care. Work. 2015; 51(1):29–37. DOI: 10.3233/WOR-141892.

12. Kim YL, Lee MH. Perceptions of patient safety culture of hospital nurses. Korean Review of Crisis and Emergency Management. 2015; 11(1):83–99.

13. Kim YS, Eo YS. The effect of core competencies and cognition of job competency of their senior nurses on work performance in hospital nurses. Journal of Korean Academic Society of Nursing Education. 2013; 19(4):617–626. DOI: 10.5977/jkasne.2013.19.4.617.

14. Kim YJ, Song HK, Lee MA. Perceived relationship among professional self-concept, head nurse's leadership, and nursing clinical competency by clinical nurses. Journal of Korean Academy of Nursing Administration. 2011; 17(1):96–105. DOI: 10.11111/jkana.2011.17.1.96.

15. Arthur D. Measurement of the professional self-concept of nurses: Developing a measurement instrument. Nurse education today. 1995; 15(5):328–335.

16. MacIntosh J, Wuest J, Gray MM, Cronkhite M. Workplace bullying in health care affects the meaning of work. Qualitative Health Research. 2010; 20(8):1128–1141.

17. Sung MH, Choi EY. The relationships between professional self-concept, nursing performance and retention intention of emergency department nurses. Journal of Korean Academy of Fundamentals of Nursing. 2012; 19(2):244–252. DOI: 10.7739/jkafn.2012.19.2.244.

18. Kim YS, Park KY. Nurses' awareness on healthcare accreditation, work overload and professional self-concept and their influencing activities of patient safety management among nurses. Journal of the Korean Data Analysis Society. 2014; 16(6):377–3392. http://uci.or.kr/G704-000930.2014.16.6.037.

19. Joint Commission. Sentinel event alert: Behaviors that undermine a culture of safety. [Internet]. Illinois: The Joint Commission;2008. cited 2018 June 25. Available from: https://www.jointcommission.org/sentinel_event_alert_issue_40_behaviors_that_undermine_a_culture_of_safety/.

20. Kang JY, LEE MJ. Pooled prevalence of workplace bullying in nursing: Systematic review and meta-analysis. Journal of Korean Critical Care Nursing. 2016; 9(1):51–65.

21. Yang YK, You HS. The mediating and moderating effect of professional self-concept in relationship between emotional labor and burnout of organ transplantation coordinators. Journal of Korean Academy of Fundamentals of Nursing. 2012; 19(2):158–167. DOI: 10.7739/jkafn.2012.19.2.158.

22. Chung YH. Comparative study of professional self-concept and role conflict between new graduated nurse and experienced nurse in ICU [master's thesis]. Seoul: Hanyang University;2007. 1–54.

23. Han EH, Ha YM. Relationships among self-esteem, social support, nursing organizational culture, experience of workplace bullying, and consequence of workplace bullying in hospital nurses. Journal of Korean Academy of Nursing Administration. 2016; 22(3):303–312. DOI: 10.11111/jkana.2016.22.3.303.

24. Lee YJ, Lee MH, Bernstein K. Effect of workplace bullying and job stress on turnover intention in hospital nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2013; 22(2):77–87. DOI: 10.12934/jkpmhn.2013.22.2.77.

25. Kang HY. The relationship among nurses' workplace bullying, organizational commitment and turnover intention [master's thesis]. Seoul: Yonsei University;2015. 1–81.

26. Park EJ, Han JY, Jo NY. Effects of professional self-concept, self efficacy on the job satisfaction in general hospital nurses. Journal of the Korean Data & Information Science Society. 2016; 27(1):191–201.

27. Choi J, Park HJ. Professional self-concept, self-efficacy and job satisfaction of clinical nurse in schoolwork. Journal of Korean Academy of Nursing Administration. 2009; 15(1):37–44.

28. Sung MH, Oh MO. The relationships of professional self-concept, role conflict and job satisfaction on emergency department nurses. Journal of Korean Academy of Fundamentals of Nursing. 2011; 18(1):107–115.

29. Son Y. The impact of perceived patient safety culture on safety care activities in general hospital nurse's. Journal of the Korea Academia-Industrial cooperation Society. 2016; 17(3):509–517. DOI: 10.5762/KAIS.2016.17.3.509.

30. Andrews DR, Burr J, Bushy A. Nurses' self-concept and perceived quality of care: A narrative analysis. Journal of Nursing Care Quality. 2011; 26(1):69–77. DOI: 10.1097/NCQ.0b013e3181e6f3b9.