Asian Nurs Res.  2018 Dec;12(4):245-250. 10.1016/j.anr.2018.07.002.

Development of Instrument of Bullying Behaviors in Nursing Education based on Structured Equation Modeling

Affiliations
  • 1Nursing Department, Health Science Faculty, Suleyman Demirel University, Isparta, Turkey. kamurancerit@gmail.com
  • 2Nursing Department, Health Science Faculty, Ankara University, Ankara, Turkey.
  • 3Nursing Department, Health Science Faculty, Gazi University, Ankara, Turkey.

Abstract

PURPOSE
Bullying behaviors experienced during nursing education negatively affect students, educators, quality of training, and patient care. The purpose of this study was to develop a valid, reliable, short, and comprehensive scale to measure the bullying behaviors of nursing students in the education environment.
METHODS
The Bullying Behaviors in Nursing Education (BBNE) tool was developed by adapting the Workplace Psychological Violence Behaviors scale. The data were collected from 442 nursing students from April to May 2017. The BBNE was tested using structural equation modeling, and validity and reliability results were obtained. Moreover, complementary statistics were determined, and the violence behaviors experienced by nursing students were reported.
RESULTS
The full BBNE scale, with 30 items and four factors, was not verified (χ²/df = 4.31); 12 items were excluded, and the modified structure with 18 items and four factors was verified (χ²/df = 2.60; root-mean-square error of approximation = .06). The scale's Cronbach's α coefficient is .88, and the structure reliability is .92. Twenty-five percent of the 442 students scored 1 or higher in the total scale, showing that they were subject to bullying behaviors.
CONCLUSION
The BBNE scale can be used to measure the bullying behaviors of nursing students in the education environment. When such behaviors are identified, students can struggle on the personal and organization level. Providing a safer and comfortable education environment for nursing students who are the guarantee of the future of health care will positively affect the quality of education and patient care in parallel.

Keyword

bullying; nursing; prevalence; reproducibility of results; students

MeSH Terms

Bullying*
Delivery of Health Care
Education
Education, Nursing*
Humans
Nursing*
Patient Care
Prevalence
Reproducibility of Results
Students, Nursing
Violence
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