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Workplace bullying in the nursing profession: A cross-cultural scoping review
Marmara University.ORCID iD: 0000-0002-1406-289X
Malmö University, Centre for Work Life and Evaluation Studies (CTA). Malmö University, Faculty of Culture and Society (KS), Department of Urban Studies (US).ORCID iD: 0000-0002-2207-0996
Malmö University, Centre for Work Life and Evaluation Studies (CTA). Malmö University, Faculty of Education and Society (LS), Department of School Development and Leadership (SOL).ORCID iD: 0000-0001-5972-4933
2020 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 111, article id 103628Article in journal (Refereed) Published
Abstract [en]

Background: Globally, nurses are at high risk of exposure to workplace bullying, and there is a growing body of literature addressing bullying in the nursing profession. Yet, our understanding of cross-cultural variations in bullying among nurses is lacking. An analysis of what is currently known about bullying in different parts of the world is critical for our understanding of cross-cultural effects of bullying among nurses.

Objectives: We aimed to examine workplace bullying research among nurses with the focus on sources, antecedents, outcomes and coping responses from a cross-cultural perspective during the years 2001– 2019. Design: This is a scoping review of published literature on workplace bullying among nurses.

Data sources: A literature search was conducted using the CINAHL, PubMed, PsychINFO and Web of Sci- ence databases. A total of 166 articles provided data from the following cultural clusters: Anglo, Latin Europe, Eastern Europe, Nordic Europe, Middle East, Latin America, Confucian Asia, Southern Asia and Sub-Saharan Africa.

Procedure: Studies were identified through a database search. Relevant data were extracted using a narra- tive approach. Categories were thematically organized according to the study topics. Cultural differences regarding the variation in the perceptions of and responses to bullying were analysed in relation to the cultural dimensions: power distance, assertiveness, in-group collectivism and performance orientation. Results: Research was mostly conducted in the Anglo cluster. Antecedents and outcomes of bullying were the most often studied topics across all cultural clusters. Vertical bullying was most prevalent in higher power distance cultures, whereas horizontal bullying was either more or equally prevalent in lower power distance cultures. The risk of bullying decreased as nurses’ length of service and age increased in most of the clusters. Individual antecedents were more frequently reported in high in-group collec- tivist cultures. Organizational antecedents such as lack of bullying prevention measures, unsupportive leadership and stressful work characteristics were frequently reported across different cultural clusters. Yet, an organizational culture that tolerates bullying was most commonly addressed in Anglo, a highly performance-oriented culture. Negative outcomes of bullying were very similar across the world. Nurses used emotion-focused coping strategies more frequently almost in all clusters; yet, there were reports of problem-focused coping strategies especially in relatively higher assertiveness cultures.

Conclusions: Analysis revealed both similarities and differences in the nurses’ reports of bullying by world region. Cultural factors were found to be important for understanding the variation in the nurses’ per- ceptions of and responses to bullying.

Place, publisher, year, edition, pages
Elsevier, 2020. Vol. 111, article id 103628
Keywords [en]
Cross-cultural, nursing profession, scoping review, workplace bullying
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:mau:diva-36875DOI: 10.1016/j.ijnurstu.2020.103628ISI: 000600695000001PubMedID: 32932063Scopus ID: 2-s2.0-85090579118OAI: oai:DiVA.org:mau-36875DiVA, id: diva2:1502035
Available from: 2020-11-18 Created: 2020-11-18 Last updated: 2023-12-05Bibliographically approved

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Karatuna, IşılJönsson, SandraMuhonen, Tuija

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Centre for Work Life and Evaluation Studies (CTA)Department of Urban Studies (US)Department of School Development and Leadership (SOL)
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International Journal of Nursing Studies
Public Health, Global Health, Social Medicine and Epidemiology

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