Características psicométricas do Negative Acts Questionnaire para detecção do assédio moral no trabalho: estudo avaliativo do instrumento com uma amostra de servidores estaduais da saúde

Forgiveness: protecting medical residents from the detrimental relationship between workplace bullying and wellness

Bullying of medical residents is associated with numerous negative psychological and physiological outcomes. As bullying within this demographic grows, there is increased interest in identifying novel protective factors. Accordingly, this research investigated whether interpersonal forgiveness buffers the relationship between two forms of workplace bullying and indices of well-being. Medical residents (N = 134, 62% males) completed measures assessing person and work-related bullying victimization, dispositional forgiveness, and depressive symptoms and underwent a series of cardiovascular assessments during which cardiovascular reactivity was induced by a 3-min serial subtraction math task. It was hypothesized that the tendency to forgive would be negatively related to bullying victimization and that forgiveness would reduce the association of bullying with psychological distress (i.e. depressive symptoms), cognition errors (i.e. incorrect serial subtraction computations), and exaggerated cardiovascular reactivity and recovery. Findings show that forgiveness reduced the harmful relationship between the two forms of workplace bullying and depressive symptoms, serial subtraction errors, and cardiovascular reactivity and recovery for systolic blood pressure (SBP). Study results suggest that forgiveness may serve as an effective means for reducing the outcomes of bullying for medical residents. Implications for forgiveness interventions are discussed. Lay summary This research demonstrated that forgiveness reduced the harmful relationship between bullying victimization and negative outcomes (i.e. depressive symptoms, subtraction errors, and exaggerated cardiovascular reactivity and recovery for SBP) in medical residents. This study suggests that forgiveness may serve as a protective factor and provide an effective means for reducing the negative association between workplace bullying and negative outcomes.

A Psychometric Study of a Spanish Version of the Negative Acts Questionnaire-Revised: Confirmatory Factor Analysis

Background

The NAQ (Negative Acts Questionnaire) has been widely used in more than 40 countries to measure the mobbing phenomenon. This research aims to present a psychometric study based on the Spanish version of the NAQ-R carried out by González-Trijueque and Graña (2013). As opposed to the original scale, this sample contains 23 items and a three-dimension model (personal bullying, work-related bullying, and physically intimidating forms of bullying).

Methods

We used a heterogeneous occupational sample of 2,538 Spanish employees to analyze internal consistency and concurrent validity. In addition, a Confirmatory Factor Analysis was carried out based on the GLS (generalized least squares) method.

Results

Results showed high internal reliability (Cronbach’s alpha = 0.91) and high correlations containing clinical symptoms, burn-out indicators, and coping resources. The Confirmatory Factor Analysis developed upon the heterogeneous occupational sample validates the three-dimension structure in the Spanish version of the NAQ-R aimed to measure harassment behaviors at the workplace.

Conclusion

The NAQ-R reaffirms its validity and reliability as a measure for mobbing-related behaviors. Hence, the scale may become a useful tool in research and forensic practice.

Bullying in the nursing work environment: integrative review

OBJECTIVE

To evaluate the studies that approach bullying in the nursing practice environment.

METHOD

Integrative review, conducted between April and December 2018, by combining the descriptors "bullying/bullying" AND "nursing/nursing/nurse" AND "workplace/workplace". We identified 224 studies of which 38 met the inclusion criteria.

RESULTS

The studies on nursing bullying presented three main approaches related to the prevalence in nursing practice, the repercussions for health and professional development, and the construction of theoretical models for bullying and nursing work environment variables.

CONCLUSION

Bullying is a negative behavior present in the nursing practice environment and has a direct impact on professional performance, impairing general health and professional performance. Despite being a behavior with recognized negative potential in the work environment, few studies propose effective actions to prevent or control this phenomenon in health institutions.

Risk Factors for Workplace Bullying: A Systematic Review

Objective: The goal of this study was to systematically review risk factors for workplace bullying. Methods: The search was carried out in two databases. Studies with estimates of risk factors for workplace bullying were included in the review. We assessed the quality of the selected studies using an adapted version of the Downs and Black checklist. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analyses of Observational Studies in Epidemiology (MOOSE) guidelines were used for reporting papers. Results: Fifty-one papers were included, and 70.6% were from European countries. Women were reported to be at higher risk of being bullied in most studies (odds ratio (OR) from 1.17 to 2.77). Authoritarian and laissez-faire leadership styles were positively associated with bullying. Several psychosocial factors, such as stress (OR from 1.37 to 4.96), and occupational risks related to work organization, such as flexible work methods, role conflict, role ambiguity, monotonous or rotating tasks, high demands, pressure of work, and unclarity of duties were strongly associated with bullying. Discussion: The findings highlight the central role of organizational factors in bullying. Policies to prevent bullying must address the culture of organizations, facing the challenge of developing a new management and leadership framework.