The Relationship between Bullying and Emotional State among Undergraduate Nursing Students: A Cross-Sectional Correlation Study

Introduction

Bullying behavior by nursing students is a serious problem that has contributed to the drop in numbers in the nursing profession.

Aim

The study investigated the relationship between bullying and the emotional state of undergraduate nursing students.

Methods

The study used a cross-sectional correlation design with a sample of 286 undergraduate nursing students from multiple nursing colleges located in the western region of Saudi Arabia. The 21-item depression, anxiety, and stress scale (DASS-21) was used to measure the study outcomes. A revised version of the Bullying Assessment Questionnaire was used to assess bullying experiences. Statistical analyses, including a t-test, Pearson correlation coefficient, and a one-way between-subjects ANOVA, determined the significance of the relationship between study variables.

Results

There was a high prevalence of depression, anxiety, and stress symptoms among Saudi nursing students. Most of the respondents reported mild to extremely severe symptoms of depression (58.7%), anxiety (58%), and stress (44.8%). Around 90.1% of the nursing students reported exposure to a form of bullying over the previous 12 months. The most common items reported as part of this behavior included continually being assigned tasks beyond their capacity. Family members were the most frequently reported source of bullying (29.8%), followed by nursing faculties (20.9%). Bullying behavior was positively correlated with students' scores for depression, r (284) = 0.49, n = 286, p < 0.01; anxiety, r (284) = 0.54, p < 0.01; and stress, r (284) = 0.56, p < 0.01.

Conclusion

The study's findings raise concerns and highlight the importance of decreasing the risk of depression, anxiety, and stress among undergraduate nursing students. Nurse educators must ensure that students receive psychological support to decrease these psychological outcomes. Regularly monitoring bullying behavior is essential to maintain students' psychological stability, which could eventually reduce professional dropout rates.

Does bullying in the hospital affect the health-related quality of life of health professionals?

BACKGROUND: This study investigates workplace harassment among Greek NHS employees and its impact on Health Related Quality of Life (HRQoL). OBJECTIVES: In the present study, we highlight that the consequences of workplace harassment and the concomitant damaged satisfaction can negatively affect health-related quality of life in Public Hospitals. METHODS: A sample of 343 employees from five Athens-based hospitals, including doctors, nurses, administrative and technical personnel, completed the Greek versions of the Leymann Inventory of Psychological Terrorization (LIPT) and the Short Form-36 (SF-36). Multiple logistic regression identified factors associated with mobbing, and adjusted odds ratios were computed. RESULTS: Out of the 37.5% of the employees who reported experiencing mobbing, 22.7% were bullied daily, and 49.2% almost daily. Furthermore, 66.7% were bullied by colleagues of the same grade, while 58.7% were from superiors. Regarding HRQoL, all SF-36 dimension scores were significantly lower (p < 0.001) for the mobbing victims, compared to others not having suffered workplace harassment. CONCLUSION: The existence of mobbing in the Greek NHS is evident, and that harms health. Preventing workplace harassment should be high on policymakers’ agendas to improve human resource management and health system performance.