Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Prevalence and Forms of Workplace Bullying Among Health-care Professionals in Cyprus: Greek Version of "Leymann Inventory of Psychological Terror" Instrument

  • Received : 2016.08.30
  • Accepted : 2017.11.27
  • Published : 2018.09.30
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Abstract

Background: Workplace bulling is a pervasive phenomenon with negative consequences for the health of victims and the productivity of organizations. The aim of this study was to measure the prevalence and forms of workplace bullying among employees working at the public health-care sector of Cyprus using the Greek version of Leymann Inventory of Psychological Terror (LIPT) instrument. Methods: A translation process was followed from the French to the Greek version of LIPT questionnaire. Test-retest reliability expressed by Pearson's correlation coefficient was 0.98 indicating excellent reproducibility. Internal consistency reliability assessed by Cronbach ${\alpha}$ coefficient was 0.87 suggesting high reliability. LIPT instrument was distributed among 403 employees working at the primary health-care setting and at the largest public hospital of Cyprus with response rate of 73.4%. Results: Women comprised the majority of participants (71.4%). Mean age was 43.3 years. Prevalence of workplace bulling according to Leymann's definition was 5.9%. Most common forms of bullying were "Being continuously interrupted" (17.2%) and "continuously being given new work assignments" (13.5%). Women were significantly more often exposed to at least one mobbing behavior than men within the previous year (49% vs. 35.7%, p = 0.038), whereas nurses were significantly exposed to at least one mobbing behavior as compared to physicians (53.3% vs. 31.4%, p = 0.004). Conclusion: This was the first study that examined the prevalence of workplace bullying in the public health-care sector by elaborating the Greek version of LIPT instrument. Results showed that workplace bullying is a common and complex phenomenon among health-care organizations.

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References

  1. Leymann H. The content and development of mobbing at work. Eur J Work Org Psychol 1996;2:165-84.
  2. Neuman J, Baron R. Workplace violence and workplace aggression: evidence concerning specific forms, potential causes and preferred targets. J Manag 1998;24:391-419.
  3. Einarsen S, Skogstad A. Bullying at work: epidemiological findings in public and private organizations. Eur J Work Organ Psychol 1996;5:185-201. https://doi.org/10.1080/13594329608414854
  4. Hoel H, Cooper C. Destructive conflict and bullying at work. Manchester: Manchester School of Management. University of Manchester Institute of Science and Technology; 2000.
  5. Vartia M. The sources of bullying: psychological work environment and organizational climate. Eur J Work Organ Psychol 1996;5:203-14. https://doi.org/10.1080/13594329608414855
  6. Zapf D, Einarsen S. Mobbing at work: escalated conflicts in organisations. In: Fox S, Spector PE, editors. Counterproductive work behavior. Washington DC:American Psychological Association; 2005. p. 237-70.
  7. Sixth European Working Conditions Survey. European Foundation for the Improvement of Living and Working Conditions. Dublin; 2015 [cited 2016 June 20]. Available from: http://www.eurofound.europa.eu/publications/resume/2015/working-conditions/first-findings-sixth-european-working-conditions-survey-resume.
  8. Niedl K. Mobbing and well-being: economic and personnel development implications. Eur J Work Organ Psychol 1996;5:239-49. https://doi.org/10.1080/13594329608414857
  9. Moyaed FA, Daraiseh N, Shell R, Salem S. Workplace bullying: a systematic review of risk factors and outcomes. Theor Issues Ergon 2006;7:311-27. https://doi.org/10.1080/14639220500090604
  10. Leymann H. Mobbing and psychological terror at workplaces. Violence Vict 1990;5:119-26. https://doi.org/10.1891/0886-6708.5.2.119
  11. Einarsen S, Raknes B. Harassment in the workplace and the victimisation of men. Violence Vict 1997;12:247-63. https://doi.org/10.1891/0886-6708.12.3.247
  12. Bjorkqvist K, Osterman K. Work Harassment Scale. Finland: Abo Akademi University; 1992.
  13. Niedhammer I, David S, Degioanni S, Drummond A, Philip P. Workplace bullying and sleep disturbances: findings from a large scale cross-sectional survey in the French working population. Sleep 2009;32:1211-9. https://doi.org/10.1093/sleep/32.9.1211
  14. Niedhammer I, David S, Degioanni S., et 143 Medecins du travail. La version francaise du questionnaire de Leymann sur la violence psychologique au travail: Le "Leymann Inventory of Psychological Terror" (LIPT). Rev Epidemiol Sante Publique 2006;54:245-62. https://doi.org/10.1016/S0398-7620(06)76720-7
  15. Korukcu O, Bulut O, Tuzcu A, Bayram Z, Ozturk Turkmen H. An adaptation of Leymann Inventory of Psychological Terror to health sciences programs in Turkey. Anadol J Psychiatr 2014;15:335-43.
  16. Gonzalez de Riviera JL, Rodriguez- Abuin M. Cuestionario de estrategias de acoso psicologico: El LIPT-60. Psiquis 2003;24:59-66.
  17. Carnero MA, Martinez B, Mangas RS. Mobbing and its determinants: the case of Spain. Appl Econ 2010;42:3777-87. https://doi.org/10.1080/00036840802360112
  18. Medical Outcomes Trust. Trust introduces new translation criteria. Bulletin 1997;5:1-4.
  19. Acquadro C, Conway K, Giroudet C, Mear I. Linguistic Validation Manual for Patient-Reported Outcomes (PRO) Instruments. Lyon: Linguistic Validation Department, Mapi Research Institute; 2004.
  20. Chira S. Prevalence of mobbing syndrome between healthcare professionals working at the Primary Healthcare setting of Cyprus. Postgraduate thesis. Open University of Cyprus, Department of Economics and Management. 26/08/2014., https://kypseli.ouc.ac.cy/bitstream/handle/11128/1671/%CE%94%CE%9C%CE%A5-2014-00236.pdf?sequence=1.
  21. Annual report of theMedical Services and public Healthcare Services. Ministry of Health of Cyprus. 2012 [cited 2016March 23]. Available from: http://www.moh.gov.cy/moh/moh.nsf/FBCE8EA2FCD2654AC225784800383F45/$file/2012.${\Delta}{\iota}{\varepsilon}U{\theta}uv{\sigma}{\eta}$%$20I{\alpha}{\tau}{\rho}{\iota}{\kappa}{\omega}{\nu}$%$20U{\pi}{\eta}{\rho}{\varepsilon}{\sigma}{\iota}{\omega}{\nu}$%$20{\kappa}{\alpha}{\iota}$%$20U{\pi}{\eta}{\rho}{\varepsilon}{\sigma}{\iota}{\omega}{\nu}$%$20{\Delta}{\eta}{\mu}o{\sigma}{\iota}{\alpha}{\varsigma}$%$20U{\gamma}{\varepsilon}{\iota}{\alpha}{\varsigma}.cocx$.
  22. Gregoriou S. Prevalence of mobbing syndrome between healthcare professionals working at NGH. Postgraduate thesis. Open University of Cyprus, Department of Economics and Management. 17/03/2016 [cited 2016 May 14]. Available from: http://kypseli.ouc.ac.cy/handle/11128/2234.
  23. Annual Report of Nicosia General Hospital; 2014 [cited 2016 March 23]. [$E{\iota}{\eta}{\sigma}{\iota}{\alpha}$ ${\kappa}{\theta}{\varepsilon}{\sigma}{\eta}$ 2014]. Available from: http://www.moh.gov.cy/moh/ngh/ngh.nsf/All/C1BBAAB536C41C69C2257F0F002ACD21/$file/%CE%95%CF%84%CE%AE%CF%83%CE%B9%CE%B1%20%CE%88%CE%BA%CE%B8%CE%B5%CF%83%CE%B7%202014.pdf.
  24. Rosner B. Fundamentals of Biostatistics. Belmont: Duxbury Press; 1995.
  25. Fleis JL. The design and analysis of clinical experiments. New York: Wiley; 1986.
  26. Nunnally JC, Bernstein JR. Psychometric Theory. New York: McGraw Hill; 1994.
  27. Tsuno K, Kawakami N, Inoue A, Abe K. Measuring workplace bullying: reliability and validity of the Japanese version of the Negative acts Questionnaire. J Occup Health 2010;52:216-26. https://doi.org/10.1539/joh.L10036
  28. Salin D. Prevalence and forms of bullying among business professionals: a comparison of two different strategies for measuring bullying. Eur J Work Organ Psychol 2001;10:425-41. https://doi.org/10.1080/13594320143000771
  29. Moreno MP, Beltran CA, Tsuno K, Inoue A, Kawakami N. Assessing psychological violence and harassment at work: reliability and validity of the Japanese version of the Inventory of Violence and Psychological Harassment (IVAPT) comparing NAQ-R and LIPT. J Occup Health 2013;55:108-19.
  30. Giorgi G, Arenas A, Leon-Perez JM. An operative measure of workplace bullying: the Negative Acts Questionnaire across Italian companies. Ind Health 2011;49:686-95. https://doi.org/10.2486/indhealth.MS1287
  31. Vartia M. Academic Dissertation. Workplace bullying: A study on the work environment, well-being and health, vol. 56. University of Helsinki, Department of Psychology; 2003. 1-68, p. 36.
  32. Einarsen S, Matthiesen S, Skogstad A. Bulling, burnout and well-being among assistant nurses. J Occup Health Safety 1998;14:563-8.
  33. Mikkelsen EG, Einarsen S. Basic assumptions and symptoms of post-traumatic stress among victims of bullying at work. Eur J Work Organ Psychol 2001;10:393-413. https://doi.org/10.1080/13594320143000816
  34. Hoel H, Cooper CL, Faragher B. The experience of bullying in Great Britain: the impact of organizational status. Eur J Work Organ Psychol 2001;10:443-65. https://doi.org/10.1080/13594320143000780
  35. Hubert AB, Van Veldhoven M. Risk sectors for undesirable behavior and mobbing. Eur J Work Organ Psychol 2001;10:415-24. https://doi.org/10.1080/13594320143000799
  36. Cote K, St-Pierre S. Le harcelement psychologique chez les infirmieres: Une realite troublante. MSA/ACFAS 2011;1:1-18.
  37. Einarsen S, Raknes BI, Matthiesen SB, Hellesoy OH. Mobbing og personkonflikter. Helsefarlig sampill pa arbeidsplassen. [Bullying and personified conflicts: Health-endangering interaction at work.]. Bergen, Norway: Sigma Forlag; 1994.
  38. Rayner C, Hoel H, Cooper CL. Workplace bullying: What we know, who is to blame and what can we do?. London: Taylor and Francis; 2001.
  39. Kivimaki M, Elovainio M, Vahtera J. Workplace bullying and sickness absence in hospital staff. Occup Environ Med 2000;57:656-60. https://doi.org/10.1136/oem.57.10.656
  40. Einarsen S, Raknes BI, Matthiesen SB. Bullying and harassment at work and their relationships to work environment quality: an exploratory study. Eur J Work Organ Psychol 1994;4:381-401.
  41. Vartia M. Bullying at workplaces. In: Lehtinen S, Rantanen J, Juuti P, Koskela A, Lindstrom K, Rehnstrom P, Saari J, editors. Towards the 21st century. Work in the 1990s. Proceeding of an International Symposium on Future Trends in the Changing Working Life 13-15 August 1991. Helsinki.
  42. Sunderland L, Hunt L. Bullying: an unrecognized road much travelled by nurses. Aust Nurs J 2001;9:39-40.
  43. Van Eyk H, Baum F, Houghton G. Coping with healthcare reform. Aust Health Rev 2001;24:202-6.
  44. Hutchinson M, Jackson D, Vickers M, Wilkes L. Workplace bullying in nursing: towards a more critical organizational perspective. Nurs Inq 2006;13:118-26. https://doi.org/10.1111/j.1440-1800.2006.00314.x
  45. Bjorkqvist K, Osterman K, Lagerspetz K. Sex differences in covert aggression among adults. Aggress Behav 1994b;20:27-33. https://doi.org/10.1002/1098-2337(1994)20:1<27::AID-AB2480200105>3.0.CO;2-Q
  46. Quine L. Workplace bullying in junior doctors: questionnaire survey. BMJ 2002;324:878-9. https://doi.org/10.1136/bmj.324.7342.878

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