College of Nursing Brain Korea 21 FOUR Project, Yonsei University, Seoul, Korea.
College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Incheon, Korea.
J Nurs Manag. 2021 Jul;29(5):1338-1347. doi: 10.1111/jonm.13275. Epub 2021 Feb 8.
The aim of this study was to explore the relationship between workplace bullying and mental health, focusing on the indirect effect of post-traumatic stress responses and moderation of nurses' perception of workplace bullying.
Post-traumatic stress symptoms frequently result from workplace bullying, but how nurses' individual appraisals relate to negative consequences is unclear.
A cross-sectional online survey was conducted with 319 Korean nurses; participants were divided into the perceived and non-perceived workplace bullying groups. Moderated mediation models were tested using structural equation modelling with Stata version 16.
Regardless of nurses' appraisals, higher levels of workplace bullying were associated with poor mental health. Post-traumatic stress symptoms indirectly impacted the relationship in both groups, but post-traumatic growth did not. The perceived group showed a partial negative association between post-traumatic growth and mental health.
It is necessary to develop systems for early detection of mental health problems to create safe work environments not only for nurses who perceive workplace bullying but also for those who do not.
Staff education and institutional support that consider PTSS are recommended for all nurses.
本研究旨在探讨工作场所欺凌与心理健康之间的关系，重点关注创伤后应激反应的间接影响和护士对工作场所欺凌感知的调节作用。
工作场所欺凌经常导致创伤后应激症状，但护士的个体评估如何与负面后果相关尚不清楚。
采用横断面在线调查的方式，对 319 名韩国护士进行了调查；参与者被分为感知到和未感知到的工作场所欺凌群体。使用 Stata 版本 16 的结构方程模型检验了调节中介模型。
无论护士的评估如何，较高水平的工作场所欺凌与心理健康状况较差相关。创伤后应激症状在两个群体中均存在间接影响关系，但创伤后成长没有影响。感知群体中，创伤后成长与心理健康之间存在部分负相关。
有必要建立心理健康问题的早期检测系统，不仅为感知到工作场所欺凌的护士，也为那些没有感知到工作场所欺凌的护士创造安全的工作环境。
建议对所有护士进行考虑创伤后应激症状的员工教育和机构支持。
