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Bullying, Culture, and Climate in Health care Organizations: A theoretical Framework

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Part of the book series: Organizational Behaviour in Health Care ((OBHC))

Abstract

Culture and climate — two distinct but inexorably linked terms, as many of the chapters in this book illustrate. In this chapter we focus on a compelling topic — bullying. In keeping with the theme of the book, we explore bullying in health care in terms of its links to culture and its relationship to climate and ultimately implications for patient and service user outcomes. This chapter arises from theoretical analyses, and studies relating to climate carried out by the authors in two large public health care organizations in Ireland where the issue of bullying arose not only in terms of its effect on individuals who experienced bullying, but also the effect of bullying on the collective perception of the organization and variables that are associated with climate. We are aiming in this chapter therefore to — perhaps tentatively — explore the culture-bullying-climate nexus and to provide a conceptual framework for further research. To this end the chapter examines first the ‘meaning’ of bullying and the incidence and extent of bullying. A conceptual model is then presented which links antecedents of a bullying culture to both individual outcomes and organization climate. This is followed by a discussion of the key variables presented in the model.

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References

  • Agervold, M. (2007) ‘Bullying at work: A discussion of definitions and prevalence, based on an empirical study’, Scandinavian Journal of Psychology, 48, 161–72.

    Article  Google Scholar 

  • Ahmed, P.K. (1998) ‘Culture and climate for innovation’, European Journal of lnnovation Management, 1 (1), 30–43.

    Article  Google Scholar 

  • Anderson, N.R., Hardy and West, M.A. (1992) Team Climates for Innovation, MRC/ESRC, Social and Applied Psychology Unit, University of Sheffield, Memo 1430.

    Google Scholar 

  • Archer, D. (1999) ‘Exploring “bullying” culture in the para-military organisation’, International Journal of Manpower, 20 (1/2), 94–105.

    Article  Google Scholar 

  • Ashforth, B. (1994) ‘Petty tyranny in organizations’, Human Relations, 47, 755–78.

    Article  Google Scholar 

  • Baer, M. and Frese, M. (2003) ‘Innovation is not enough: Climates for initiative and psychological safety, process innovations, and firm performance’, Journal of Organisational Behaviour, 24, 45–69.

    Article  Google Scholar 

  • Bairy K.L., Thirumalaikolundusubramanian, P., Sivagnanam, G., Saraswathi, S., Sachidananda, A. and Shalini, A. (2007) ‘Bullying among trainee doctors in Southern India: A questionnaire study’, Journal of Postgraduate Medicine, 53, 87–90.

    Article  Google Scholar 

  • Barman, E. (2007) ‘What is the bottom line for nonprofit organizations? A history of measurement in the British Voluntary Sector’, Voluntas-Iinternational Journal for Voluntary and Non Profit Organisations, 18 (2), June, 101–15.

    Article  Google Scholar 

  • Birman, J. (1999) ‘Covert violence in nursing’, Australian National Safety Journal, 7, 17–21.

    Google Scholar 

  • BjoÈrkqvist, K., Esterman, K. and Hjelt-Back, M. (1994) ‘Aggression among university employees’, Aggressive Behavior, 20, 173–84.

    Article  Google Scholar 

  • Borrill, C., West, M.A., Shapiro, D. and Rees, A. (2000) ‘Team working and effectiveness in health care’, British Journal of Health Care, 6 (8), 364–71.

    Google Scholar 

  • Branch, S., Ramsay, S. and Barker, M. (2007) ‘Contributing factors to workplace bullying by staff — an interview study’, Journal of Management and Organisation, 13 (3), 264–81.

    Article  Google Scholar 

  • Brennan, W. (2001) ‘Bully off’, Health and Safety at Work, 23 (96), 17.

    Google Scholar 

  • Brito, P., Galin, P. and Novick, M. (2001) Labour Relations, Employment Conditions and Participation in the Health Sector, Workshop on Global Health Workforce Strategy, Annecy, France, 9–12 December.

    Google Scholar 

  • Brodsky, C.M. (1976) The Harassed Worker. Toronto: Lexington Books, DC Heath and Company.

    Google Scholar 

  • Carter, A. and West, M. (1999) ‘Sharing the burden: Team work in health care settings’, in J. Firth-Cozens and R. Payne (eds), Stress in Health Professionals: Psychological and Organisational Causes and Interventions. Chicester: John Wiley & Sons, 191–202.

    Google Scholar 

  • Cheema, S., Ahmad, K., Girl, S.K., Kaliaperumal, V.K. and Naqvi, S.A. (2005) ‘Bullying of junior doctors prevails in irish health system: A bitter reality’, Irish Medical Journal, 98 (9), October, 274–5.

    Google Scholar 

  • Deal, T.E. and Kennedy, A.A. (2000) Corporate Culture: The Rites and Rituals of Corporate Life. Boston, MA: Perseus.

    Google Scholar 

  • De Martino, V. (2003) Relationship of Work Stress and Workplace Violence in the Health Sector. Geneva: ILO.

    Google Scholar 

  • Duffy, E. (1995) ‘Horizontal violence: A conundrum for nursing’, Collegian, 2, 5–17.

    Article  Google Scholar 

  • Edwards, S. and O’Connell, C.F. (2007) ‘Exploring bullying: Implications for nurse educators’, Nurse Education in Practice, 7, 26–35.

    Article  Google Scholar 

  • Einarsen, S. (1999) ‘The nature and causes of bullying at work’, International Journal of Manpower, 20, 16–27.

    Article  Google Scholar 

  • Einarsen, S., Hoel, H., Zapf, D. and Cooper, C.L. (2003) ‘The concept of bullying at work: The European tradition’, in S. Einarsen, H. Hoel, D. Zapf and C.L. Cooper (eds), Bullying and Emotional Abuse in the Workplace: International Perspectives in Research and Practice. London: Taylor and Francis, 3–30.

    Google Scholar 

  • Einarsen, S., Raknes, B.I. and Matthiesen, S.B. (1994) ‘Bullying and its relationship to work and employment: An exploratory study’, European Journal of Organisational Psychology, 4, 381–401.

    Article  Google Scholar 

  • Einarsen, S., Raknes, B.I. and Matthiesen, S.M. (1994) ‘Bullying and harassment at work and their relationships to work environment quality — an exploratory study’, European Journal of Work and Organizational Psychology, 4, 381–401.

    Article  Google Scholar 

  • Einarsen, S. and Skogstad, A. (1996) ‘Bullying at work: Epidemiological findings in public and private organizations’, European Journal of Work and Organizational Psychology, 5, 185–202.

    Article  Google Scholar 

  • Erickson, L. and William-Evans, S.A. (2000) ‘Attitudes of emergency nurses regarding patient assaults’, Journal of Emergency Nursing, 26 (3), 210–15.

    Article  Google Scholar 

  • Farrell, G.A. (2001) ‘From tall poppies to squashed weeds: Why don’t nurses pull together more?’ Journal of Advanced Nursing, 35 (1), 26–33.

    Article  Google Scholar 

  • Felce D., Lowe K. and Beswick, J. (1993) ‘Staff turnover in ordinary housing services for people with severe or profound mental handicaps’, Journal of Intellectual Disability Research, 37 (Pt 2), April, 143–52.

    Article  Google Scholar 

  • Felson, R.B. (1992) ‘Kick ‘em when they’re down: Explanations of the relationships between stress and interpersonal aggression and violence’, Sociological Quarterly, 33 (1), 1–16.

    Article  Google Scholar 

  • Ferrinho, P., Biscaia, A., Fronteira, I. Antunes, I.C., Conceicao, C., Flores, I. and Santos, O. (2003) ‘Patterns of perceptions of workplace violence in the health care sector’, Human Resource Health, 1, 1–11.

    Article  Google Scholar 

  • Field, T. (2003) ‘Workplace bullying: The silent epidemic’, editorial, BMJ, 326, April, 776–77.

    Article  Google Scholar 

  • Fisher, K. (2004) ‘Nursing care of special populations: Issues in caring for elderly people with mental retardation’, Nursing Forum, 39 (1), January–March, 20–31.

    Article  Google Scholar 

  • Gandolfo, R. (1995) ‘MMPI-2 profiles of worker’s compensations claimants who present with complaints of harassment’, Journal of Clinical Psychology, 51, 711–15.

    Article  Google Scholar 

  • Gershon, R.M., Stone, P.W., Bakken, S. and Larson, E. (2004) ‘Measurement of organisation culture and climate in health care’, Journal of Nursing Administration, 34 (1), January, 33–40.

    Article  Google Scholar 

  • Hansen, A., Hogh, R., Persson, B., Karlson, A., Garde, P. and Ørbæk (2006) ‘Bullying at work, health outcomes, and physiological stress response’, Journal of Psychosomatic Research, 60 (1), 63–72.

    Article  Google Scholar 

  • Hatton, C., Emerson, E., Rivers, M., Mason, H., Swarbrick, R, Mason, L., Kiernan, C., Reeves, D., and Alborz, A. (2001) ‘Factors associated with intended staff turnover and job search behaviour in services for people with intellectual disability’, Journal of Intellectual Disability Research, 45 (3), 258–70.

    Article  Google Scholar 

  • Hatton, C., Rivers, M., Mason, H., Mason, L., Kiernan, C., Emerson, E., Alborz, A. and Reeves, D. (1999a) ‘Staff stressors and staff outcomes in services for adults with intellectual disabilities: The staff stressor questionnaire’, Research in Developmental Disabilities, 20, 269–85.

    Article  Google Scholar 

  • Hatton, C., Rivers, M., Mason, H., Mason, L., Emerson, E., Kiernan, C., Reeves, D. and Alborz, A. (1999b) ‘Organizational culture and staff outcomes in services for people with intellectual disabilities’, Journal of Intellectual Disability Research, 43, 206–18.

    Article  Google Scholar 

  • Health and Safety Authority (2007) Code of Practice for Employers and Employees for the Prevention and Resolution of Bullying at Work. Dublin: HSA.

    Google Scholar 

  • Hickling, K. (2006) ‘Workplace bullying’, in Randle, J. (ed.), Workplace Bullying in the NHS. Oxford: Radcliffe Press, 7–24.

    Google Scholar 

  • Hoel, H., Einarsen, S. and Cooper, C.L. (2003) ‘Organisational effects of bullying’, in Stale Einarsen, Helge Hoel, Dieter Zapf, Cary L. Cooper (eds), Bullying and Emotional Abuse in the Workplace, London: Taylor & Francis, 145–62.

    Google Scholar 

  • Hume, C., Randle, J. and Stevenson, K. (2006) ‘Student nurses’ experiences of work-place relationships’, in Jacqueline Randl (ed.), Workplace Bullying in the NHS, London: Routledge, 63–76.

    Google Scholar 

  • Hutchinson, M., Jackson, D., Wilkes, L. and Vickers, M.H. (2008) ‘A new model of bullying in the nursing workplace organizational characteristics as critical antecedents’, Advances in Nursing Science, 31(2), 60–71.

    Article  Google Scholar 

  • Hutchinson, M., Vickers, M., Jackson, D. and Wilkes, L. (2006) ‘Workplace bullying in nursing: Towards a more critical organisational perspective’, Nursing Inquiry, 13 (2), 118–26.

    Article  Google Scholar 

  • Kauppinen T., Aaltonen, M. and Lehtinen, S. (1997) Work and Health in Finland 1997. Helsinki: Finnish Institute of Occupational Health.

    Google Scholar 

  • Kellock Hay, G., Beattie, R.S., Livingstone, R. and Munro, P. (2001) ‘Change, HRM and the voluntary sector’, Employee Relations, 23 (3), 240–5.

    Article  Google Scholar 

  • Kelly, D. (2006) ‘Workplace bullying — a complex issue needing IR/HRM research?’ in Pocock, B., Provis, C. and Willis, E. (eds), 21st Century Work: Proceedings of the 20th Conference of the Association of Industrial Relations Academics of Australia and New Zealand. University of South Australia, February, 274–84.

    Google Scholar 

  • Kenny, J. (2002) ‘The process of employee violence: The building of a workplace explosion’, in M. Gill, B. Fisher and V. Bowie (eds), Violence at Work Causes Patterns and Preventions. Devon: Willan.

    Google Scholar 

  • Kivimäki, M., Elovainio, M. and Vahtera, J. (2000) ‘Workplace bullying and sickness absence in hospital staff’, Occupational Environmental Medicine, 57, 656–60.

    Article  Google Scholar 

  • Labour Relations Commission (2006) Procedures For Addressing Bullying in The Workplace, Code of Practice no. 6. Dublin: Labour Relations Commission.

    Google Scholar 

  • Ledwith, F. (1999) ‘Policy contradictions and collaboration in community mental health services in Britain’, International Journal of Public Sector Management, 12 (3), 236–48.

    Article  Google Scholar 

  • Lewis, M. (2001) ‘Bullying in nursing’, Nursing Standard, 15, 39–42.

    Article  Google Scholar 

  • Lewis, M.A. (2006a) ‘Organisational accounts of bullying: An interactive approach’, in Jacqueline Randle (ed.), Workplace Bullying in the NHS. London: Routledge.

    Google Scholar 

  • Lewis, M.A. (2006b) ‘Nurse bullying: Organizational considerations in the maintenance and perpetration of health care bullying cultures’, Journal of Nursing Management, 14, 52–8.

    Article  Google Scholar 

  • Leymann, H. (1990) ‘Mobbing and psychological terror at workplaces’, Violence and Victims, 5, 119–26.

    Google Scholar 

  • Leymann, H. (1996) ‘The content and development of mobbing at work’, European Journal of Work and Organizational Psychology, 5, 165–84.

    Article  Google Scholar 

  • Leymann, H. and Gustafsson, A. (1996) ‘Mobbing at work and the development of post-traumatic stress disorder’, European Journal of Work and Organisation Psychology, 5 (2), 251–75.

    Article  Google Scholar 

  • Lutgen-Sandvik, P., Tracy, S.J. and Alberts, J.K. (2007) ‘Burned by bullying in the American workplace: prevalence, perception, degree and impact’, Journal of Management Studies, 44 (6), September, 837–62.

    Article  Google Scholar 

  • Mayhew, C. and Chappell, D. (2003) ‘Internal Occupational Violence (or Bullying) in the Health care Industry’, Journal of Occupational Health and Safety, Australia and New Zealand, 19 (1), 59–71.

    Google Scholar 

  • Mayhew, C. and Chappell, D. (2001) Internal Violence (or bullying) and the Health Workforce. Taskforce on the Prevention and Management of Violence in the Health care Workplace. Discussion paper no. 3. Sydney: University of New South Wales School of Industrial Relations and Organisational Behaviour and Industrial Relations Research Centre.

    Google Scholar 

  • Michie, S. and Williams, S. (2003) ‘Reducing work-related psychological ill health and sickness absence: a systematic literature review’, Occupational and Environmental Medicine, 60, 3–9.

    Article  Google Scholar 

  • Moran, E.T. and Volkswein, J.F. (1992) ‘The cultural approach to the formation of organisational climate’, Human Relations, 45, 19–48.

    Article  Google Scholar 

  • Moss-Kanter, R. (1983) The Change Masters: Innovation for Productivity in the American Corporation. New York: Simon & Schuster.

    Google Scholar 

  • Mudrack, P.E. (1989) ‘Group cohesiveness and productivity: A closer Look’, Human Relations, 42, 771–86.

    Article  Google Scholar 

  • McAvoy, B. and Murtagh, J. (2003) ‘Workplace bullying the silent epidemic’, BMJ, 326, 776–7.

    Article  Google Scholar 

  • McMillan, I (1995) ‘Losing Control’, Nursing Times, 91, 40–3.

    Google Scholar 

  • Nabb, D (2000) ‘Visitors’ violence: The serious effects of aggression on nurses and others’, Nursing Standard, 14 (23), 36–8.

    Article  Google Scholar 

  • O’Connell, P.J., Calvert, E. and Watson, D. (2007) Bullying in the Workplace, Survey Reports. Dublin: Department of Enterprise Trade and Employment.

    Google Scholar 

  • O’Moore, M., Seigne, E., McGuire, L. and Smith, M. (1998) ‘Victims of bullying at work in Ireland’, Journal of Occupational Health and Safety: Australia and New Zealand, 14 (6), 568–74.

    Google Scholar 

  • Parent-Thirion, A., Macías, E.F., Hurley, J. and Vermeylen, G. (2007) Fourth European Working Conditions Survey. Luxembourg: Office for Official Publications of the European Communities.

    Google Scholar 

  • Passey, A., Hems, L. and Jas, P. (2000) The Voluntary Sector Almanac 2000. London: NCVO Publications.

    Google Scholar 

  • Paterson, B., McComish, A. and Aitken, I. (1997) ‘Abuse and bullying’, Nursing Management, 3 (10), 8–9.

    Google Scholar 

  • Patterson, M.G., West, M.A., Schackelton, V.J., Dawson, J.F., Lawthom, R., Maitlis, S., Robinson, D.L. and Wallace, A. (2005) ‘Validating the organizational climate measure: Links to managerial practices, productivity and innovation’, Journal of Organizational Behavior, 26, 379–408.

    Article  Google Scholar 

  • Quine, L. (1999) ‘Workplace bullying in NHS Community Trust: Staff Questionnaire Survey’, BMJ, 318, 228–32.

    Article  Google Scholar 

  • Quine, L. (2001) ‘Workplace Bullying in Nurses’, Journal of Health Psychology, 6 (73), 73–84.

    Article  Google Scholar 

  • Quine, L. (2002) ‘Workplace Bullying in Junior Doctors, Questionnaire Survey’, British Medical Journal (BMJ), 324, 878–9.

    Article  Google Scholar 

  • Quinn, E. (2006) Managed Migration and the Labour Market: The Health Sector in Ireland. Report prepared for the European Commission Directorate-General Justice, Freedom and Security and published by the ESRI, Dublin, July.

    Google Scholar 

  • Randle, J. (2003) B’ullying in the nursing profession’, Journal of Advanced Nursing, 43 (4), 395–401.

    Article  Google Scholar 

  • Randle, J. (2007) ‘Reducing Workplace Bullying in health care organisations’, Nursing Standard, 21 (22), 7 February, 49–56.

    Article  Google Scholar 

  • Rayner, C. and Hoel, H. (1997) A Summary Review of Literature Relating to Workplace Bullying. Journal of Community & Applied Social Psychology, 7, 181–91.

    Article  Google Scholar 

  • Rayner, C., Hoel, H. and Cooper, C. L. (2002) Workplace Bullying. London: Taylor and Francis.

    Book  Google Scholar 

  • Rose, J., Jones, C. and Elliott, J.L. (2000) ‘Differences in stress levels between managers and direct care staff in group homes’, Journal of Applied Research in Intellectual Disabilities, 13 (4), December, 276.

    Article  Google Scholar 

  • Rose, D. and Rose, J. (2005) ‘Staff in services for people with intellectual disabilities: The impact of stress on attributions of challenging behaviour’, Journal of Intellectual Disability Research, 49 (11), November, 827–38.

    Article  Google Scholar 

  • Rutherford, A. and Rissel, C. (2004) A survey of workplace bullying in a health care organisation, Australian Health Review, 28 (1), September, 65–72.

    Article  Google Scholar 

  • Salin, D. (2003) ‘Ways of explaining workplace bullying: A review of enabling, motivating, and precipitating structures and processes in the work environment’, Human Relations, 56, 1213–32.

    Article  Google Scholar 

  • Salin, D. (2005) Workplace Bullying among Business Professionals: Prevalence, Gender Differences and the Role of Organizational Politics (PISTES), 7 (3), http://www.pistes.uqam.ca/

    Google Scholar 

  • Schein, (2004) Organisational Culture and Leadership. Wiley: Jossey Bass.

    Google Scholar 

  • Salin, D. (2008) ‘The prevention of workplace bullying as a question of human resource management: Measures adopted and underlying organizational factors’, Scandinavian Journal of Management, 24 (3), 221–31.

    Article  Google Scholar 

  • Schneider, B. (1990) Organizational Climate and Culture. San Francisco, CA: Jossey Bass.

    Google Scholar 

  • Seigne, E. (1998) ‘Bullying at work in Ireland’, in Rayner, C., Sheehan, M. and Barker, M. (eds), Bullying at Work, Research Update Conference Proceedings. Stafford: Staffordshire University.

    Google Scholar 

  • Sims, R.R. and Brinkman, J. (2003) ‘Enron ethics: Culture means more than codes’, Journal of Business Ethics, 45, 243–56.

    Article  Google Scholar 

  • Skogstad, A., Einarsen, S., Torsheim, T., Aasland, M.S. and Hetland, H. (2007) ‘The destructiveness of laissez-faire leadership behavior’, Journal of Occupational Health Psychology, 12 (1), 80–92.

    Article  Google Scholar 

  • Sparks, K., Faragher, B., and Cooper, G.L. (2001) ‘Well-Being and occupational health in the 21st century workplace’, Journal of Occupational and Organisational Psychology, 74, 489–509.

    Article  Google Scholar 

  • Stevenson, K., Randle, J., Grayling, I. (2006) ‘Inter-group conflict in health care: UK students’ experiences of bullying and the need for organisational solutions’, OJIN: The Online Journal of Issues in Nursing, 1 (2), Manuscript 5.

    Google Scholar 

  • Stone, P.W., Harrison, M.I., Feldman, P., Linzer, M., Peng, T., Doblin, D., Scott-Cawiezel J., Warren N., Williams, E.S. (2004) Organizational Climate of Staff Working Conditions and Safety — An Integrative Model. New York: Columbia University School of Nursing.

    Google Scholar 

  • Vandekerckhove, W. and Commers, M.S.R. (2003) ‘Downward workplace mobbing: A sign of the times?’ Journal ofBusiness Ethics, 45 (1), June, 41–50.

    Article  Google Scholar 

  • Vartia, M. (1996) ‘The sources of bullying — psychological work environment and organizational climate’, European Journal of Work and Organizational Psychology, 5, 203–14.

    Article  Google Scholar 

  • Wood, D. (2006) ‘Bullying and harassment in medical schools’, BMJ, 333, 664–5.

    Article  Google Scholar 

  • Yildirim, A. and Yildirim, D. (2007) ‘Mobbing in the workplace by peers and managers: Mobbing experienced by nurses working in health care facilities in Turkey and its effect on nurses’, Journal of Clinical Nursing, 16, 1444–53.

    Article  Google Scholar 

  • Zapf, D. (1999) ‘Organizational, work group related and personal causes of mobbing/bullying at work’, International Journal of Manpower, 20, 70–84.

    Article  Google Scholar 

  • Zapf, D. and Gross, C. (2001) ‘Conflict escalation and coping with workplace bullying: A replication and extension’, European Journal of Work and Organisational Psychology, 10 (4), 497–522.

    Article  Google Scholar 

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© 2010 Juliet MacMahon, Sarah MacCurtain and Michelle O’Sullivan

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MacMahon, J., MacCurtain, S., O’Sullivan, M. (2010). Bullying, Culture, and Climate in Health care Organizations: A theoretical Framework. In: Braithwaite, J., Hyde, P., Pope, C. (eds) Culture and Climate in Health Care Organizations. Organizational Behaviour in Health Care. Palgrave Macmillan, London. https://doi.org/10.1057/9780230274341_8

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