Implications of Job Demand, Control, Support Model to Investigate Workplace Bulling and Intention to Leave of Emergency Department Nurses

Abstract

It known that nurses have the crucial role to achieve safe and efficient health care. Poor work environments such as display to workplace bullying and lateral violence, nurses are not likely to work at their effective, which, may lead to insufficient quality patient care practices and intention to leave for nurses. Workplace bullying (WPB) is rate a dangerous trouble in the profession of nursing. Workplace bullying can be defined as annoyance, assault, and deny colleagues in social relation, or in some way trying to deactivate other nurses work. Moreover, emergency departments are the most high risk places, in which bullying and harassment against nurses is considered a serious problem. It is possible that it happens when the initial encounter emergency nurses is with the patient or family, beside the climacteric situation in the emergency department. Workplace bullying for emergency department nurses is essential matter that cannot be ignored because it is impact on many parties, including organizations, nurses, and patients. Job Demand-Control-Support (JDCS) model are profitable in illustrating a lot of outcomes such as, nurses' attitude towards the job, health and their behavior amongst others. In addition to, Job Demand-Control-Support (JDCS) model a valuable model predicts the workplace bullying and nurses leaving the job. Therefore, the current study investigates workplace bullying based on emergency nurses' Job Demand-Control-Support (JDCS) model and the relationship between the dimensions of this model with workplace bulling and intention to leave for emergency department nurses. A descriptive correlation design was used in this study.  All nurses working in emergency department at Emergency hospital (n=45), and Mansoura International hospital (n=33) who fulfills the criteria of having a minimum of one year experience were included. Three tools were used for data collection, namely; Job Demands- Control and Support Scale (JDCSS), Negative Acts Workplace Bullying Questionnaire (NAWQ), and Intention to Leave an Organization Questionnaire. The study findings indicated that total job demand support control was positive correlated with workplace bullying and intention to leave. And job demands and job support were a significantly correlated statistically with all dimensions of workplace bullying. It was concluded that Job Demand-Control –Support (JDCS) model play an important role to investigate workplace bulling among emergency department nurses. It is recommended to manage emergency department nurses' workplace and intention to leave, it is necessary to acknowledge expanded three dimensional demand-control, support (DCS) model because it is not only necessary to reduced workplace bulling but they also stimulate the employee to perform well and intent to stay in their work.