Workplace bullying in healthcare: A qualitative analysis of bystander experiences

Neill James Thompson*, Madeline Carter, Paul Crampton, Bryan Burford, Jan Illing, Gill Morrow

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Bystander action has been proposed as a promising intervention to tackle workplace bullying, however there is a lack of in-depth qualitative research on the direct experiences of bystanders. In this paper, we developed a more comprehensive definition of bullying bystanders, and examined first person accounts from healthcare professionals who had been bystanders to workplace bullying. These perspectives highlighted factors that influence the type and the extent of support bystanders may offer to targets. Semi-structured telephone interviews were conducted with 43 healthcare professionals who were working in the UK, of which 24 had directly witnessed bullying. The data were transcribed and analysed using Thematic Analysis. The analysis identified four themes that describe factors that influence the type and extent of support bystanders offer to targets of bullying: (a) the negative impact of witnessing bullying on bystanders, (b) perceptions of target responsibility, (c) fear of repercussions, and (d) bystander awareness. Our findings illustrate that, within the healthcare setting, bystanders face multiple barriers to offering support to targets and these factors need to be considered in the wider context of implementing bystander interventions in healthcare settings.

Bystander action has been proposed as a promising intervention to tackle workplace bullying, however there is a lack of in-depth qualitative research on the direct experiences of bystanders. In this paper, we developed a more comprehensive definition of bullying bystanders, and examined first person accounts from healthcare professionals who had been bystanders to workplace bullying. These perspectives highlighted factors that influence the type and the extent of support bystanders may offer to targets. Semi-structured telephone interviews were conducted with 43 healthcare professionals who were working in the UK, of which 24 had directly witnessed bullying. The data were transcribed and analysed using Thematic Analysis. The analysis identified four themes that describe factors that influence the type and extent of support bystanders offer to targets of bullying: (a) the negative impact of witnessing bullying on bystanders, (b) perceptions of target responsibility, (c) fear of repercussions, and (d) bystander awareness. Our findings illustrate that, within the healthcare setting, bystanders face multiple barriers to offering support to targets and these factors need to be considered in the wider context of implementing bystander interventions in healthcare settings.

Original languageEnglish
Pages (from-to)3993-4028
Number of pages36
JournalQualitative Report
Volume25
Issue number11
Publication statusPublished - 14 Nov 2020

Bibliographical note

Funding Information:
We are grateful to Charlotte Rothwell for contributing to the design of the study. This project was funded by the North East Strategic Health Authority and the Northern Deanery in the UK. The funding organisations had no role in the study design or analysis of raw data.

Funding Information:
Acknowledgements: We are grateful to Charlotte Rothwell for contributing to the design of the study. This project was funded by the North East Strategic Health Authority and the Northern Deanery in the UK. The funding organisations had no role in the study design or analysis of raw data.

Publisher Copyright:
© 2020 Nova Southeastern University. All rights reserved.

Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.

Keywords

  • Bystander
  • Employee Support
  • Healthcare
  • Human Factors
  • Managers
  • Qualitative Methods
  • Thematic Analysis
  • Workplace Bullying

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