Evidence map›Paper›PMID 40684434›Full record

ArticleNursing open2025

"We Are Our Own Worst Enemies": Workplace Bullying Among Nurses and Its Implications on Healthcare Workers and Job Performance: A Multi-Facility Study in the Tamale Metropolis.

Abubakari Wuni, Ajara Musah, Iddrisu Mohammed Sisala, Abdul Malik Abdulai, Letitia Chanayireh, Brenda Abena Nyarko, Hannah Buasilenu, Mudasir Mohammed Ibrahim, Sulemana Musah, Dorothy Azure and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Abubakari WuniDepartment of Medicine for the Elderly (C6), Cambridge University Hospitals NHS Foundation Addenbrookes Hospital, Cambridge, UK.ORCID https://orcid.org/0000-0001-9329-8368
Ajara MusahNurses' and Midwives' Training College, Tamale, Ghana.
Iddrisu Mohammed SisalaNurses' and Midwives' Training College, Tamale, Ghana.
Abdul Malik AbdulaiNurses' and Midwives' Training College, Tamale, Ghana.
Letitia ChanayirehDepartment of Midwifery and Women's Health, School of Nursing and Midwifery, University for Development Studies, Tamale, Ghana.
Brenda Abena NyarkoDepartment of Health Science, Regentropfen College of Health Science, Bongo, Ghana.
Hannah BuasilenuDepartment of Paediatrics and Child Health, Tamale Teaching Hospital, Tamale, Ghana.
Mudasir Mohammed IbrahimNurses' and Midwives' Training College, Tamale, Ghana.ORCID https://orcid.org/0000-0002-9049-8222
Sulemana MusahNurses' and Midwives' Training College, Tamale, Ghana.
Dorothy AzureNurses' and Midwives' Training College, Tamale, Ghana.
Nafisah AbdulaiNurses' and Midwives' Training College, Tamale, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorkplace bullying is an important issue confronting the nursing profession, with victims described as being part of an oppressed group. The number of attacks and acts of violence that staff direct at each other in the workplace is alarmingly high and cannot be ignored.

aimThis study assessed the prevalence and impact of workplace bullying of nurses by other nurses among those working in three major hospitals in the Tamale Metropolis, Ghana.

methodsData for this study were collected from Tamale Teaching Hospital, Tamale Central Hospital, and Tamale West Hospital using a descriptive cross-sectional multi-facility study design with a quantitative approach to data collection. A proportionate stratified random sampling technique was used to recruit 338 nurses from the three hospitals. A structured questionnaire was used to collect data, following approval from the Tamale Teaching Hospital Research and Development Unit and the Northern Regional Health Directorate, from January 2022 to March 2022. Stata for Windows V16.0 was used to analyse the data. Bivariate and multivariable logistic regression models were used to explore the factors associated with the prevalence of perceived workplace bullying among nurses. Confidence intervals were computed at a 95% confidence level, and a p-value of 0.05 or less was considered statistically significant.

resultsThe majority of respondents (85.5%) indicated they had observed workplace bullying before, and 50.6% had witnessed the bullying of a nurse by another nurse. A little over one-third had been victims of workplace bullying. Females constituted a higher proportion of both the perpetrators (53.0%) and the main targets (80.2%) of workplace bullying. Additionally, 34.6% reported having the intention to travel abroad to practise nursing as a result of observing bullying or being victims themselves. Multivariable analysis showed that the odds of experiencing workplace bullying were 63% lower among nurses working in the surgical ward compared to those in the Outpatient Department (AOR: 0.37, 95% CI: 0.15-0.91, p = 0.030).

conclusionThis study revealed that workplace bullying is prevalent among nurses in the three main hospitals within the Tamale Metropolis. Most respondents had witnessed workplace bullying, and a little over one-third had been victims themselves. Workplace bullying is a measurable issue that negatively affects nurses' mental health and job performance. Therefore, nursing leaders should organise regular sensitisation programmes to raise awareness of the impact of workplace bullying. Additionally, hospital management should encourage nurses to report instances of bullying, establish disciplinary committees to address such cases, punish offenders, and protect those who witness or are victims of bullying.

Indexed as

BullyingHealth PersonnelNursesNursing Staff, HospitalWork PerformanceWorkplaceAdultCross-Sectional StudiesFemaleGhanaHumansMaleMiddle AgedPrevalenceSurveys and Questionnaireshealth workersjob performancenursesprevalenceworkplace bullying

Identifiers

PMID40684434
PMCPMC12276762

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.