ISSN: 2226-3624
Open access
Workplace bullying is a concerning issue in healthcare services, lead to serious consequences for healthcare staff well-being, job and organizational performance. Many previous study has focused on medical staff, but little attention has been given to non-medical employees who also contribute in healthcare delivery. This cross-sectional study examined factors contributing to workplace bullying among healthcare staff. The research investigated how leadership quality, organizational culture, job insecurity, and workload influence workplace bullying, and identified which factor has the strongest impact. Data were collected from 92 non-medical staff at Kemaman Hospital, Terengganu, using convenience sampling from a population of 120 employees. Multiple regression analysis was employed following reliability and validity testing. The findings revealed that leadership quality, workload, and job insecurity significantly influenced workplace bullying, while organizational culture did not demonstrate a significant effect. Among the predictors, job insecurity emerged as the strongest factor, emphasizing how employment uncertainty contributes to bullying vulnerability in the workplace. The model accounted for 61.7% of the variance in workplace bullying, suggesting that organizational and employment-related factors play a substantial role in shaping staff experiences. These results highlight the need for healthcare organizations to implement targeted strategies such as strengthening employment security, managing workloads effectively, and strengthening leadership practices to cultivate respectful and supportive work environments. Future research should extend to larger and more diverse samples across regions and employ triangulation methods to enhance validity and generalizability.
Agervold, M. (2009), The significance of organizational factor for the incidence of bullying, Scandinavian Journal of Psychology, 50, 267-276
An, H., Gu, X., Obrenovic, B., & Godinic, D. (2023), The role of job insecurity, social media exposure, and job stress in predicting anxiety among white-collar employees. Psychology Research and Behavior Management, 16, 3303–3318. https://doi.org/10.2147/PRBM.S416100
Batool, A., Ahmed, S., Naveed, S., Bilal, M. A., Khan, M. A., & Nawaz, S. (2024), The effect of leadership qualities on organizational commitment among bureaucrats; emotional intelligence as a moderator. Migration Letters, 21(S6), 146-160. https://doi.org/10.59670/ml.v21iS6.7887
Begjani, J., Nayeri, N. D., Salami, M., Tavasoli, H., & Rajabi, M. M. (2025), Exploring the causes of workplace bullying among nurses in paediatric intensive care units: a qualitative study, BMC Nursing 24:283, 1-9, https://doi.org/10.1186/s12912-025-02915-2 cite Begjani et al, (2025)
Blomberg, S., Einarsen, S. V., Rosander, M. (2025), Conflict management climate and the prevention of workplace bullying: a multi-cohort three-wave longitudinal study, International Journal of Conflict Management, 36(4), 841-857 cite Blomberg, Einarsen & Rosander (2025)
Codeblue (2023), workplace bullying, retrieved from codeblue, https://codeblue.galencentre.org/tag/workplace-bullying/page/2/
Cuyper, N. D., Baillien, E., & Witte, H. D. (2009), Job insecurity, perceived employability and targets’ and perpetrators’ experience of workplace bullying, Work & Stressm 23(3), 206-224
Darvishmotevali, M., & Ali, F. (2020), Job insecurity, subjective well-being and job performance: The moderating role of psychological capital. International Journal of Hospitality Management, 87, 102462. https://doi.org/10.1016/j.ijhm.2020.102462
Divayani, N. D. B., & Darmawan, A. (2024), The role of organizational commitment as a mediator in work-family conflict and organizational culture on turnover intention. International Journal of Economics, Business and Accounting Research (IJEBAR), 8(2). http://dx.doi.org/10.29040/ijebar.v8i2
Fang, L., Hsiao, L. P., Fang, S. H., (2025), Exploring health influences and the moderating role of authentic leadership in workplace bullying: A cross-sectional study among hospital nurses, International Nursing Review, 72(1), 1-11, https://doi.org/10.1111/inr.13100
Francioli, L., Conway, P., Hansen, A., Grynderup, M., Person, R. (2018), Quality of leadership and workplace bullying, the mediating role of social community at work ina two-year follow up study, Journal of Business Ethics, 147, 889-899, http://doi.org/10.1007/s1055-015-2996-3
Georganta, K., Nikolakopoulos, S., Glaveli, N, (2025), Workplace Quality and Exposure to Bullying During a Crisis: The Inhibiting Role of Positive Leadership in Nursing, International Journal of Bullying Prevention, 1-18, https://doi.org/10.1007/s42380-025-00290-9, cite Georganta, Nikolakopoulus, & Glaveli, 2025
Gordon, S. (2018), what are the effect of workplace bullying? Retrieved from verywell mind, https://www.verywellmind.com/whataretheeffects-of-workplace bullying-460628
Hoel, H., & Cooper, C. L. (2000), Destructive conflict and bullying at work, University of Manchester, Institute Science and Technology (UMIST), Manchester
Ismail, H., Dawam, D ., Aris, N. A. M., Yew, S. Q., *, Ahmad.H , Chan, C. H. D., Baharudin, M. H., Huam, Z. H., Jamaludin, H. H. (2024), Personality traits and workplace bullying among contract trainee doctors in Malaysia. Heliyun 10, 1-9, https://doi.org/10.1016/j.heliyon.2023.e23625
Kassing, J., & Waldron, V. R. (2014), Incivility destructive workplace behavior, and bullying in L.L. Putnam & D.K. Mumby (Eds), The SAGE Handbook of organizational communication: Advance in theory, research and methods, 643-664, Thousand Oaka, CA.Sage
Khalil, M. D. A. (2022), Has workplace bullying become worse in Malaysia, https://www.ajobthing.com/resources/blog/has-workplace-bullying-become-worse-in-malaysia
Kim, B. (2024), Workplace violence and harassment: An umbrella review of synthesis studies, Aggression and Violent Behavior 78, 101981, 1-12 cite Kim (2024)
Kim, S., Chiriko, A. Y., Quan, W., Yu, J., Han, H (2025), Impact of workplace bullying on intrusive thoughts and ideation of anti-corporate activities: A function of hotel workers’ distress and emotion regulation, International Journal of Hospitality Management, 131, 104320, 1-14 cite Kim et al (2025)
Lee, S. E., Seo, J. K., Macphe. M. (2024), Effects of workplace incivility and workload on nurses’ work attitude: The mediating effect of burnout, International Nurse Review. 71, 1080–1087. Cite Lee, Seo & Macphee (2024)
Leon-Pereze, J., Notelaers, G., Arenas, A., Munduate, L., & Medina, F. (2014), identifying victims of workplace bullying by integrating traditional estimation approach into a latent class cluster model, Journal of Interpersonal Violence, 29(7), 1155-1177
Lubis, Z. A., Lubis, Y., & Effendi, I. (2024), The influence of work engagement, organizational culture, workload and work stress on the performance of implementing employees in the Kebun area of Serdang District. Jurnal Bisnis dan Manajemen, 11(1), 137-150.
Mohamed, M, Bendjakhdel, S.E (2025), The relationship between workplace bullying and job insecurity among employees with disabilities, Journals for Educators, Teachers and Trainers, JETT, Vol.16 (4), 288-301, ISSN:1989-9572, cite Mohamed & Bendjakhdel (2025)
Mota, S., (2025), Silent Struggles: Workplace Bullying in Healthcare, Journal of Radiology Nursing 44, 111-115
Nasrul, R. N., Zainal, V. R., & Hakim, A. (2023), Workload, work stress, and employee performance: A literature review. Dinasti International Journal of Education Management and Social Science, 4(3), 415-422. https://doi.org/10.31933/dijemss.v4i3
Nielsen, M. B. (2013), Bullying in work groups, The impact of leadership, Scandinavian Journal of Psychology, 54, 127-136
Pallant, J. (2016), SPSS Survival Manual: A Step-by-Step Guide to Data Analysis Using IBM SPSS, 6th ed., London, UK, McGraw-Hill Education
Pattali, S., Sankar, J. P., Al-Qahtani, H., Menon, N., & Faizal, S. (2024), Effect of leadership style on turnover intention among staff nurses in private hospitals: The moderating effect of perceived organizational support. BMC Health Services Research, 24, 199. https://doi.org/10.1186/s12913-024-10674-0
Petjersen, J. H., Kristensen, T. S., Borg, V., & Bjomer, J. B. (2010), The second version of the Copenhagen Psychosocial Questionnaire. Scandinavian Journal of Public Health, 38. 8-24.
Quinn, S., Waheduzzaman, W., & Djurkovic, N., (2025), Impact of Organizational Culture on Bullying Behavior in Public Sector Organizations, Public Personnel Management, 54(2) 184– 208 cite Quinn, Waheduzzaman & Djurkovic, 2025
Riduan, M., Helmi, S., Gunarto, M., & Trisninawati. (2024), The influence of work stress and workload on work motivation and its impact on the performance of Class II Land Transportation Management Center employees in South Sumatra. International Journal of Finance Research, 5(2), 136-156. https://doi.org/10.47747/ijfr.v5i2.1743
Salin, D., & Hoel, H. (2011), Organizational causes of bullying, in S. Samnani.A, & Singh.P (2012), 20 years of workplace bullying research, A review of the antecedents and consequences of bullying in the workplace, Aggressive and Violent Behavior, 17, 581-589
Salin, D. (2015), Risks factors of workplace bullying for men and women, the role of the psychosocial and physical work environment, Scandinavian Journal of Psychology, 56, 69-77
Sochosa, A., Rossiterb, L. (2024), Attachment insecurity, bullying victimisation in the workplace, and the experience of burnout, European Review of Applied Psychology 74,101046, 1-9 cite Sochosa & Rossiterb (2024)
Sriyakul, T., Namdech, P., Mitprasat, M., (2024), Job Insecurity as a Mediator Linking Work-place Bullying and Emotional Exhaustion: Religion as a Moderator Among Thailand Employees, Social Space Journal, 24(2), 244-264
Sverke, M., & Hellgren, N. (2002), The nature of job insecurity: Understanding employee uncertainty on the brink of a new millennium. Applied Psychology International Review, 51(1), 23-42. https://psycnet.apa.org/doi/10.1111/1464-0597.0077z
Tambur, M., & Vadi, M (2012), workplace bullying and organizational culture in a post transitional country, International Journal of Manpower, 53 (7), 754-768
Tremblay, M. L., Boies, K., Clausen, C., Frechette, J., Manning, K., Gelsomini, C., Cyr, G., Lavigne, G., Gottlieb, B., & Gottlieb, L. N. (2024), Evaluation of the effectiveness of a strengths-based nursing and healthcare leadership program aimed at building leadership capacity: A concurrent mixed-methods study. International Journal of Nursing Studies Advances, 6, 100184. https://doi.org/10.1016/j.ijnsa.2024.100184
Vadi, M., Allik, J and Realo, A. (2002), Collectivism and its consequences for organizational culture. Working Paper series, No 12, University of Tartu, Faculty of Economic and Business Administration, Tartu.
Ali, N. M., Hassan, N. H., Hamzah, S. F. M., Salleh, S. M., Setia, R., Nor, R. M., Rashid, R. S. @ A., Noor, H. M., & Borhanuddin, R. I. (2025). A Study on Workplace Bullying of Non-Medical Staff in Healthcare Industry in Kemaman Terengganu, Malaysia. International Journal of Academic Research in Economics and Management Sciences, 14(3), 725–737.
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