Organisational antecedents of workplace victimisation: The role of organisational climate, culture, leadership, support, and justice in predicting junior doctors' exposure to bullying at work.

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Ely Zarina Samsudin, Marzuki Isahak, Sanjay Rampal, Ismail Rosnah, Mohd Idzwan Zakaria

Author Information

Ely Zarina Samsudin: Population Health and Preventive Medicine Unit, Faculty of Medicine, Universiti Teknologi MARA, Shah Alam, Malaysia. ORCID
Marzuki Isahak: Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Sanjay Rampal: Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Ismail Rosnah: Department of Community Health, Faculty of Medicine, Bangi, Malaysia.
Mohd Idzwan Zakaria: Dean's Office, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

PMID: 31659793 DOI: 10.1002/hpm.2926

Workplace bullying is a pervasive phenomenon among junior doctors that may negatively impact their training and abilities to deliver quality healthcare, yet evidence on the factors of bullying among them remains lacking. This study examined the role of organisational climate, culture, leadership, support, and justice in junior doctors' exposure to workplace bullying on the basis of the work environment hypothesis, which suggests that workplace psychosocial factors are the main antecedents of bullying at work. Multilevel analysis of a universal sample (n = 1074) of junior doctors working in the central zone of Malaysia, using mixed effects logistic regression, was conducted. Analysis indicates that junior doctors working in departments with neutral and positive organisational climate, moderate and high degree of clan culture, moderate and high degree of adhocracy culture, moderate degree of hierarchy culture, moderate degree of production and achievement-oriented leadership style, moderate and high degree of organisational support, moderate degree of procedural justice, moderate and high degree of interactional justice, and high degree of distributive justice have lower odds of bullying compared with their counterparts. The results present evidence that all aspects of the organisation influence junior doctors' exposure to bullying and should be considered when developing antibullying initiatives targeted at them.

health care management health care policy junior doctors work psychosocial factors workplace bullying

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Adult

Bullying

Crime Victims

Female

Hospital Administration

Humans

Leadership

Malaysia

Male

Medical Staff, Hospital

Organizational Culture

Psychology

Journal Article

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