Volume 35, Issue 1 pp. 346-367
RESEARCH ARTICLE

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

Ely Zarina Samsudin

Ely Zarina Samsudin

Population Health and Preventive Medicine Unit, Faculty of Medicine, Universiti Teknologi MARA, Shah Alam, Malaysia

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Marzuki Isahak

Corresponding Author

Marzuki Isahak

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

Correspondence

Marzuki Isahak, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Jalan Universiti, 50603 Kuala Lumpur, Malaysia.

Email: [email protected]

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Sanjay Rampal

Sanjay Rampal

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

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Ismail Rosnah

Ismail Rosnah

Department of Community Health, Faculty of Medicine, Bangi, Malaysia

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Mohd Idzwan Zakaria

Mohd Idzwan Zakaria

Dean's Office, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

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First published: 29 October 2019
Citations: 15

Summary

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.

CONFLICT OF INTEREST

No potential conflict of interest was reported by the authors.

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