Workplace Bullying in Italy: A Systematic Review and Meta-Analysis

Main Article Content

Corrado Colaprico
Daniela Grima
David Shaholli
Ilaria Imperiale
Giuseppe La Torre

Keywords

workers , bullying, workplace, organization, health status, mental health, Italy

Abstract


Background: Within any work environment, employees may be affected by “workplace bullying”, a form of violent and repeated social behavior towards subordinates and colleagues. This review aimed to investigate the prevalence of bullied workers in Italy, the causes of the phenomenon, and the consequences at physical, psychological, and organizational levels. Methods: We included observational studies and systematic reviews examining the prevalence of bullied workers and the causes and consequences in Italian workplaces. Data extraction and analysis were performed on all included studies. The research strategy included three electronic databases (PubMed, Scopus, and Web of Science). A comprehensive search was done to retrieve articles based on a PRISMA-compliant protocol registered in PROSPERO: CRD 42023394635. Results: One hundred eighty-four articles were retrieved, and once duplicates and irrelevant articles were removed, 42 useful articles were reviewed. The mean pooled prevalence, calculated based on workers complaining of mistreatment, was 6.7% (SD: 4,09) and increased significantly to 17.0% (SD: 12.88) when considering only healthcare workplaces. Causes include how impaired mental health and high workload reinforce the possibility of being bullied in the workplace, resulting in a worsening of the worker's quality of life (physical and psychological) and the work organization with increased absenteeism and job changes. Conclusions: Workplace bullying is a very present phenomenon within workplaces in Italy. In light of this, it is necessary to put prevention plans in place and find solutions to maintain optimal organizational well-being in the work environment.


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References

1. The National Institute for Occupational Safety and Health (NIOSH) – Workplace Safety & Health Topics, Occupational Violence. Available on: https://www.cdc.gov/niosh/topics/violence/default.html#print (Last Accessed on 23 August 2023)
2. The Professional Institute of the Public Service of Canada – Bullying and Violence in the Workplace. Available on: https://pipsc.ca/labour-relations/stewards/pocket-guides/pocket-guide-bullying-violence-in-workplace (Last Accessed on 23 August 2023)
3. Dassisti L, Loriol M, Mininni G, et al. Percezioni e rappresentazioni del mobbing: un’analisi comparativa tra Italia e Francia. [Perceptions and representations of workplace bullying: a comparative analysis between Italy and France]. G Ital Lav Ergon. 2020; 42(3):160-173.
4. Salducci M, Shaholli D. Assessment of workplace bullying in Italy by INAIL: forensic and occupational medicine considerations. Clin Ter. 2023;174(1):93-96. Doi: 10.7417/CT.2023.2503
5. Marini ZA, Dane AV, Bosacki SL, Cura Y. Direct and indirect bully-victims: differential psychosocial risk factors associated with adolescents involved in bullying and victimization. Aggress Behav. 2006; 32(6):551-569. Doi: 10.1016/j.dr.2014.09.001.
6. Fiabane E, Flachi D, Giorgi I, et al. Esiti professionali e salute psicologica a seguito di vessazioni sul luogo di lavoro: uno studio esplorativo di follow-up [Professional outcomes and psychological health after workplace bullying: an exploratory follow-up study]. Med Lav. 2015;106(4):271-83. Italian.
7. D'Errico A, Costa G. Socio-demographic and work-related risk factors for medium- and long-term sickness absence among Italian workers. Eur J Public Health. 2012;22(5):683-8. Doi: 10.1093/eurpub/ckr140
8. Zapf D, Escartin J, Einarsen S, Hoel H, Vartia M. Empirical findings on prevalence and risk groups of bullying in the workplace. In: Einarsen S, Hoel H, Zapf D, Cooper CL editor(s). Bullying and Harassment in the Workplace: Developments in Theory, Research, and Practice. Boca Raton, Florida: CRC Press, Taylor & Frances, 2011:75-105
9. The Professional Institute of the Public Service of Canada – Bullying and Violence in the Workplace. Available on: https://pipsc.ca/labour-relations/stewards/pocket-guides/pocket-guide-bullying-violence-in-workplace (Last Accessed on 23 August 2023)
10. Eurofound (2012), Fifth European Working Conditions Survey, Publications Office of the European Union, Luxembourg
11. D’assisti L, Stufano A, Lovreglio P, et al. Donne e uomini, autori e vittime di mobbing in Italia: una revisione della letteratura. [Women and men, authors and victims of workplace bullying in Italy: a literature review]. Med Lav. 2020; 111(6):463-477. Doi: 10.23749/mdl.v111i6.9408
12. Grima D, La Torre G, Sernia S. What to remove from the work environment: the sick worker or the cause of his sickness? Workplace bullying, a form of violence that causes sickness. Clin Ter. 2023;174(3):303-308. Doi: 10.7417/CT.2023.2538. PMID: 37199368
13. Salin, D, & Hoel H. (2010). Organisational causes of workplace bullying. In S. Einarsen, H. Hoel, D. Zapf, & C. Cooper (eds.), Bullying and harassment in the workplace: Developments in theory, research, and practice (pp. 227–243). Boca Raton, FL, USA: CRC Press.
14. The National Institute for Occupational Safety and Health (NIOSH) - Hierarchy of Controls Applied to NIOSH Total Worker Health®. Available on: https://www.cdc.gov/niosh/twh/guidelines.html (Last Accessed on 24 August 2023)
15. Gillen PA, Sinclair M, Kernohan WG, et al. Interventions for prevention of bullying in the workplace. Cochrane Database Syst Rev. 2017;1(1):CD009778. Doi: 10.1002/14651858.CD009778.pub2
16. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews BMJ. 2021;372:71.
17. Wells GA, Shea B, O'Connell D, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomized studies in meta-analysis. 2011. http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp
18. McPheeters ML, Kripalini S, Peterson NB, et al. Quality Improvement Interventions to Address Health Disparities. Evidence Report/ technology Assessment. Rockville (MD): Agency for Healthcare Research and Quality (US). 2012. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0049222/pdf/TOC.pdf
19. Appendix G pages 103-104 in http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH004922
20. Arcangeli G, Giorgi G, Ferrero C, et al. Prevalenza del fenomeno mobbing in una popolazione di infermieri di tre aziende ospedaliere italiane. G Ital Med Lav Ergon. 2014;36:181-185.
21. Balducci C, Baillien E, Broeck AVD, et al. Job Demand, Job Control, and Impaired Mental Health in the Experience of Workplace Bullying Behavior: A Two-Wave Study. Int J Environ Res Public Health. 2020;17(4):1358. Doi: 10.3390/ijerph17041358
22. Balducci C, Alfano V, Fraccaroli F. Relationships between mobbing at work and MMPI-2 personality profile, posttraumatic stress symptoms, and suicidal ideation and behavior. Violence Vict. 2009; 24(1):52-67. Doi: 10.1891/0886-6708.24.1.52
23. Balducci C, Cecchin M, Fraccaroli F. The impact of role stressors on workplace bullying in both victims and perpetrators, controlling for personal vulnerability factors: A longitudinal analysis. Work and Stress. 2012; 26(3):195-212.
24. Balducci C, Fraccaroli E. Confronto tra rischio mobbing e condizioni di job strain ed effort-reward imbalance in relazione a disturbi stress-correlati: studio nella pubblica amministrazione. [Comparison between the risk of mobbing at work and conditions of job strain and effort-reward imbalance in relation to stress-related disorders: a study in the public administration]. Med Lav. 2013;104(1):44-54. Italian.
25. Balducci C, Fraccaroli F, Schaufeli WB. Workplace bullying and its relation with work characteristics, personality, and post-traumatic stress symptoms: an integrated model. Anxiety Stress Coping. 2011;24(5):499-513. Doi: 10.1080/10615806.2011.555533
26. Bambi S, Guazzini A, Piredda M, et al. Negative interactions among nurses. An explorative study on lateral violence and bullying in nursing work settings. J Nurs Manag. 2018;27(4):749-757. Doi: 10.1111/jonm.12738
27. Bambi S, Becattini G, Giusti GD, et al. Lateral hostilities among nurses employed in intensive care units, emergency departments, operating rooms, and emergency medical services. A national survey in Italy. Dimens Crit Care Nurs. 2014; 33(6), 347-54. Doi: 10.1097/DCC.0000000000000077
28. Buselli R, Gonnelli C, Moscatelli M, et al. Esperienza di un centro per lo studio dei disturbi da disadattamento lavorativo in tema di patologie mobbing correlate. [Experience of a centre for the study of occupational adjustment disorders referred to psychological harassment-related diseases at the workplace]. Med Lav. 2006;97(1):5-12.
29. Campanini P, Conway PM, Neri L, et al. Rischio mobbing e assenze lavorative per malattia [Workplace bullying and sickness absenteeism]. Epidemiol Prev. 2013;37(1):8-16. Italian.
30. Caputo A. "I Have Been Bullied at Workplace!": A Qualitative Study on Italian Employees' Stories. Span J Psychol. 2018;21:E25. Doi: 10.1017/sjp.2018.25
31. Chenevert M, Vignoli M, Conway PM, Balducci C. Workplace Bullying and Post-Traumatic Stress Disorder Symptomology: The Influence of Role Conflict and the Moderating Effects of Neuroticism and Managerial Competencies. Int J Environ Res Public Health. 2022;19(17):10646. Doi: 10.3390/ijerph191710646
32. De Sio S, Cedrone F, Buomprisco G, et al. Bullying at work and work-related stress in healthcare workers: a cross sectional study. Ann Ig. 2020; 32(2):109-116. Doi: 10.7416/ai.2020.2335
33. Fadda S, Giorgi G, Benitez Muñoz JL, et al. "Do negative acts in Italian academia have a quadratic relationship with determinants of health?" Int J Educ Manag. 2015;29(2):158-166. Doi: 10.1108/IJEM-06-2013-0097
34. Fattori A, Neri L, Aguglia E, et al. Estimating the Impact of Workplace Bullying: Humanistic and Economic Burden among Workers with Chronic Medical Conditions. BioMed Res Int. 2015;15:708908. Doi: 10.1155/2015/708908
35. Fenga C, Platania CA, Di Rosa A, et al. Mobbing: tra struttura di personalità e caratteristiche organizzativo-- gestionali dell'ambiente lavorativo [Mobbing: between personality traits and organizational-managerial characteristics of the occupational environment]. G Ital Med Lav Ergon. 2012; 34(1 Suppl A):A11-6. Italian.
36. Fida R, Tramontano C, Paciello M, et al. 'First, Do No Harm': The Role of Negative Emotions and Moral Disengagement in Understanding the Relationship Between Workplace Aggression and Misbehavior. Front Psychol. 2018;9:671. Doi: 10.3389/fpsyg.2018.00671
37. Fida R, Natali E, Barbaranelli C, Avallone F. La relazione tra il bullismo al lavoro e il benessere organizzativo. Psicologia della Salute. 2011;33-50. Doi: 10.3280/PDS2011-001004
38. Finstad GL, Ariza-Montes A, Giorgi G, et al. The JDCS Model and Blue-Collar Bullying: Decent Working Conditions for a Healthy Environment. Int J Environ Res Public Health. 2019;16(18):3411. Doi: 10.3390/ijerph16183411
39. Giorgi G, Arenas A, Leon-Perez JM. An operative measure of workplace bullying: the negative acts questionnaire across Italian companies. Ind Health. 2011;49(6):686-95. Doi: 10.2486/indhealth.MS1287
40. Giorgi G, Mancuso S, Fiz Perez F, et al. Bullying among nurses and its relationship with burnout and organizational climate. Int J Nurs Pract. 2016; 22(2):160-8. Doi: 10.1111/ijn.12376
41. Giorgi, G, Leon-Perez JM, Arenas A. Are Bullying Behaviors Tolerated in Some Cultures? Evidence for a Curvilinear Relationship Between Workplace Bullying and Job Satisfaction Among Italian Workers. J Bus Ethics. 2015;131(1):227-237.
42. Giorgi G, Milda P, Montani F, et al. Detrimental Effects of Workplace Bullying: Impediment of Self-Management Competence via Psychological Distress. Front Psychol. 2016.
43. Giorgi, G. Workplace Bullying in Academia Creates a Negative Work Environment. An Italian Study. Employ Respons Rights J. 2012;24:261-275. Doi: 10.1007/s10672-012-9193-7
44. Giorgi G. Workplace bullying risk assessment in 12 Italian organizations. Int. J. Workplace Health Manag. 2009; 2(1):34-47. Doi: 10.1108/17538350910945992
45. Girardi P, Monaco E, Prestigiacomo C, et al. Personality and psychopathological profiles in individuals exposed to mobbing. Violence Vict. 2007;22(2):172-88. Doi: 10.1891/088667007780477320
46. La Torre G, Firenze A, Colaprico C, et al. Prevalence and Risk Factors of Bullying and Sexual and Racial Harassment in Healthcare Workers: A Cross-Sectional Study in Italy. Int J Environ Res Public Health. 2022; 19(11):6938. Doi: 10.3390/ijerph19116938
47. Lo Presti A, Pappone P, Landolfi A. The Associations Between Workplace Bullying and Physical or Psychological Negative Symptoms: Anxiety and Depression as Mediators. Eur J Psychol. 2019; 15(4):808-822. Doi: 10.5964/ejop.v15i4.1733
48. Nolfe G, Petrella C, Zontini G, et al. Association between bullying at work and mental disorders: gender differences in the Italian people. Soc Psychiatry Psychiatr Epidemiol. 2010;45(11):1037-41. Doi: 10.1007/s00127-009-0155-9
49. Nolfe G, Petrella C, Blasi F, et al. Psychopathological Dimensions of Harassment in the Workplace (Mobbing). Int J Ment Health. 2007;36:67-85. Doi: 10.2753/IMH0020-7411360406
50. Nolfe G, Mancini P, Mancusi R, et al. Work-related psychopathology: rates in different work activities and relationship between subjective perception of work distress and psychiatric disturbances. Work. 2014; 47(4):501-8. Doi: 10.3233/WOR-131619
51. Paciello M, Fida R, Tramontano C, et al. Phenomenological configurations of workplace bullying: A cluster approach. Pers Individ. 2019;151. Doi: 10.1016/j.paid.2019.05.001
52. Perbellini L, Tisato S, Quintarelli E, et al. Disturbi psichici associabili a condizioni di lavoro negative persistenti [Mental disorders related to persistent negative working conditions]. Med Lav. 2012;103(6):437-48.
53. Punzi S, Castellini G, Pedrazzi A, Costa G. Stress occupazionale e mobbing: convergenze e peculiarità. [Peculiarities and similarities of stress and bullying at workplace]. G Ital Med Lav Erg Ergon. 2012;34(3):712-715
54. Raho C, Giorgi I, Bonfiglio NS, Argentero P. Caratteristiche di personalità in un campione di soggetti che lamentano vessazioni sul posto di lavoro [Characteristics of personality in subjects who complain vexing on [corrected] workplace]. G Ital Med Lav Ergon. 2008;30(1 Suppl A):A80-6. Italian. Erratum in: G Ital Med Lav Ergon. 2008;30(3 Suppl B):B9.
55. Romano C, De Giovanni L, Santoro PE, Spataro M. Rapporto tra mobbing e sindrome depressiva nella popolazione lavorativa femminile del terziario avanzato: dimensione del problema e strategie di prevenzione nella realtà Siciliana [The relationship between mobbing and depression syndrome in the female working population of service industry: the problem statement and the prevention strategies in Sicilian environment]. G Ital Med Lav Ergon. 2007;29(3 Suppl):675-8.
56. Romeo L, Balducci C, Quintarelli E, et al. MMPI-2 personality profiles and suicidal ideation and behavior in victims of bullying at work: a follow-up study. Violence Vict. 2013;28(6):1000-14. Doi: 10.1891/0886-6708.vv-d-12-00092
57. Spagnoli P, Balducci C, Fraccaroli F. A two-wave study on workplace bullying after organizational change: A moderated mediation analysis. Safety Science. 2017;100. Doi: 10.1016/j.ssci.2017.05.013
58. Spagnoli P, Balducci C. Do high workload and job insecurity predict workplace bullying after organizational change? Int. J. Workplace Health Manag. 2017;10(1):2-12. Doi: 10.1108/IJWHM-05-2016-0038
59. Vignoli M, Guglielmi D, Balducci C, Bonfiglioli R. Workplace Bullying as a Risk Factor for Musculoskeletal Disorders: The Mediating Role of Job-Related Psychological Strain. Biomed Res Int. 2015;2015:712642. Doi: 10.1155/2015/712642
60. Zapf D. Organisational, work group related and personal causes of mobbing/bullying at work., Int J Manpow. 1999;20(1/2):70-85. Doi: 10.1108/01437729910268669
61. Nielsen MB, Matthiesen SB, Einarsen, S. The impact of methodological moderators on prevalence rates of workplace bullying. A meta-analysis. J Occup Organ Psychol. 2010;83:955-979. Doi: 10.1348/096317909X481256
62. Paoli P, Merllié D. Third European survey on working conditions 2000, Luxembourg: Office for Official Publications of the European Communities. ISBN 92-897-0130-7. European Foundation for the Improvement of Living and Working Conditions. 2001.
63. Johnson SL. International perspectives on workplace bullying among nurses: A review. Int Nurs Rev. 2009;56:34-40. Doi: 10.1111/j.1466-7657.2008.00679.x
64. Einarsen S, Matthiesen SG, Skogstad A. Bullying, burnout and well-being among assistant nurses. J Health Safety 1998;14:563-568.
65. McKenna BG, Smith NA, Poole SJ, Coverdale JH. Experience before and throughout the nursing career. Horizontal violence: Experiences of Registered Nurses in their first year of practice. J Adv Nurs. 2003;42. Doi: 10.1046/j.1365-2648.2003.02583.x
66. Hogh A, Carneiro IG, Giver H, Rugulies R. Are immigrants in the nursing industry at incresead risk of bullying at work? A one-year follow-up study. Scand J Psychol. 2011;52:49-56. Doi: 10.1111/j.1467-9450.2010.00840.x
67. Kingma M. Workplace violence in the health sector: A problem of epidemic proportion. Int Nurs Rev. 2001; 48:129-130. Doi: 10.1046/j.1466-7657.2001.00094.x
68. Magnavita N. Heponiemi T. Violence towards health care workers in a public health care facility in Italy: a repeated cross-sectional study. BMC Health Serv Res. 2012;12:108. Doi: 10.1186/1472-6963-12-108
69. Warren B. Workplace violence in hospitals: safe havens no more. J Healthcare Protection Management 2011;27(2):9-17.
70. Pompili E, Carlone C, Silvestrini C, et al. Pathophysiology of aggressive behavior: evaluation and management of pathological aggression. Clin Ter. 2016;167(2):e42-8. Doi: 10.7417/CT.2016.1924
71. Kwok RPW, Law YK, Li KE, et al. Prevalence of workplace violence against nurses in Hong Kong. Hong Kong Med J. 2006;12(1):6e9
72. Magnavita N. The exploding spark: workplace violence in an infectious disease hospital-a longitudinal study. Biomed Res Int. 2013;2013:316358. Doi: 10.1155/2013/316358
73. Magnavita N, Fileni A, Pescarini L, et al. Violence against radiologists. I: prevalence and preventive measures. Radiol Med. 2012;117(6):1019-33. Doi: 10.1007/s11547-012-0825-7
74. Ferri P, Silvestri M, Artoni C, et al. Workplace violence in different settings and among various health professionals in an Italian general hospital: a cross-sectional study. Psychol Res Behav Manag. 2016;9:263-75. Doi: 10.2147/PRBM.S114870
75. Leymann, H. (1996), “The content and development of mobbing at work”, Eur J Work Org Psychol. Vol. 5, pp. 165-84.
76. Conway PM, Burr H, Rose U, et al. Antecedents of Workplace Bullying among Employees in Germany: Five-Year Lagged Effects of Job Demands and Job Resources. Int J Environ Res Public Health. 2021;18(20):10805. Doi: 10.3390/ijerph182010805
77. Leymann H. The content and development of mobbing at work. Eur J Work Organ Psychol. 1996;5:165-184. Doi: 10.1080/13594329608414853
78. Moreno-Jiménez B, Rodríguez-Muñoz A. Introducción del número monográfico sobre acosopsicológico en el trabajo: una perspectiva general [Introduction to the special issue on workplace mobbing: A general perspective]. Rev Psic Trabajo Organiz. 2006;22:245-249
79. Nolfe G, Cirillo M, Iavarone A, et al. Bullying at Workplace and Brain-Imaging Correlates. J Clin Med. 2018; 7(8):200. Doi: 10.3390/jcm7080200
80. Van Der Wal C, Nisbet S, Haw J. A Qualitative Exploration of the Causes and Consequences of Workplace Bullying in the Australian Hospitality Industry. J Qual Assur 2021;22:517-538. Doi: 10.1080/1528008X.2020.1814934
81. Holm K, Jönsson S, Muhonen T. How are witnessed workplace bullying and bystander roles related to perceived care quality, work engagement, and turnover intentions in the healthcare sector? A longitudinal study. Int J Nurs Stud. 2023;138:104429. Doi: 10.1016/j.ijnurstu.2022.104429
82. Nielsen MB, Einarsen S. Outcomes of exposure to workplace bullying: A meta-analytic review. Work & Stress. 2012;26(4):309-332. Doi: 10.1080/02678373.2012.734709
83. Hoel H, Cooper CL, Einarsen SV (2020). Organizational effects of workplace bullying. In Einarsen S., Hoel H., Zapf D., Cooper C. (Eds.), Bullying and harassment in the workplace: Theory, research and practice (p. 209). New York, USA: CRC Press.
84. Calabrò RS. Il mobbing sul lavoro in Italia: un fenomeno crescente in cerca di legislazione [Mobbing at work in Italy: a need for legislation on a growing problem]. G Ital Med Lav Ergon. 2021;43(4):352-6.
85. Hamdan M, Abu Hamra A. Workplace violence towards Workers in the Emergency Departments of Palestinian hospitals: a cross-sectional study. Hum Resour Health. 2015;13(1):28. Doi: 10.1186/s12960-015-0018-2
86. Zafar W, Siddiqui E, Ejaz K, et al. Health care personnel and workplace violence in the emergency departments of a volatile metropolis: results from Karachi, Pakistan. J Emerg Med. 2013;45(5):761-772. Doi: 10.1016/j. jemermed.2013.04.049
87. Algwaiz WM, Alghanim SA. Violence exposure among health care professionals in Saudi public hospitals: a preliminary investigation. Saudi Med J. 2012;33(1):76.82 https://pubmed.ncbi.nlm.nih. gov/22273653/
88. AbuAlRub RF, Al Khawaldeh AT. Workplace physical violence among hospital nurses and physicians in underserved areas in Jordan. J Clin Nurs. 2014;23(13–14):1937-1947. Doi: 10.1111/ jocn.12473