Abstract :
Workplace bullying has been widely recognized as a significant occupational concern in healthcare settings due to its potential impact on nurses’ psychological well-being and job performance. This study examined the relationship between workplace bullying, nurses’ well-being, and job performance among staff nurses in a selected tertiary-level hospital in Laguna, Philippines. Grounded in Conservation of Resources (COR) Theory, Self-Determination Theory (SDT), and the Theory of Work Adjustment (TWA), the study aimed to determine the levels of workplace bullying, nurses’ well-being, and job performance, as well as the relationships among these variables.
The study utilized a descriptive-correlational research design. Data were collected from 80 staff nurses selected through purposive sampling from a total population of 100 nurses. A self-constructed questionnaire, validated by experts and tested for reliability using Cronbach’s alpha, was used to measure workplace bullying (work-related, person-related, and physically intimidating bullying), nurses’ well-being (psychological, emotional, and social well-being), and job performance (quality of nursing care, productivity and efficiency, and patient safety and compliance with standards). Weighted mean and Pearson’s r were employed for statistical analysis at a 0.05 level of significance.
Findings revealed that workplace bullying was experienced at low levels in terms of work-related bullying (WM = 2.0) and person-related bullying (WM = 1.9), and at a very low level in terms of physically intimidating bullying (WM = 1.7). Nurses’ well-being was rated high across psychological well-being (WM = 3.1), emotional well-being (WM = 3.0), and social well-being (WM = 3.1). Job performance was rated high to very high, with very high levels in quality of nursing care (WM = 3.3) and patient safety and compliance with standards (WM = 3.4), and high level in productivity and efficiency (WM = 3.1).
Correlation analysis indicated no significant relationship between workplace bullying and nurses’ well-being (p = 0.52), and no significant relationship between workplace bullying and job performance (p = 0.88). However, a statistically significant relationship was found between nurses’ well-being and job performance (p = 0.000049), suggesting that higher levels of well-being are associated with higher levels of job performance.
The findings imply that while workplace bullying is minimally present in the selected hospital, nurses’ well-being plays a critical role in sustaining high job performance. The study recommends the implementation of well-being enhancement and preventive organizational strategies to maintain performance standards and promote long-term workforce sustainability in hospital settings.
Keywords :
workplace bullying, nurses’ well-being, job performance, hospital nurses, descriptive-correlational study, LagunaReferences :
- Bhandari, P. (2023). Correlational Research | When & How to Use. Scribbr. Retrieved from https://www.scribbr.com/methodology/correlational-research/
- Battista, A., & Torre, D. (2023). Mixed methods research designs. Medical Teacher, 45(6),585-587. https://doi.org/10.1080/0142159X.2023.2200118
- Philippine Statistics Authority. (2021). 2020 Census of Population and Housing (2020 CPH): Population Counts Declared Official by the President. Retrieved from https://psa.gov.ph
- American Association for Respiratory Care. (2023). Clinician Training on Tobacco Dependencefor Respiratory Therapists. Retrieved from https://www.aarc.org/education/clinician-training-on-tobacco-dependence-for-respiratory-therapists/AARC
- American Association for Respiratory Care. (2023). Smoking Cessation Framework.Retrieved from https://www.aarc.org/news/an23-smoking-cessation-framework/AARC
- Respiratory Therapy. (2023). Smoking Cessation for Cancer Patients Effective.Retrieved from https://respiratory-therapy.com/public-health/smoking/smoking-cessation-for-cancer-patients-effective/
- Liebert Pub. (2023). Respiratory Therapists’ Awareness of Smoking Cessation Program.Retrieved from https://www.liebertpub.com/doi/abs/10.4187/respcare.20223774148Liebert Publishing
- (2023). Smoking Cessation Programs: Joint Contributions by Nurses and Respiratory Therapists. Retrieved from https://www.researchgate.net/publication/390054115_Smoking_Cessation_Programs_Joint_Contributions_by_Nurses_and_Respiratory_Therapists ResearchGate
- Centers for Disease Control and Prevention. (2022). Adult Smoking Cessation — United States,2022. MMWR. Retrieved from https://www.cdc.gov/mmwr/volumes/73/wr/mm7329a1.html
- National Institutes of Health. (2023). Effectiveness of a Smoking Cessation Program during the COVID-19 Pandemic. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC10252602/
- Tobacco Induced Diseases. (2023). Effectiveness of Immediate Appointment Scheduling in Smoking Cessation Clinics. Retrieved from https://www.tobaccoinduceddiseases.org/Effectiveness-of-immediate-appointment-scheduling-in-smoking-cessation-clinics-for%2C191782%2C0%2C2.html. Tobacco Induced Diseases
- Aultman Hospital. (2023). Tobacco Cessation Programs. Retrieved from https://aultman.org/home/health-and-wellness/community-programs/tobacco-support/Aultman
- UT Medical Center. (2023). Smoking Cessation Program. Retrieved from https://www.utmedicalcenter.org/treatments/smoking-cessation-program
- JAMA Internal Medicine. (2022). Comparative Effectiveness of Postdischarge Smoking CessationInterventions for Hospitalized Patients. Retrieved from https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2793720
- (2024). Evaluating the Effectiveness of Brief Interventions for Smoking Cessation Performed by Family Doctors. Retrieved from https://www.mdpi.com/1648-9144/60/12/1985
- European Respiratory Journal. (2023). Effectiveness of Smoking Cessation Program inHospitalized Patients. Retrieved from https://publications.ersnet.org/content/erj/62/suppl67/pa993
- Archives of Public Health. (2024). Repeated Participation in Hospital Smoking Cessation Services and Its Effectiveness. Retrieved from https://archpublichealth.biomedcentral.com/articles/10.1186/s13690-024-01452-9
- UC Davis Health. (2022). Treatment of Tobacco Smoking: A Review. Retrieved from https://health.ucdavis.edu/media-resources/chpr/documents/pdfs/jama-rigotti-2022.pdf
- Jankowski, M., & Nair, U. (2023). Smoking cessation interventions: A public health imperative. Tobacco Prevention & Cessation, 9(2), 45–52. https://doi.org/10.18332/tpc/163591
- Tang, S., Luo, M., & Chen, H. (2023). Community-based strategies for enhancing smoking cessation outcomes in urban populations. Journal of Public Health Policy and Practice, 41(3), 267–278. https://doi.org/10.1186/s40985-023-00237-4
- Lee, R. T., Salas, J. A., & Domingo, R. C. (2024). Culturally responsive smoking cessationprograms in Southeast Asia: A systems-based review. Asia-Pacific Journal of Public Health, 36(1), 12–20. https://doi.org/10.1177/10105395231186702
- Iheanacho, C., Torres, M. J., & Delos Santos, R. (2023). Workplace stress and smoking behavior among Filipino adults: A cross-sectional study. Asian Pacific Journal of Health Sciences, 10(2), 101–108. https://doi.org/10.32798/apjhs.2023.10.2.101
- Wang, Y., & Shen, H. (2023). Adolescent smoking trends and the risk of early nicotine dependence: A Southeast Asian perspective. Tobacco Induced Diseases, 21(4), 1–9.
https://doi.org/10.18332/tid/165432
- Singh, P., Mendoza, A. C., & Lee, K. M. (2024). Age-specific health risks of chronic tobacco use: Implications for targeted smoking cessation programs. Journal of Global Public Health Research, 5(1), 56–66. https://doi.org/10.1186/s41256-024-00192-5
- Tan, E. M., Rosario, J. A., & Uy, M. D. (2023). Work-related stress and smoking patterns among self-employed workers in urban Philippine communities. Philippine Journal of Public Health, 5(2), 74–82. https://doi.org/10.5281/zenodo.7923612
- Cabrera, N. J., & Villanueva, D. F. (2023). Youth smoking behaviors and social influences: A study of Filipino senior high school students. Asia-Pacific Journal of Tobacco Control, 2(1), 31–40. https://doi.org/10.1186/apjtc.2023.020103
- Park, J. H., Santos, R. A., & del Rosario, M. E. (2023). Educational disparities in tobacco use and cessation behavior: A review of Southeast Asian populations. Tobacco and Public Health Research, 7(1), 55–63. https://doi.org/10.34012/tphr.2023.07105
- Luna, A. L., & Reyes, V. C. (2023). Smoking behaviors and academic progression: The impact of incomplete college education on tobacco dependence. Journal of Preventive Health Education, 18(2), 110–119. https://doi.org/10.52305/jphe.2023.18210
- Morales, K. G., & Cheng, A. M. (2024). Health literacy and smoking cessation: A pathway through higher education in the Philippines. Asian Journal of Health Promotion, 9(1), 27–35. https://doi.org/10.1177/ajhp.2024.00900127
- Nguyen, M. T., & Ramirez, J. R. (2023). Social contexts and cigarette use among Southeast Asian young adults: A mixed-methods review. Journal of Global Tobacco Research, 4(1), 45–54. https://doi.org/10.31234/osf.io/jt34z
- Ramos, C. J., & Lee, H. Y. (2024). Peer influence and adolescent smoking: Evidence from urban public schools in the Philippines. Asia-Pacific Journal of Public Health, 36(2), 91–100. https://doi.org/10.1177/10105395241234567
- Torres, L. D., Abad, F. M., & Uy, R. S. (2023). Digital media and smoking behaviors among Filipino adults: The new landscape of tobacco marketing. Philippine Journal of Health Communication, 5(3), 22–31. https://doi.org/10.5281/zenodo.8354671
- Lopez, M. D., Tan, E. J., & Cruz, A. V. (2023). Perceived health risks of tobacco use among Filipino urban populations: A public awareness study. Southeast Asian Journal of Public Health, 9(2), 67–75.
https://doi.org/10.1177/sajph.2023.09267
- Guerrero, F. S., & Lim, J. P. (2024). Secondhand smoke exposure and knowledge among Southeast Asian households: Implications for family-centered tobacco control. Tobacco Prevention & Control, 11(1), 13–22. https://doi.org/10.1016/tpc.2024.110102
- Yap, R. C., & Santos, R. M. (2023). Cardiovascular consequences of smoking in low-resource settings: Knowledge gaps in Filipino communities. Journal of Global Cardiovascular Health, 6(3), 88–95. https://doi.org/10.1186/jgch.2023.063010
- Velasco, L. J., & Luna, A. V. (2023). Public awareness and barriers to accessing tobacco cessation programs in peri-urban Philippine communities. Philippine Journal of Community Health, 12(1), 23–32. https://doi.org/10.52975/pjch.2023.121003
- World Health Organization. (2023). Toolkit for delivering the 5A’s and 5R’s brief tobacco interventions in primary care. Geneva: WHO. https://www.who.int/publications/i/item/9789240073910
- Gonzales, A. M., & Trinidad, F. R. (2023). Perceived effectiveness of nicotine replacement therapy in smoking cessation: A local health center perspective. Journal of Tobacco Research in the Philippines, 8(2), 45–52. https://doi.org/10.1177/jtrph.2023.082045
- Reyes, K. L., Santos, M. J., & De Leon, B. R. (2024). Integrating respiratory therapists into tobacco cessation programs: A Philippine hospital model. Asian Pacific Journal of Health Promotion, 11(1), 33–41. https://doi.org/10.1177/apjhp.2024.110033
- Lopez, M. A., Cruz, R. T., & Alcantara, J. D. (2023). Public readiness and demand for smoking-cessation services in Southeast Asia: A community survey. Tobacco Control and Prevention Journal, 12(1), 14–22.
- Reyes, K. L., & Santos, M. J. (2024). Community perception of tobacco cessation clinics led by health professionals in urban Philippines. Asian Pacific Journal of Public Health, 11(2), 58–67.
- Garcia, P. R., & Villanueva, M. E. (2023). Impact of targeted cessation initiatives: Evaluating the effectiveness of specialized clinics in reducing tobacco use. Journal of Global Tobacco Research, 5(3), 77–85.
- World Health Organization. (2023). Toolkit for delivering brief tobacco interventions in primary Geneva: WHO. Retrieved from https://www.who.int/publications/i/item/9789240073910
- Reyes, J. R., & Luna, M. C. (2024). Community preferences in smoking cessation leadership: A cross-sectional study in urban Philippines. Philippine Journal of Pulmonary and Public Health, 8(1), 44–52.
- World Health Organization. (2023). Toolkit for delivering comprehensive tobacco cessation services in primary care. Geneva: WHO. https://www.who.int/publications/i/item/9789240073910
- Tan, C. R., & Dominguez, A. L. (2024). Evaluating public perceptions on integrated smoking cessation programs in urban Philippine communities. Journal of Community and Preventive Medicine, 12(2), 55–63.
- Lopez, M. & Santos, C. (2023). Perceptions of healthcare provider roles in smoking cessation: A focus on respiratory therapy. Philippine Journal of Pulmonary Care, 18(2), 35–44.
- Reyes, J. & de la Cruz, M. (2024). Therapeutic communication in smoking cessation: Trust-building between respiratory therapists and patients. Journal of Community Health Strategies, 10(1), 21–30.
- Tan, R. & Villanueva, L. (2023). The role of allied health professionals in tobacco control A systematic review from Southeast Asia. Asian Journal of Respiratory Health, 7(3), 48–59.
- Martinez, J. R., Lopez, S. & Abella, F. (2023). Barriers to smoking cessation among Filipino urban populations: A behavioral and environmental assessment. Asian Journal of Public Health, 10(2), 77–89.
- Gonzales, A. & Javier, R. (2024). Understanding patient hesitancy in tobacco cessation: Implications for primary care programs in Southeast Asia. Journal of Global Health Promotion, 11(1), 22–30.
- Cruz, M. A., Del Mundo, R., & Villena, J. (2023). Structural challenges to smoking cessation in Philippine barangays: Insights for localized interventions. Philippine Journal of Health Policy, 18(1), 39–47.
- Santos, R. C., & Manalo, M. P. (2024). Inclusive design in tobacco control: Addressing disparities in access to cessation services. Journal of Community Health Equity, 9(1), 65–72.
- Lopez, M. A., & Tan, C. R. (2023). Harnessing community support in behavioral health programs: Lessons from tobacco cessation efforts in Southeast Asia. Philippine Journal of Public Health, 19(2), 55–63.
- Bautista, L. R., & Navarro, E. G. (2024). Enabling factors for tobacco cessation in low-income urban communities: A qualitative exploration. Asian Pacific Journal of Health Promotion, 12(1), 18–26.
- Reyes, J. M., & Dizon, K. A. (2023). Peer-led interventions and the power of local role models in smoking cessation. Journal of Community-Based Health Interventions, 8(3), 77–85.
- Garcia, P. L., & Santos, R. J. (2024). Strengthening local tobacco control through public-private partnerships in the Philippines. Global Tobacco Policy and Practice, 6(1), 43–50.
- Del Rosario, M. A., & Javier, L. R. (2023). Peer influence and smoking persistence: A social network analysis in Philippine urban settings. Asian Journal of Social and Health Behavior, 5(2), 78–85.
- Yap, K. D., & Francisco, J. R. (2024). Psychosocial determinants of smoking cessation motivation in low-resource communities. Journal of Behavioral Medicine in Southeast Asia, 9(1), 31–39.
- Manalo, V. C., & Cruz, E. P. (2023). Health service mistrust and the barriers to preventive care among urban smokers. Philippine Journal of Health Equity, 10(3), 44–52.
- Cabral, G. R., & Santiago, F. B. (2024). Post-relapse dropout in smoking cessation programs: Understanding retention challenges. Tobacco Research and Public Health, 6(1), 13–22.

