
The Silent Exodus Behind the White Coats: Workplace Bullying Among Healthcare Professional"
Hamed Bikdeli 1 ℗, Arezo Malekmohammadi 2, Leila Hashemlu 3 ©
Abstract
Introduction: Workplace bullying is a critical psychosocial stressor that erodes healthcare workers' mental health and motivation, heightening turnover intention. However, the differential impact of bullying dimensions remains understudied. This study examines how work-related, person-related, and physical bullying uniquely predict turnover intention among hospital staff, providing evidence for targeted interventions. Methods and Materials: A descriptive-correlational cross-sectional study was conducted among 204 randomly selected health personnel at Velayat Hospital in Qazvin. Data were gathered using the validated NAQ-R for bullying and the Moghimi Turnover Intention Questionnaire. SPSS version 26 was used for analysis, applying descriptive statistics, correlation, and multivariate regression at a 0.05 significance level. Results: the average bullying score was 65.99 (SD = 19.48); 66.2% experienced moderate bullying, 19.6% high, and 14.2% low. A significant negative correlation existed between both age and work experience with turnover intention (p 0.05). Job type and organizational unit were also significantly related to turnover intention (p 0.05). All bullying dimensions correlated positively with increased turnover intention and decreased Organizational Commitment(p 0.001). Conclusion and Discussion: Workplace bullying significantly heightens turnover intention among healthcare personnel. Given its prevalence and detrimental impact on retention, implementing organizational-level interventions to prevent, identify, and manage bullying is critical for preserving human capital and care quality. Inaction risks accelerating the silent attrition of skilled professionals.
Keywords: Workplace Violence; Bullying; Personnel Turnover; Health Personnel