Measuring exposure to bullying and harassment in health professional students in a clinical workplace environment: Evaluating the psychometric properties of the clinical workplace learning NAQ-R scale

Kelby Smith-Han*, Emma Collins, Mustafa Asil, Althea Gamble Blakey, Lynley Anderson, Elizabeth Berryman, Tim J Wilkinson

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

10 Citations (Scopus)

Abstract

Background:

Instruments that measure exposure to bullying and harassment of students learning in a clinical workplace environment (CWE) that contain validity evidence are scarce. The aim of this study was to develop such a measure and provide some validity evidence for its use. 

Method: 

We took an instrument for detecting bullying of employees in the workplace, called the Negative Acts Questionnaire–Revised (NAQ-R). Items on the NAQ-R were adapted to align with our context of health professional students learning in a CWE and added two new factors of sexual and ethnic harassment. This new instrument, named the Clinical Workplace Learning NAQ-R, was distributed to 540 medical and nursing undergraduate students and we undertook a Confirmatory Factor Analysis (CFA) to investigate its construct validity and factorial structure. 

Results: 

The results provided support for the construct validity and factorial structure of the new scale comprising five factors: workplace learning-related bullying (WLRB), person-related bullying (PRB), physically intimidating bullying (PIB), sexual harassment (SH), and ethnic harassment (EH). The reliability estimates for all factors ranged from 0.79 to 0.94. 

Conclusion: 

This study provides a tool to measure the exposure to bullying and harassment in health professional students learning in a CWE.

Original languageEnglish
Pages (from-to)813-821
Number of pages9
JournalMedical Teacher
Volume42
Issue number7
DOIs
Publication statusPublished - 2 Jul 2020
Externally publishedYes

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