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The relationship between workplace bullying and adaptive performance in junior nurses

The mediating role of emotion regulation and work engagement

Bibliographic Data

ID22083124
AuthorsFulan Du (Affiliated Hospital of North Sichuan Medical College), Min Tan (0000-0002-1986-8438, Affiliated Hospital of North Sichuan Medical College), Lanjun Luo (0000-0002-8786-6979, North Sichuan Medical University), Siyuan Li (0000-0001-9095-1886, Sichuan Mianyang 404 Hospital, corresponding author), Xuemei Wei (0000-0001-9761-5586, Affiliated Hospital of North Sichuan Medical College, corresponding author)
Year2026
Volume14
Pages1805252-1805252
Publication date2026-03-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1805252
PMID41960394
OpenAlexW7140299011
LanguageEN
References cited47

Background: Amidst the rapidly evolving global healthcare environment, junior nurses must develop greater adaptability. However, issues such as workplace bullying significantly undermine their adaptive performance. Guided by the Job Demands-Resources Theory and Emotion Regulation Theory, this study examines the chain-mediating role of cognitive reappraisal, expressive suppression, and work engagement in the relationship between workplace bullying and adaptive performance. Methods: From April to May 2024, a cross-sectional survey was conducted in 17 hospitals in Southwest China. The study utilized a comprehensive set of measurement tools, including the General Information Questionnaire, the Negative Acts Questionnaire-Revised, the Emotion Regulation Questionnaire, the Work Engagement Questionnaire, and the Adaptive Performance Questionnaire. All statistical analyses were performed with SPSS and Mplus. Results: < 0.01). The indirect effect of workplace bullying on adaptive performance via emotion regulation and work engagement was significant (standardized indirect effect = -0.188, 95% BC CI [-0.238, -0.138]), accounting for 51.8% of the total standardized effect. Conclusion: There was a significant negative correlation between workplace bullying and adaptive performance of junior nurses, in which cognitive reappraisal, expressive suppression, and work engagement played a mediating role. This suggests that when healthcare institutions and nursing administrators develop strategies to enhance adaptive performance, they should mitigate workplace bullying and enhance cognitive reappraisal capabilities, reduce expressive suppression tendencies, and strengthen work engagement levels. However, the cross-sectional design precludes causal inferences, and the regional sample may limit generalizability

Cognition · Employee engagement · Occupational safety and health · Work engagement · Workplace bullying · Healthcare professionals’ stress and burnout · Human Factors and Ergonomics · Job Satisfaction and Organizational Behavior · Workplace Violence and Bullying

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