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Updated: Jan 19, 2026
Bullying, Cyberbullying: Bully, Victim and Bystanders
Effects of a smartphone application for cognitive rehearsal intervention on workplace bullying and turnover intention
1College of Nursing, Dong-A University, Busan, South Korea.
Background:
Bullying in nursing workplaces has been considered a serious problem that increases nurse turnover.
Aim:
To develop a cognitive rehearsal intervention for workplace bullying and examine its effects on nurses' bullying experiences and turnover intentions.
Methods:
We developed a smartphone application to cognitively train nurses to handle bullying situations in the workplace. This application included common bullying situations and appropriate non-violent communication scenarios. A cluster quasi-randomized trial was performed with 72 hospital nurses working in a university hospital in South Korea from November 2016 to January 2017. We measured workplace bullying experiences and turnover intention before intervention and 4 and 8 weeks after intervention in both intervention and control groups.
Results:
The cognitive rehearsal intervention developed in this study was effective for decreasing nurses' person-related bullying, work-related bullying experiences, and turnover intention. However, it had no effects on intimidation-related bullying experiences.
Conclusions:
The smartphone application-based cognitive rehearsal intervention can serve as a personal coping measure for person-related and work-related bullying among nurses. It is recommended that the intervention developed in this study be applied as a strategy to reduce nurse turnover.
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