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1 Dr. Loraleigh Keashly Wayne State University [email protected] 313-577-3221 Workplace Bullying Survey: Briefing and Data Overview This on-line survey was administered between 11/5/07 – 12/7/07 Dr. Joel H. Neuman SUNY - New Paltz [email protected] 845-257-2928 1 2 Presentation overview The survey, administration process, and sample Defining Workplace aggression and bullying Describing the behaviors in question Findings: Experienced/Witnessed Bullying on campus Relationships of bullies and victims The impact on targets and witnesses Responses to bullying Perceived benefits & consequences of specific response tactics Beliefs about the effectiveness of university policies and practices Key points for action and next steps

Workplace Bullying Survey: Briefing and Data Overview...Workplace Bullying Survey: Briefing and Data Overview This on-line survey was administered between 11/5/07 – 12/7/07 Dr. Joel

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Page 1: Workplace Bullying Survey: Briefing and Data Overview...Workplace Bullying Survey: Briefing and Data Overview This on-line survey was administered between 11/5/07 – 12/7/07 Dr. Joel

1

Dr. Loraleigh Keashly Wayne State [email protected]

313-577-3221

Workplace Bullying Survey:Briefing and Data Overview

This on-line survey was administered between 11/5/07 – 12/7/07

Dr. Joel H. Neuman SUNY - New Paltz

[email protected]

1

2

Presentation overview

The survey, administration process, and sampleDefining Workplace aggression and bullyingDescribing the behaviors in questionFindings: Experienced/Witnessed Bullying on campusRelationships of bullies and victimsThe impact on targets and witnesses Responses to bullyingPerceived benefits & consequences of specific response tacticsBeliefs about the effectiveness of university policies and practicesKey points for action and next steps

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2

Sample Pages from On-line Survey3

About the Survey4

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3

Sample Page from Organizational Experiences Section

√√

√√√

√√√

√√√

5

Sample Page from Workplace Behavior Inventory

NeverOnceA Few TimesSeveral TimesMonthlyWeeklyDaily

DeanChairSupervisor/ManagerOther Administrator (e.g. VP, Dir)Coworker/ColleagueSubordinateCustomer/ClientOther

6

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7

On-Line, n=1150 (97%)

Paper & Pencil, n=35

(3%)

On-line vs. Paper-and-Pencil Versionsand Overall Response Rate

Number of potential respondents:Student employees = 1,868Regular employees = 1,592

Number of surveys collected:1,150 on-line surveys35 paper & pencil surveys

Overall response rate = 34.3% {typically 20-60%}

3,460

Total surveys collected = 1,185

8

Survey Sample: Gender

Respondent Gender

Male n=327 33%

Female n=652 67%

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9

Campus Population vs. Survey Sample: Gender

46%

54%

33%

67%

0

10

20

30

40

50

60

70

80

Female MaleGender

Perc

ent

Total Campus Population Total Sample Survey

Survey sample differs from campus popuation: Female (t(2525)= 5.74, p<.001, Male (t(1936)=4.28, p<.001

10

Survey Sample: Ethnicity

Ethnicity

Caucasiann=87991%

Hispanic/Latinon=131%

Black - African American

n=283%

Don't known=333%

Othern=172%

Other: Native American 2% Hmong 1% Korean 4% Filipino 1% Chinese 6% Vietnamese 2% Native Hawaiian/Pacific Islander 1%

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11

Ethnicity for Campus Population vs. Survey Sample

0.21

1.04

2.90

1.35

0.10

3.42

90.99

0.46

4.53

4.36

1.17

0.06

6.30

83.13

0.00 10.00 20.00 30.00 40.00 50.00 60.00 70.00 80.00 90.00 100.00

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian / Other PacificIslander

Unknown

White

Campus PCTSurvey Sample PCT

12

Survey Sample: Age

Age

50-59n=24825%

40-49n=17918%

30-39n=16016%

20-29 n=24726%

Less than 20n=647%

60 & Overn=768%

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13

Survey Sample: DivisionInformation &

Technology Servicesn=425%

Finance & Administration, n=110

12%Institutional Diversity,

n=162%

Division of the President

n=121%

Student Affairsn=17118%

University Advancement

n=536%

Strategic Educational, Business and

Regional Partnershipsn= 81%

Don't known=39 4%

Academic Affairs, n=48251%

14Divisional Representation for Campus Population vs. Survey Sample

0 10 20 30 40 50 60 70

University Advancement

Student Affairs

Strategic ED, Bus & Reg

Institutional Diversity

Information Technology

Finance & Administration

Division of President

Academic Affairs

Campus PCT

Survey Sample PCT

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15

Survey Sample: Position

What is your position?

Faculty Membern=26528%

Academic Department Chair

n=172%

Graduate Assistant or Teaching Assistant

n=879%

Student Employeen=20221%

Director/Department Head/Dean

n=586%

Executive (Vice President and above)

n=3<1%

Mid-level managern=515%

First-line supervisorn=404%

Front line staffn=20021%

Othern=384%

16

How many years have you worked at the University?

Over 25 yearsn=93(10%)

21-25 yearsn=54(6%)

16-20 yearsn=86( 9%)

11-15 yearsn=61(6%)

6-10 yearsn=125(13%)

1-5 yearsn=342(35%)

Less than 1 yearn=59(6%)

Less than 6 monthsn=146(15%)

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17

Under which bargaining unit or personnel plan are you covered?

None of the aboven=268(29%)

MSUAASFn=98(11%)

MAPEn=38(4%)

MGECn=4

(<1%)

MMAn=18(2%)

Managerial Plann=3

(<1%)

IFOn=282(32%)

Commissioners Plann=9(1%)

Excluded Administrators

n= 21(2%)

AFSCMEn=170(19%)

18

Overall Satisfaction with Current Job

Benchmark data across industry sectors: 71% - 79%

Satisfied75% Neutral

6%

Dissatisfied19%

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19

Overall Satisfaction with the University at this Time

Satisfied63%

Neutral14%

Dissatisfied23%

20

Relationship Between Job Satisfaction and Satisfaction with the University

1462828Dissatisfied

304825Neutral

8081636SatisfiedOverall,

satisfaction with your

current job

DissatisfiedNeutralSatisfied

Overall, how would you rate your satisfaction with the universityr(1102) = .68

p<.0001

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0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

1

2

3

4

5

6

7

8

9

Workplace Civility Scale

Strongly Disagree Disagree Neutral Agree Strongly Agree

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

21

the people I work with treat each other with respecta spirit of cooperation andteamwork exists

the people I work with can be relied on when I need help

the people I work with take a personal interest in medisputes or conflicts are resolved fairly

differences among individuals are respected and valuedmgrs work well with employees of different backgrounds

discrimination is not tolerated

there is trust between employees and their supervisors

In m

y D

epar

tmen

tA

t M

SU

Workplace Aggression and Bullying

22

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23Workplace Aggression vs. Workplace Bullying

Workplace Aggression: Isolated or occasional acts of “negative”workplace behavior.

Workplace Bullying: Persistent, enduring, and patterned forms of “negative” workplace behavior.

24In this questionnaire, have you reported experiencing any "negative" or "unpleasant" workplace behaviors?

Non=44945%

Yesn=54055%

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25Rates of Exposure to Aggression or Bullying According to Checklist

Occasional Aggression

n=58361%

No Aggression n=15916%

Severe Bullying n=11011%

Some Bullying n=11412%

84% ofthose

respondingto these

questionsreported

experiencing aggression or

bullying.

This represents

68%of oursurveysample

26

Obstructional and Marginalizing Behavior

Given the "silent treatment" Others delay action on matters that were important to youBeen the target of rumors or gossipOthers fail to give you information that you really neededOthers refuse your requests for assistanceAttempts made to turn other employees against youHad your views or contributions ignored by othersHad co-workers fail to defend your plans or ideas to othersOthers consistently fail to return phone calls, memos, emailBeen lied toExcluded from work-related social gatherings

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27

Rude, Disrespectful, Hostile, and Humiliating BehaviorReprimanded or "put down" in front of others Treated in a rude and/or disrespectful mannerSubjected to insults and temper tantrums when disagreeing with someoneYelled at or shouted at in a hostile mannerSubjected to excessively harsh criticism about your workHad someone flaunt status or treat you in a condescending mannerPrevented from expressing yourself (e.g., interrupted when speaking)Subjected to negative comments about your intelligence or competenceBeen glared at in a hostile manner

28

Work-Related Behavior

Denied a raise or promotion without being given a valid reasonGiven little or no feedback about your performanceGiven unreasonable workloads or deadlines-more than othersNot given the praise for which you felt entitledHad someone else take credit for your work or ideas

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29

Insults and Personal Attacks

Subjected to derogatory name calling Subjected to obscene or hostile gesture

30

Mean Response Ratings for Aggression Dimensions

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

1.8

2

Obstructional andMarginalizing

Behavior

Work-RelatedBehavior

Rude, Disrespectful,Hostile, Humiliating

Behavior

Insults and PersonalAttacks

AGGRESSION DIMENSIONS

MEA

N R

ESPO

NSE

RA

TIN

GS

Different color bars differ significantly, p. <.05

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31

Top 10 Aggressive Behaviors

36.3

35.2

39.9

39.3

36.6

41.6

45.6

42.7

47.1

51.4

0.0 10.0 20.0 30.0 40.0 50.0 60.0

Flaunt status

Given the silent treatment

Contributions ignored

Glared at

Given little feedback

Lied to

Fail to give you info

Not given the praise

Others delay action

Rude-disrespectful B

ehav

ior

Percent Responding

“Other” forms of aggression experienced by respondents

Open-ended comments classified by aggression

dimensions

32

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17

“Other” aggression reported in open-ended comments:Obstructional & Marginalizing Behavior

Being ignoredOpposing views not toleratedReverse “sexism”intolerance for religious beliefsRacial jokesJokes/comments of sexual nature

Rude, Disrespectful, Hostile, and HumiliatingLack of respectDemeaning treatment (treated like child, 2nd class citizen, treated as stupid)Public “put-downs”

Work-related AggressionWork-related punishment (e.g., refusal to change work schedule, removal of authority)Withholding needed informationNepotism in hiring practices

Insults and Personal AttacksName callingThreats to harm (jeopardize tenure, threatened funding for non-compliance, use of physical size to intimidate, student threat)

33

34

In the past 12 months, have you experienced:

0 100 200 300 400 500 600 700 800 900 1000Frequency

Any form of racial orethnic prejudice on

the job?

Sexual harassment onthe job?

Physical violence,sexual assault, or the

threat of physicalharm on the job?

No 940 970 986Yes 67 39 23

Any form of racial or ethnic prejudice on the job? Sexual harassment on the job?

Physical violence, sexual assault, or the threat of physical harm on the

job?

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18

Of those reporting …Racial/Ethnic prejudice reported: • 64% Racist remarks • 63% Racial/ethnic jokes & slurs

Sexual Harassment Reported:• 74% Female• 19% Negative comments re sexual orientation• 37% Unwanted terms of endearment • 16% Unwanted touching or fondling • 65% Subjected to suggestive or offensive stories • 66% Sexist remarks• 11% Consequences for refusing sexual requests

Physical violence, sexual assault, threats reported:• 9% Hit with object•18% Pushed, shoved, thrown, or bumped into• One individual reported rape/sexual assault

35

36In response to the negative workplace behaviors that you experienced, did you do any of the following?

261

232

64

285

312

477

0% 20% 40% 60% 80% 100%

Report any of theseexperiences to asuperior or union

official?

Confront theperson(s) involved in

any of thesebehaviors?

File a formalcomplaint or

grievance about anyof these experiences?

Yes No

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37

University Units Approached for Help & Perceived Effectiveness of that Approach

0

10

20

30

40

50

60

70

80

Dir sup

rvsr/m

grCha

ir

Union r

ep HR

Affirmati

ve A

ction

Office o

f VP

EAP

Preside

nt's O

ffice

Comm on

Stat

us of

Wom

en

Wom

en's

Center

Office o

f Cha

ncell

or

Diversi

ty Com

mission

LGBT C

enter

Improved Situation Worsened SituationPCT Using This Approach

38

Definition of workplace bullyingprovided on survey

BULLYING IS DEFINED AS:

"all those repeated actions and practices that are directed to one or more workers, which are unwanted by the victim, which may be done deliberately or unconsciously, cause humiliation, offense, and distress, and that may interfere with job performance and/or cause an unpleasant working environment.”

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39

Have you ever witnessed or experienced bullying at work?

Yesn=31632%

Yesn=41241%

Non=67768%No

n=59459%

0

10

20

30

40

50

60

70

80

90

100

Witnessed Experienced

PER

CEN

T

40

Crossover of Witnessing and Being Bullied

45%ReportSome

ExperienceWith

Bullying asVictim

orWitness

No Exposure55%

Bullied Only5%

Witnessed Only13%

Witnessed & Bullied27%

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41

Witnessing Bullying

42Witnessed Bullying Reported by Division

0 20 40 60 80 100 120 140 160 180 200

Academic Affairs

Fin & Administration

Info& Tech Services

Institutional Diversity

Division of the President

Student Affairs

University Advancement

Strat ED, BU & Reg Part

Don't know

Div

isio

n

Frequency

Academic Affairs 50%Student Affairs 19%Fin & Administration 14%University Advancement 6%Division of the President 2%Info& Tech Services 5%Institutional Diversity 1%Strat. ED, BU & Reg Part 1%Don't know 3%

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43Percent of respondents witnessing bullying by position

First-line supervisor5%

Mid-level manager7%

Director/Department Head/Dean

9%

Executive (Vice President and above)

0%

Faculty Member32%

Graduate Assistant or Teaching Assistant

6%

Academic Department Chair2%

Student Employee9%

Other3% Front line staff

27%

44

Percent of respondents witnessing bullying by bargaining unit or personnel plan

IFO37%

MMA3%

MAPE4%

MSUAASF14%

Other13% AFSCME

25%

Commissioners Plan1%

Excluded Administrators

3%

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45

For those respondents witnessing bullying number of incidents they have observed

41% of respondents answering this question have witnessed bullying (n=412/1006)

One5%

Many24%

Several27%

A Few44%

94.8% of thosewitnessing bullying haveseen more than one incident. 50.3% have seen several or manyincidents

46In thinking about the most significant or memorable case of bullying that you have witnessed: (1) what was the gender of the victim? (2) What was the gender of the bully?

69.2% of Victimsand 56.6% of Bullieswere Female

0

20

40

60

80

100

120

140

160

180

200

Female Male

Gender of Bully

Freq

uenc

y

Gender of Victim

Female

Gender of Victim Male

46

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47In thinking about the most significant or memorable case of bullying that you have witnessed: (1) what was the race of the victim? (2) What was the race of the bully?

0

50

100

150

200

250

300

350

White Minority

Race of Bully

Freq

uenc

y

Race of Victim White

Race of Victim Minority

91.9% ofVictims and93.1% of bullies were White

47

48

I don't know2%

Customer/Client3%

Subordinate6%

Other5%

Dean4%

Chair5%

Another Administrator

9%

SupervisorManager

26%

Coworker Colleague

40%

In thinking about the most significant or memorable case of bullying that you have witnessed, what was the relationship of the bully to the victim?

44.3% ofthe bullies

held hierarchically

“superior”positions to their victims

48

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49To the best of your knowledge, how long has the bullying been going on?

More than 36 months (3 years),

n=139 (34%)

24-36 months, n=33 (8%)

18-24 months, n=31 (8%)

12-18 months, n=25 (6%)

6-12 months, n=36 (9%)

1-6 months, n=32 (8%)

At least 1 month, n=6 (1%)

Less than 1 month, n=12(3%)I don't know

n=92(23%)

50

The degree to which respondents were bothered by witnessing bullying

Moderatelyn=95(23%)

A little bitn=50(12%)

Not at alln=2

(<1%)

A great dealn=259(64%)

99% of thosewho witness

bullying reportbeing

“bothered” bythese

incidents

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51Compared with those who have not witnessed bullying, those who have witnessed bullying are significantly more likely to say that:

Work adversely impacts their emotional healthWork adversely impacts their physical healthThey are more dissatisfied with their current jobThey are more dissatisfied with the universityThey are more likely to transfer to another deptThey are fearful at workWork is a source of stressThey are less committed to the institutionThey are more likely to leave the university

52

Responses to Witnessed Bullying & Perceived Effectiveness of that Approach

0

10

20

30

40

50

60

70

80

90

100

talke

d to co

workers

talke

d to vi

ctim ab

out w

hat w

as ha

ppening

talke

d to fa

mily and

friend

s

did not

know

wha

t to do

advis

ed vict

im to

repo

rt incid

ent

ignored i

t or d

id nothing

reporte

d incid

ent to

manag

ement

advise

d victi

m to avo

id bull

y

got oth

er peo

ple to

denou

nce co

nduct

tried to

keep th

e bull

y way

from

the v

ictim

told b

ully t

o stop

the be

havio

rs

helped

them

to ta

lk to

each ot

her

went with

the vi

ctim to

report

the i

nciden

t

Improved Situation Worsened SituationPCT Using this Approach

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53

Open-ended comments regarding responses to witnessed bullying

Commiserated – shared experienceOffered concrete support to victim (during pursuit of incident; helped victim achieve goals and feel good about self)Defended victims against criticism/unfair comments & emphasized victims strengthsGave specific advice to victim (e.g., leave unit, get lawyer)

Coached the bully (e.g., suggestions on more positive ways to handle situation; spoke to others who could influence bullyDocumented bullyingInformed persons in position to do something (e.g., union, chair)Provided information during formal investigations.

54

Being Bullied

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55

How many people have been involved in bullying you?

Onen=133(43%)

Twon=94(30%)

Threen=44(14%)

Fourn=14(4%)

More than four, n=28( 9%)

57.5% ofvictims arebullied by more thanone person

56

Victims and Bullies by Gender

0

20

40

60

80

100

120

140

160

Female Male

Gender of Victim

Freq

uenc

y

Gender of Bully

Female

Gender of Bully Male

Of all respondents33% (216) women and 27% (87) men identify as victims.

Victims (71.3%) and bullies (61.4%) were predominantly female (N=303)

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57

Race/Ethnicity of Bullies and Victims

0

50

100

150

200

250

300

Minority White

Race of Victim

Freq

uenc

y

Race of Bully White

Race of Bully

Minority

Victims (95.1%) and bullies (96.3%) were predominantly white

58

Who was most responsible for bullying you?

Another Administrator

n=37(12%)

Coworker/Colleague n=130(42%)

Subordinaten=11(4%) Supervisor/Manager,

n=64(21%)

Chairn=23 (7%)

Deann=11(4%)

Othern=25(8%)Customer/Client

n=7(2%)

Equally likely be coworker (42.4%) or higher-ups (43%)

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59

Being Bullied as a Functionof Age

40-49n=82(27%)

30-39n= 47(16%)

50-59n=111(37%)

60 or overn=29(10%)

Less than20n=3(1%)

20-29n=28(9%)

60

Being Bullied as a Function of Job Tenure

Less than 1 yearn=8(3%)

Less than 6 monthsn=11(4%)

Over 25 yearsn=40(13%)

21-25 yearsn=29(10%)

16-20 yearsn=39(13%)

11-15 yearsn=36(12%)

6-10 years(n=62)(21%)

1-5 yearsn=74(24%)

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61Division of employment for those respondents reporting being bullied

Institutional Diversityn=4(1%) Info & Tech Svcs

n=13(5%)

Finance & Administration

n=37(13%)

Division of the President

n=6(2%)

Student Affairsn=51(18%)

Academic Affairs, n=146(51%)

Don't known=9(3%)

University Advancement

n=17(6%)

Strat ED, BUS, & Reg Partnership

n=2(1%)

62Position of employment for those respondents reporting being bullied

Front line staff n=85 (30%)

Other n=10(3%)

Student Employee n=19(6%)

Academic Department Chairn=4 (1%)

Graduate Assistant or Teaching Assistant

n=12(4%)

Faculty Member n=104 (36%)

Director/Department Head/Dean

n=31 (10%)

Mid-level manager n=16(5%)

First-line supervisor n=16(5%)

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63

Percent of respondents bullied by bargaining unit or personnel plan

IFOn=112(39%)MAPE

n=11(4%)

MMAn=11(4%)

MSUAASFn=42(14%)

None of the above, n=25(9%)

AFSCMEn=79(27%)

Commissioners Plan, n=3

(1%)

Excluded Administrators

n=7(2%)

64

How long has the bullying been going on?

0 5 10 15 20 25 30 35 40

Less than 1 month

At least 1 month

1-6 months

6-12 months

12-18 months

18-24 months

24-36 months

More than 36 months

Dur

atio

n of

Bul

lyin

g

Percent

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65

How much has being bullied bothered you?

Not at all n=3 (1%)

A little bit n=30 (10%)

Somewhatn=82 (27%)

A great deal n=192 (62%)

99% ofthose being

bullied reportbeing

“bothered” bythese

incidents

66

Being bullied - Impact

31.5% missed work -51% missed at least 1 day of work in past 30 days

63.5% felt worthless (19.1%)64.6% felt bad about self (20.3%)88.9% felt helpless to do anything (49.2%)64.6% thought about quitting (40.4%)

Percentages in red represent “a great deal”

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67

Have you thought about getting revenge for being bullied?

Not at all n=154 (51%)

A little bit n=93(30%)

Moderately n=38(12%)

A great deal n=22 (7%)

49% ofrespondents

being bulliedreport

thinkingabout gettingrevenge

68Compared with those who have not reported being bullied, those who have been bullied are significantly more likely to say that:

Work adversely impacts their emotional healthWork adversely impacts their physical healthThey are more dissatisfied with their current jobThey are more dissatisfied with the universityThey are more likely to transfer to another deptThey are fearful at workWork is a source of stressThey are less committed to the institutionThey are more likely to leave the university

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69

Responses to Experienced Bullying & Perceived Effectiveness of that Approach

0

10

20

30

40

50

60

70

80

90

100

talke

d with

coworke

rs

talked w

ith fa

mily &

friends

staye

d calm

avoided t

he bully

told s

uprvs

r, mgr, c

hair, de

an

acted as

if did

n't care

ignore

d it or d

id nothing

asked

colle

agues f

or help

behaved extr

a nice to

bully

asked

bully to

stop

went along

with

behavior

lowered m

y pro

ducti

vity

not tak

e behavior s

eriously

went to th

e union

told H

R about it

had someo

ne spea

k to bull

y

made for

mal compla

int

asked

for t

ransfe

r

threa

tened to te

ll others

Improved SituationW orsened SituationPCT Using This Approach

70

Open-ended comments regarding responses to being bullied

WithdrawalLeft organizationTransferred to other unitStopped working on project to escape bully

Spoke directly with bullyWas assertiveClarified expectations in writingHonest discussion about issues

Encouraged administration lawyer to pursue legal action

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71Workplace Environment Policy & Employee Complaint procedures are communicated clearly and enforced.

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Communication Policy Enforcement Policy

Perc

ent

Disagree Neither Disagree nor Agree Agree

Beliefs about the effectiveness of Workplace Environment Policy & Employee Complaint Procedures

Info about policies is communicated to all employeesEmployees aware of behaviors covered by policiesEmployees receive adequate training on policiesThere are consequences for physical aggression or threatsThere are consequences for being mean or verbally aggressiveEmployees are sanctioned for behaving aggressivelyPolicies are effective at preventing physical aggressionPolicies are effective at preventing nonphysical aggressionFormal complaints about physical aggression taken seriouslyFormal complaints about non-physical aggression taken seriouslyPeople can get away with being aggressive or hostile toward othersPolicies are effective at preventing all forms of workplace aggression

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Strongly Disagree Disagree Neutral Agree Strongly Agree

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

72

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73

Key Points for Action68% of survey sample reports aggression/bullying.Aggression primarily from faculty/staff (not students).Both vertical and horizontal aggressionExposure to bullying part of campus experience for manyLongstanding bullying relationships are presentSimply observing such behavior adversely impacts witnesses.Informal actions by campus members have mixed results. How enhance effectiveness?Formal campus procedures seem to be useful in responding to hostility WHEN they are used. Why aren’t they used more often?Formal campus policies/procedures are perceived to be less useful for nonphysical (psychological) aggression

74

Next steps…

Continued conversations with the campus community to make sense of the data and identify additional useful analysesIdentify ways to further act on the dataIntegrate information derived from the survey, follow-up analyses, and conversations to formulate final report—including findings & recommendationsObtain feedback from campus community on our final report and discuss our possible future involvement in the development, implementation, and evaluation of interventions.