Workplace bullying (WB) and workplace incivility (WI) appear to be the most alarming events with a potentially threat to the entire workforce and organization. Considering their implications, this research study is examining the effect of WB and WI on employee performance (EP) in the presence of psychological well-being (PW) among both relationships. Sample of the female employees (Nurses) working in the health care units and hospitals of the Azad Jammu and Kashmir (AJ&K), Pakistan was taken to collect the data. Data were collected from female nurses and their supervisors working in the public sector hospitals of AJ&K, Pakistan. The current study uses AMOS 21.0 for empirical analysis to estimate the “Structural Equation Model (SEM)”. The results of SEM show that WB and WI negatively influence nurses’ performance in Azad Jammu and Kashmir’s health sectors. Moreover, PW mediates the association between WB and EP. Similarly, the effects of WI decrease in the presence of PW. The current study provides theoretical and practical implications for Pakistan’s health sector regulators and other stakeholders. It also sheds highlight on the importance of a stress-free environment for health sector employees and postulates that employee productivity may be enhanced after eliminating bullying and incivility at the workplace. Further, the study guides managers to create stress-free environments and policies to enhance employee’s productivity.

A Megeirhi, H., Kilic, H., Avci, T., et al. (2018). Does team psychological capital moderate the relationship between authentic leadership and negative outcomes: an investigation in the hospitality industry. Economic research-Ekonomska istraživanja, 31(1), 927–945. https://doi.org/10.1080/1331677x.2018.1442234

Abubakar, A. M., Megeirhi, H. A., & Shneikat, B. (2018). Tolerance for workplace incivility, employee cynicism and job search behavior. The Service Industries Journal, 38(9–10), 629–643. https://doi.org/10.1080/02642069.2017.1420171

Abubakar, A. M., Rezapouraghdam, H., Behravesh, E., & Megeirhi, H. A. (2021). Burnout or boreout: A meta-analytic review and synthesis of burnout and boreout literature in hospitality and tourism. Journal of Hospitality Marketing & Management, 31(4), 458–503. https://doi.org/10.1080/19368623.2022.1996304

Ahmad, S. (2018). Can ethical leadership inhibit workplace bullying across East and West: Exploring cross-cultural interactional justice as a mediating mechanism. European Management Journal, 36(2), 223–234. https://doi.org/10.1016/j.emj.2018.01.003

Aiken, L. H., Clarke, S. P., Cheung, R. B., et al. (2003). Educational Levels of Hospital Nurses and Surgical Patient Mortality. JAMA: The Journal of the American Medical Association, 290(12), 1617–1623. https://doi.org/10.1001/jama.290.12.1617

Aiken, L. H., Sermeus, W., Van den Heede, K., et al. (2012). Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ, 344(mar202), e1717–e1717. https://doi.org/10.1136/bmj.e1717

Alshehry, A. S., Alquwez, N., Almazan, J., et al. (2019). Influence of workplace incivility on the quality of nursing care. Journal of Clinical Nursing, 28(23–24), 4582–4594. Portico. https://doi.org/10.1111/jocn.15051

Andersson, L. M., & Pearson, C. M. (1999). Tit for tat? The spiraling effect of incivility in the workplace. Academy of management review, 24(3), 452–471.

Bakker, A. B., & Bal, M. P. (2010). Weekly work engagement and performance: A study among starting teachers. Journal of Occupational and Organizational Psychology, 83(1), 189–206. Portico. https://doi.org/10.1348/096317909x402596

Bano, A., Ashraf, S., Khan, M., et al. (2021). Negative Events at Workplace and In Role Performance: Implications of Affective Events Theory (AET). Journal of Contemporary Issues in Business and Government, 27(3). https://doi.org/10.47750/cibg.2021.27.03.299

Borman, W. C., & Motowidlo, S. J. (1997). Task Performance and Contextual Performance: The Meaning for Personnel Selection Research. Human Performance, 10(2), 99–109. https://doi.org/10.1207/s15327043hup1002_3

Bowling, A. (2005). Mode of questionnaire administration can have serious effects on data quality. Journal of Public Health, 27(3), 281–291. https://doi.org/10.1093/pubmed/fdi031

Buchanan, D. A., & Mccalman, J. (2018). High Performance Work Systems. Routledge. https://doi.org/10.4324/9781351257800

Cooper, B., Wang, J., Bartram, T., & Cooke, F. L. (2019). Well‐being‐oriented human resource management practices and employee performance in the Chinese banking sector: The role of social climate and resilience. Human Resource Management, 58(1), 85–97. Portico. https://doi.org/10.1002/hrm.21934

Cortina, L. M., Magley, V. J., Williams, J. H., & Langhout, R. D. (2001). Incivility in the workplace: Incidence and impact. Journal of Occupational Health Psychology, 6(1), 64–80. https://doi.org/10.1037/1076-8998.6.1.64

Creswell, J. W. (2016). Reflections on the MMIRAThe Future of Mixed MethodsTask Force Report. Journal of Mixed Methods Research, 10(3), 215–219. https://doi.org/10.1177/1558689816650298

Cua, K. O., McKone, K. E., & Schroeder, R. G. (2001). Relationships between implementation of TQM, JIT, and TPM and manufacturing performance. Journal of Operations Management, 19(6), 675–694. Portico. https://doi.org/10.1016/s0272-6963(01)00066-3

Diener, E., Wirtz, D., Tov, W., et al. (2009). New Well-being Measures: Short Scales to Assess Flourishing and Positive and Negative Feelings. Social Indicators Research, 97(2), 143–156. https://doi.org/10.1007/s11205-009-9493-y

Einarsen, S., Hoel, H., Zapf, D., & Cooper, C. L. (2002). Bullying and Emotional Abuse in the Workplace. Taylor & Francis. https://doi.org/10.4324/9780203278734

Emmanuel Olatunde, B., & Odusanya, O. (2015). Job satisfaction and psychological well-being among mental health nurses. International Journal of Translation & Community Medicine, 3(3), 64–70. https://doi.org/10.19070/2333-8385-1500012

Fisher-Blando, J. L. (2008). Workplace bullying: Aggressive behavior and its effect on job satisfaction and productivity. University of Phoenix.

Forbes, M. P., Iyengar, S., & Kay, M. (2019). Barriers to the psychological well-being of Australian junior doctors: a qualitative analysis. BMJ Open, 9(6), e027558. https://doi.org/10.1136/bmjopen-2018-027558

Glambek, M., Nielsen, M. B., Gjerstad, J., & Einarsen, S. (2018). Gender differences in the relationship between workplace bullying and subjective back and neck pain: A two-wave study in a Norwegian probability sample. Journal of Psychosomatic Research, 106, 73–75. https://doi.org/10.1016/j.jpsychores.2018.01.010

Goldberg, D. P., & Blackwell, B. (1970). Psychiatric Illness in General Practice: A Detailed Study Using a New Method of Case Identification. BMJ, 2(5707), 439–443. https://doi.org/10.1136/bmj.2.5707.439

Gravetter, F. J., & Forzano, L.-A. B. (2018). Research methods for the behavioral sciences: Cengage learning.

Guest, D., & Conway, N. (2011). The impact of HR practices, HR effectiveness and a ‘strong HR system’ on organisational outcomes: a stakeholder perspective. The International Journal of Human Resource Management, 22(8), 1686–1702. https://doi.org/10.1080/09585192.2011.565657

Hebron, J., & Humphrey, N. (2014). Exposure to bullying among students with autism spectrum conditions: A multi-informant analysis of risk and protective factors. Autism, 18(6), 618–630. https://doi.org/10.1177/1362361313495965

Hershcovis, M. S. (2011). “Incivility, social undermining, bullying…oh my!”: A call to reconcile constructs within workplace aggression research. Journal of Organizational Behavior, 32(3), 499–519. Portico. https://doi.org/10.1002/job.689

Hoel, H., Cooper, C. L., & Faragher, B. (2001). The experience of bullying in Great Britain: The impact of organizational status. European Journal of Work and Organizational Psychology, 10(4), 443–465. https://doi.org/10.1080/13594320143000780

Hutton, S., & Gates, D. (2008). Workplace Incivility and Productivity Losses among Direct Care Staff. AAOHN Journal, 56(4), 168–175. https://doi.org/10.3928/08910162-20080401-01

Jamal, M. (1984). Job stress and job performance controversy: An empirical assessment. Organizational Behavior and Human Performance, 33(1), 1–21. https://doi.org/10.1016/0030-5073(84)90009-6

Johari, J., Yean Tan, F., & Tjik Zulkarnain, Z. I. (2018). Autonomy, workload, work-life balance and job performance among teachers. International Journal of Educational Management, 32(1), 107–120. https://doi.org/10.1108/ijem-10-2016-0226

Jonason, P. K., Baughman, H. M., Carter, G. L., & Parker, P. (2015). Dorian Gray without his portrait: Psychological, social, and physical health costs associated with the Dark Triad. Personality and Individual Differences, 78, 5–13. https://doi.org/10.1016/j.paid.2015.01.008

Kadilak, A. L., Liu, Y., Shrestha, S., et al. (2014). Selective deposition of chemically-bonded gold electrodes onto PDMS microchannel side walls. Journal of Electroanalytical Chemistry, 727, 141–147. https://doi.org/10.1016/j.jelechem.2014.06.006

Kavaklı, B. D., & Yildirim, N. (2022). The relationship between workplace incivility and turnover intention in nurses: A cross-sectional study. Journal of Nursing Management, 30(5), 1235–1242. Portico. https://doi.org/10.1111/jonm.13594

Keashly, L., & Jagatic, K. (2010). North American Perspectives on Hostile Behaviors and Bullying at Work. Bullying and Harassment in the Workplace, 41–71. https://doi.org/10.1201/ebk1439804896-4

Keyes, C. L. M. (2007). Promoting and protecting mental health as flourishing: A complementary strategy for improving national mental health. American Psychologist, 62(2), 95–108. https://doi.org/10.1037/0003-066x.62.2.95

Khalique, M., Arif, I., Siddiqui, M., & Kazmi, S. W. (2018). Impact of workplace bullying on job performance, intention to leave, OCB and stress. Pakistan Journal of Psychological Research, 55–74.

King, G., Pan, J., & Roberts, M. E. (2017). How the Chinese government fabricates social media posts for strategic distraction, not engaged argument. American political science review, 111(3), 484–501.

Laschinger, H. K. S. (2014). Impact of Workplace Mistreatment on Patient Safety Risk and Nurse-Assessed Patient Outcomes. JONA: The Journal of Nursing Administration, 44(5), 284–290. https://doi.org/10.1097/nna.0000000000000068

Laschinger, H. K. S., & Fida, R. (2014a). New nurses burnout and workplace wellbeing: The influence of authentic leadership and psychological capital. Burnout Research, 1(1), 19–28. https://doi.org/10.1016/j.burn.2014.03.002

Laschinger, H. K. S., & Fida, R. (2014b). A time-lagged analysis of the effect of authentic leadership on workplace bullying, burnout, and occupational turnover intentions. European journal of work and organizational psychology, 23(5), 739–753. https://doi.org/10.1080/1359432x.2013.804646

Laschinger, H. K. S., Wong, C. A., & Grau, A. L. (2012). The influence of authentic leadership on newly graduated nurses’ experiences of workplace bullying, burnout and retention outcomes: A cross-sectional study. International journal of nursing studies, 49(10), 1266–1276. https://doi.org/10.1016/j.ijnurstu.2012.05.012

Laschinger, H. K. S., Wong, C. A., & Grau, A. L. (2013). Authentic leadership, empowerment and burnout: a comparison in new graduates and experienced nurses. Journal of nursing management, 21(3), 541–552. https://doi.org/10.1111/j.1365-2834.2012.01375.x

Lewis, P. S., & Malecha, A. (2011). The impact of workplace incivility on the work environment, manager skill, and productivity. JONA: The Journal of Nursing Administration, 41(1), 41–47. https://doi.org/10.1097/nna.0b013e3182002a4c

Lim, S., Cortina, L. M., & Magley, V. J. (2008). Personal and workgroup incivility: impact on work and health outcomes. Journal of applied psychology, 93(1), 95–107. https://doi.org/10.1037/0021-9010.93.1.95

Lim, V. K. G., & Teo, T. S. H. (2009). Mind your E-manners: Impact of cyber incivility on employees’ work attitude and behavior. Information & Management, 46(8), 419–425. https://doi.org/10.1016/j.im.2009.06.006

Malik, M. S., Sattar, S., Younas, S., & Nawaz, M. K. (2019). The workplace deviance perspective of employee responses to workplace bullying: The moderating effect of Toxic Leadership and mediating effect of emotional exhaustion. Review of Integrative Business and Economics Research, 8(1), 33–50.

Maslach, C. (1986). Stress, burnout, and workaholism. Professionals in Distress: Issues, Syndromes, and Solutions in Psychology., 53–75. https://doi.org/10.1037/10056-004

Mayhew, C., & Chappell, D. (2003). The occupational violence experiences of 400 Australian health workers: an exploratory study. Journal of Occupational Health and Safety, Australia and New Zealand, 19(6).

Mayhew, C., & Chappell, D. (2007). Workplace violence: An overview of patterns of risk and the emotional/stress consequences on targets. International Journal of Law and Psychiatry, 30(4–5), 327–339. https://doi.org/10.1016/j.ijlp.2007.06.006

McNamara, S. A. (2012). Incivility in Nursing: Unsafe Nurse, Unsafe Patients. AORN Journal, 95(4), 535–540. Portico. https://doi.org/10.1016/j.aorn.2012.01.020

Megeirhi, H. A., Ribeiro, M. A., & Woosnam, K. M. (2020). Job search behavior explained through perceived tolerance for workplace incivility, cynicism and income level: A moderated mediation model. Journal of Hospitality and Tourism Management, 44, 88–97. https://doi.org/10.1016/j.jhtm.2020.05.011

Mehmood, S., Jabeen, R., Khan, M. A., Khan, M. A., Gavurova, B., & Oláh, J. (2023). Impact of despotic leadership and workplace incivility on innovative work behavior of employees: Application of mediation-moderation model. Heliyon, 9(9), e19673. https://doi.org/10.1016/j.heliyon.2023.e19673

Mehmood, S., Sajid, M. A., Mehmood, T., et al. (2021). Workplace Incivility and Employee Performance, Mediating Role of Psychological Well-Being: Study of Health Sector in Aj&K, Pakistan. International Journal of Management (IJM), 12(6).

Minnick, K., Unal, H., & Yang, L. (2010). Pay for Performance? CEO Compensation and Acquirer Returns in BHCs. Review of Financial Studies, 24(2), 439–472. https://doi.org/10.1093/rfs/hhq107

Mone, E. M., & London, M. (2018). Employee Engagement Through Effective Performance Management. Routledge. https://doi.org/10.4324/9781315626529

Namie, G., & Namie, R. (2009). Bully at work: What you can do to stop the hurt and reclaim your dignity on the job. Sourcebooks, Inc.

Naseer, T. (2021). Impact of Workplace Incivility on Job Satisfaction: Moderating Role of Perceived Organizational Support. Psychology and Education Journal, 58(5), 2203–2220.

Nunnally, J. C. (1994). Psychometric theory 3E. Tata McGraw-hill education.

Paais, M. (2018). Effect of work stress, organization culture and job satisfaction toward employee performance in Bank Maluku. Academy of Strategic Management Journal, 17(5), 1–12.

Pearson, C. M., Andersson, L. M., & Porath, C. L. (2000). Assessing and attacking workplace incivility. Organizational Dynamics, 29(2), 123–137. https://doi.org/10.1016/s0090-2616(00)00019-x

Pearson, M., & Anderson, R. W. (1999). Reliability and durability from large heat recovery steam generators. Proceedings of the Institution of Mechanical Engineers, Part A: Journal of Power and Energy, 213(3), 151–168. https://doi.org/10.1243/0957650991537518

Podsakoff, P. M., MacKenzie, S. B., Lee, J.-Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879

Porath, C. L., & Pearson, C. M. (2012). Emotional and Behavioral Responses to Workplace Incivility and the Impact of Hierarchical Status. Journal of Applied Social Psychology, 42(S1). Portico. https://doi.org/10.1111/j.1559-1816.2012.01020.x

Quine, L. (2001). Workplace Bullying in Nurses. Journal of Health Psychology, 6(1), 73–84. https://doi.org/10.1177/135910530100600106

Riskind, J. H., Williams, N. L., Gessner, T. L., et al. (2000). The looming maladaptive style: Anxiety, danger, and schematic processing. Journal of Personality and Social Psychology, 79(5), 837–852. https://doi.org/10.1037/0022-3514.79.5.837

Roberts, S. J., Scherer, L. L., & Bowyer, C. J. (2011). Job Stress and Incivility. Journal of Leadership & Organizational Studies, 18(4), 449–458. https://doi.org/10.1177/1548051811409044

Ryff, C. D., & Singer, B. (1998). The Contours of Positive Human Health. Psychological Inquiry, 9(1), 1–28. https://doi.org/10.1207/s15327965pli0901_1

Saleem, F., Malik, M. I., Asif, I., & Qasim, A. (2022). Workplace Incivility and Employee Performance: Does Trust in Supervisors Matter? (A Dual Theory Perspective). Behavioral Sciences, 12(12), 513. https://doi.org/10.3390/bs12120513

Salin, D. (2003). Ways of Explaining Workplace Bullying: A Review of Enabling, Motivating and Precipitating Structures and Processes in the Work Environment. Human Relations, 56(10), 1213–1232. https://doi.org/10.1177/00187267035610003

Selye, H. (1956). The stress of life. New York, Mc Gran-Hill Book Company.

Shahid, M., & Sajid, M. A. (2020). Impact of Workplace Bullying on Employee Performance: Mediating Role of Psychological Well-being. International Journal of Disaster Recovery and Business Continuity, 11(1), 2322–2335.

Singleton Jr, R. A., & Straits, B. C. (2012). Until recently, surveys were carried out via telephone or facetoface. The SAGE Handbook of Interview Research: The Complexity of the Craft.

Smith, J. G., Morin, K. H., & Lake, E. T. (2018). Association of the nurse work environment with nurse incivility in hospitals. Journal of Nursing Management, 26(2), 219–226. Portico. https://doi.org/10.1111/jonm.12537

Stelmaschuk, S. (2010). Workplace bullying and emotional exhaustion among registered nurses and non-nursing, unit-based staff [Bachelor’s thesis]. The Ohio State University College of Nursing.

Vartia, M. A.-L. (2001). Consequences of workplace bullying with respect to the well-being of its targets and the observers of bullying. Scandinavian Journal of Work, Environment & Health, 27(1), 63–69. https://doi.org/10.5271/sjweh.588

Vogelpohl, D. A., Rice, S. K., Edwards, M. E., & Bork, C. E. (2013). New Graduate Nurses’ Perception of the Workplace: Have They Experienced Bullying? Journal of Professional Nursing, 29(6), 414–422. https://doi.org/10.1016/j.profnurs.2012.10.008

Volk, A. A., Mitchell, R. C., & Khan, T. (2019). The Power of Civility: A Transdisciplinary Examination of Adolescent Social Power and Bullying. Journal of Childhood Studies, 120–138. https://doi.org/10.18357/jcs00019178

Weber, T. J., Sadri, G., & Gentry, W. A. (2018). Examining diversity beliefs and leader performance across cultures. Cross Cultural & Strategic Management, 25(3), 382–400. https://doi.org/10.1108/ccsm-11-2016-0200

Weiss, H. M., & Cropanzano, R. (1996). Affective events theory. Research in organizational behavior, 18(1), 1–74.

Wheeler, A. R., Halbesleben, J. R. B., & Shanine, K. (2010). Eating their cake and everyone else’s cake, too: Resources as the main ingredient to workplace bullying. Business Horizons, 53(6), 553–560. https://doi.org/10.1016/j.bushor.2010.06.002

Whelan, M., Langford, J., Oxley, J., et al. (2006). The elderly and mobility: A review of the literature. Monash University.

Williams, L. J., & Anderson, S. E. (1991). Job Satisfaction and Organizational Commitment as Predictors of Organizational Citizenship and In-Role Behaviors. Journal of Management, 17(3), 601–617. https://doi.org/10.1177/014920639101700305

Wright, T. A., & Bonett, D. G. (2007). Job Satisfaction and Psychological Well-Being as Nonadditive Predictors of Workplace Turnover. Journal of Management, 33(2), 141–160. https://doi.org/10.1177/0149206306297582

Wright, T. A., & Cropanzano, R. (2000a). Psychological well-being and job satisfaction as predictors of job performance. Journal of Occupational Health Psychology, 5(1), 84–94. https://doi.org/10.1037/1076-8998.5.1.84

Yahaya, A. (2009). The Relationship of Self-Concept and Communication Skills Towards Academic Achievement Among Secondary School Students in Johor Bahru. International Journal of Psychological Studies, 1(2), 25. https://doi.org/10.5539/ijps.v1n2p25

Zapf, D., Einarsen, S., Hoel, H., & Vartia, M. (2003). Empirical findings on bullying in the workplace. Bullying and emotional abuse in the workplace: International perspectives in research and practice, 103125.

Zogby, J. J. (2002). What Arabs think: Values, beliefs and concerns. Zogby International.