Yosep Iyus, Fitria Nita, Mardhiyah Ai, Pahria Tuti, Yamin Ahmad, Hikmat Rohman
Department of Mental Health, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21, Hegarmanah, Jatinangor, Sumedang, Jawa Barat, 45363, Indonesia.
Department of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia.
BMC Nurs. 2024 Nov 14;23(1):832. doi: 10.1186/s12912-024-02439-1.
Bullying in the clinical setting has become a significant issue for nursing students. The experience of bullying during clinical practice can negatively affect students' mental and physical health, as well as their professional development. Nursing students are often targets of verbal abuse, intimidation, and discrimination from various individuals in the clinical environment. This behavior not only harms individual students but also affects the quality of patient care. The aim of this study is to provide a deeper understanding of the phenomenon of bullying toward nursing students, identify research gaps, and offer recommendations for future research. This study employed a scoping review method, with articles sourced from four major databases: CINAHL, PubMed, Scopus, and Web of Science. The main keywords used included "bullying," "nursing students," "clinical practice," and "verbal violence." Inclusion criteria were studies with nurse participants, original research articles, and published within the last 10 years (2015-2024). Data were manually extracted using tables and analyzed through a qualitative descriptive approach. Eleven articles met the inclusion criteria. This scoping review focuses on the findings of an exploration of the experiences of bullying experienced by nursing students, identifies research gaps, and provides suggestions for future research. Findings showed that nursing students experience various forms of bullying, including verbal violence and intimidation, often triggered by power imbalances in interactions with clinical staff and mentors. The impact of bullying is not only detrimental to students' mental health, but also affects their academic performance and quality of learning. Research gaps found include a lack of studies on the direct relationship between bullying and clinical assessment outcomes, as well as a lack of understanding of effective strategies to address bullying. This study recommends the need for clearer anti-bullying policies and transparent reporting systems, as well as further research to explore the impact of bullying in the context of nursing culture and education system.
临床环境中的欺凌行为已成为护理专业学生面临的一个重大问题。临床实习期间遭受欺凌的经历会对学生的身心健康以及他们的职业发展产生负面影响。护理专业学生常常成为临床环境中各类人员言语辱骂、恐吓和歧视的对象。这种行为不仅伤害了个别学生,还影响了患者护理的质量。本研究的目的是更深入地了解针对护理专业学生的欺凌现象,找出研究空白,并为未来研究提供建议。本研究采用了范围综述方法,文章来源为四个主要数据库:护理学与健康领域数据库(CINAHL)、医学期刊数据库(PubMed)、文摘与引文数据库(Scopus)和科学引文索引数据库(Web of Science)。使用的主要关键词包括“欺凌”“护理专业学生”“临床实习”和“言语暴力”。纳入标准为有护士参与者的研究、原创研究文章以及在过去10年(2015 - 2024年)内发表的研究。数据通过表格手动提取,并采用定性描述方法进行分析。有11篇文章符合纳入标准。本范围综述聚焦于对护理专业学生所经历的欺凌体验的探索结果,找出研究空白,并为未来研究提供建议。研究结果表明,护理专业学生经历了各种形式的欺凌,包括言语暴力和恐吓,这些往往是由与临床工作人员及导师互动中的权力不平衡引发的。欺凌的影响不仅对学生的心理健康有害,还会影响他们的学业成绩和学习质量。发现的研究空白包括缺乏关于欺凌与临床评估结果之间直接关系的研究,以及对解决欺凌的有效策略缺乏了解。本研究建议需要更明确的反欺凌政策和透明的报告系统,以及进一步研究以探讨在护理文化和教育系统背景下欺凌的影响。