Zheng Jinlong, Zhou Jun, Zheng Xuemei, Peng Qi, Tang Wenhao
Department of Emergency, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, China.
Department of Oncology, Xiangyang Central Hospital, China.
Nurse Educ Today. 2025 Mar;146:106538. doi: 10.1016/j.nedt.2024.106538. Epub 2024 Dec 6.
Clinical internships serve as a significant practical application for nursing students to utilize their theoretical knowledge in resolving actual patient care issues, and they are also a crucial complement and continuation of classroom teaching in medical institutions of various levels. However, the occurrence of bullying behaviors among nursing students during clinical internships significantly reduces the effectiveness of clinical nursing education, severely impairs the physical and mental health of intern nurses, and adversely impacts their future career choices and the long-term development of the nursing workforce. Currently, there is limited research attention on nursing education bullying in China.
To understand the experiences and coping strategies of nursing interns in top-tier hospitals facing nursing education bullying, providing a reference for developing scientific psychological intervention and support strategies.
This is a descriptive qualitative study.
Thirteen nursing interns.
Using a descriptive phenomenological research approach, semi-structured in-depth interviews were conducted with 13 nursing interns from a top-tier hospital from March 2023 to June 2023. The data were analyzed using Colaizzi's seven-step analysis method.
Five themes were identified: negative emotional experiences of bullying behaviors; the impact on clinical internship; the impact on professional ideology; lack of effective coping and support; the cultivation and growth of psychological resilience.
Nursing education bullying causes severe psychological distress to nursing interns and may impact their professional values. Clinical nursing managers should pay attention to bullying phenomena in clinical nursing education, emphasize the quality education of clinical mentors, provide psychological counseling and support to nursing interns experiencing this phenomenon, and promote their physical and mental health.
临床实习是护理专业学生将理论知识应用于解决实际患者护理问题的重要实践环节，也是各级医疗机构课堂教学的重要补充和延续。然而，护理专业学生在临床实习期间发生的欺凌行为显著降低了临床护理教育的效果，严重损害了实习护士的身心健康，并对他们未来的职业选择和护理队伍的长期发展产生不利影响。目前，中国对护理教育中的欺凌行为研究关注较少。
了解顶级医院护理实习生面对护理教育欺凌的经历及应对策略，为制定科学的心理干预和支持策略提供参考。
这是一项描述性定性研究。
13名护理实习生。
采用描述性现象学研究方法，于2023年3月至2023年6月对一家顶级医院的13名护理实习生进行半结构化深度访谈。采用Colaizzi七步分析法对数据进行分析。
确定了五个主题：欺凌行为的负面情绪体验；对临床实习的影响；对专业思想的影响；缺乏有效的应对和支持；心理韧性的培养与成长。
护理教育欺凌给护理实习生带来严重的心理困扰，并可能影响其职业价值观。临床护理管理者应关注临床护理教育中的欺凌现象，重视临床带教老师的素质教育，为遭受此现象的护理实习生提供心理咨询和支持，促进其身心健康。
