Lambert Krishna, Francis Karen, Tori Kathleen
University of Canberra, Canberra, ACT, Australia.
Charles Sturt University, Wagga Wagga NSW, Australia.
West J Nurs Res. 2025 May;47(5):423-432. doi: 10.1177/01939459251323680. Epub 2025 Mar 17.
Unwanted workplace behaviors impact all organizations, but in the discipline of nursing, these behaviors impact both the welfare of nurses and the quality and safety of patient care. The terminology adopted to describe these behaviors varies widely, leading to confusion and inconsistency in research and practice.
This scoping review aims to explore the variability in the terminology used to describe unwanted workplace behaviors in nursing, identify the most commonly used terms, and analyze the implications of this variability for research, policy, and practice.
The Population, Concept, and Context mnemonic was used to frame the review, as recommended by the Joanna Briggs Institute. A comprehensive literature search was conducted using relevant databases. Keywords used in the search included "moral harassment, nursing, definition, meaning, description," "Shaming," "Mobbing," "Bullying," "Vertical violence," "Horizontal violence," "Incivility," "Microaggression," "Lateral violence." Boolean operators (AND, OR) were used to combine search terms appropriately.
The initial search yielded 299 references. Following full-text screening, 51 studies met the inclusion criteria and were included in the final review. The review revealed 13 different terms used to describe unwanted workplace behaviors.
The review highlights a lack of consensus across the discipline. There is a call for a singular term to be applied across the field which would support policy implementation and practice.
不良职场行为影响着所有组织，但在护理领域，这些行为既影响护士的福祉，也影响患者护理的质量和安全。用于描述这些行为的术语差异很大，导致研究和实践中的混乱与不一致。
本范围综述旨在探讨用于描述护理领域不良职场行为的术语的变异性，确定最常用的术语，并分析这种变异性对研究、政策和实践的影响。
按照乔安娜·布里格斯研究所的建议，使用“人群、概念和背景”助记法来构建综述。使用相关数据库进行了全面的文献检索。检索中使用的关键词包括“道德骚扰、护理、定义、含义、描述”“羞辱”“围攻”“欺凌”“纵向暴力”“横向暴力”“无礼”“微侵犯”“侧向暴力”。使用布尔运算符（AND、OR）适当地组合检索词。
初步检索得到299篇参考文献。经过全文筛选，51项研究符合纳入标准并被纳入最终综述。该综述揭示了13个用于描述不良职场行为的不同术语。
该综述凸显了该领域缺乏共识。呼吁在整个领域应用一个单一术语，这将有助于政策实施和实践。
