Piri Saeedeh, Janatolmakan Maryam, Nouri Mohammad Amin, Khatony Alireza
Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Sci Rep. 2025 May 24;15(1):18068. doi: 10.1038/s41598-025-03437-2.
Workplace bullying is a serious challenge for nursing students, with negative impacts on their physical and mental health, leading to reduced self-esteem and quality of patient care. In response to bullying, individuals use various coping strategies. Therefore, this qualitative study aimed to elucidate the consequences of bullying and investigate the coping strategies employed by nursing students. In this study, 20 nursing students were selected using purposive sampling. Data was collected through semi-structured in-depth interviews and analyzed using the Graneheim and Lundman method (2020). In this method, units of meaning were identified, and codes and categories were extracted. Data management was carried out using version 0.9.5 of the MAXQDA software. The findings were categorized into two main themes: "Consequences of Bullying" and " Bullying Coping Strategies." Subcategories extracted from the study included "Negative Outcomes," "Positive Outcomes," " Self-Centered and Passive Strategies," and "Active and Interactive Coping Strategies." Sub-subcategories included " Reduction in Learning," " Decline in Quality of Care," "Psychological Harm," "Physical Harm," "Disruption in Social Interactions," "Development of Positive Thinking," " Enhancement of Self-Efficacy," " Self-Direction," "Acceptance," " Ignoration," "Situational Humor," "Protest," " Discussing of Job Description," and " Report to Competent Authorities." The findings of this study indicate that bullying in educational workplaces has negative effects on the physical, mental health, and learning process of nursing students, jeopardizing the quality of patient care. These results also emphasize the necessity of focusing on active and passive coping strategies adopted by nursing students. Therefore, structural reforms in the nursing education system, implementation of effective prevention policies, training of mentors, and providing psychological support for students are recommended.
职场霸凌是护理专业学生面临的一项严峻挑战，对他们的身心健康产生负面影响，导致自尊下降和患者护理质量降低。为应对霸凌，个体采用各种应对策略。因此，本定性研究旨在阐明霸凌的后果，并调查护理专业学生所采用的应对策略。在本研究中，采用目的抽样法选取了20名护理专业学生。通过半结构化深度访谈收集数据，并使用格兰内海姆和伦德曼方法（2020年）进行分析。在该方法中，确定了意义单元，并提取了代码和类别。使用MAXQDA软件0.9.5版本进行数据管理。研究结果分为两个主要主题：“霸凌的后果”和“霸凌应对策略”。从研究中提取的子类别包括“负面结果”、“正面结果”、“以自我为中心的被动策略”和“积极的互动应对策略”。子子类别包括“学习减少”、“护理质量下降”、“心理伤害”、“身体伤害”、“社交互动中断”、“积极思维的发展”、“自我效能感增强”、“自我指导”、“接受”、“忽视”、“情境幽默”、“抗议”、“讨论工作职责”和“向主管部门报告”。本研究结果表明，教育工作场所的霸凌对护理专业学生的身心健康和学习过程产生负面影响，危及患者护理质量。这些结果还强调了关注护理专业学生采用的积极和被动应对策略的必要性。因此，建议对护理教育系统进行结构性改革，实施有效的预防政策，培训导师，并为学生提供心理支持。
