Liu Zhengang, Chen Jilong, Li Genqiang, Ma Ling, Zhao Junqiang
School of Nursing, Xinxiang Medical University, Xinxiang, Henan, China.
School of Health Management, Xinxiang Medical University, Xinxiang, Henan, China.
J Adv Nurs. 2025 Jul 15. doi: 10.1111/jan.70069.
This study investigates how observed workplace ostracism affects nurses' helping behaviour from a bystander's perspective, examining the mediating roles of moral courage and employee resilience to inform strategies for fostering workplace harmony in nursing settings.
A cross-sectional study design was adopted.
A survey of 346 nurses from two Grade III, Level A hospitals in Henan, China, utilised scales measuring workplace ostracism, moral courage, helping behaviour and employee resilience. SPSS Statistics 26.0, Mplus 8.3 and the SPSS macro program Process 4.1 plugin were used to test the associations among variables.
Observed workplace ostracism positively correlated with nurses' helping behaviour, with moral courage partially mediating this relationship. Employee resilience moderated both the link between observed workplace ostracism and moral courage, and the indirect effect of observed workplace ostracism on helping behaviour through moral courage.
Nurses with high levels of resilience demonstrate moral courage when observing workplace ostracism and engage in helping behaviours towards those ostracised.
This study examines how workplace ostracism undermines nursing team cohesion and individual well-being. It highlights that bolstering nurses' resilience and moral courage can alleviate these adverse effects, thereby improving patient care quality. Nursing managers are advised to adopt targeted strategies, such as resilience training, to mitigate workplace ostracism.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study employs a questionnaire to explore nurses' views of workplace ostracism and helping behaviours, aiming to inform strategies for fostering nursing team harmony and improving care quality.
This study strictly follows the STROBE reporting guidelines to ensure the clarity and credibility of the research findings.
Data were collected from hospital nurses through electronic questionnaires.
本研究从旁观者的角度调查观察到的职场排斥如何影响护士的帮助行为，检验道德勇气和员工心理韧性的中介作用，以为促进护理环境中的职场和谐提供策略依据。
采用横断面研究设计。
对来自中国河南两所三甲医院的346名护士进行调查，使用测量职场排斥、道德勇气、帮助行为和员工心理韧性的量表。运用SPSS Statistics 26.0、Mplus 8.3和SPSS宏程序Process 4.1插件来检验变量之间的关联。
观察到的职场排斥与护士的帮助行为呈正相关，道德勇气部分中介了这种关系。员工心理韧性调节了观察到的职场排斥与道德勇气之间的联系，以及观察到的职场排斥通过道德勇气对帮助行为的间接影响。
心理韧性水平高的护士在观察到职场排斥时表现出道德勇气，并对受排斥者采取帮助行为。
本研究考察了职场排斥如何破坏护理团队凝聚力和个人幸福感。研究强调，增强护士的心理韧性和道德勇气可以减轻这些不利影响，从而提高患者护理质量。建议护理管理者采取针对性策略，如心理韧性培训，以减轻职场排斥。
对专业和/或患者护理的启示：本研究采用问卷调查来探索护士对职场排斥和帮助行为的看法，旨在为促进护理团队和谐及提高护理质量提供策略依据。
本研究严格遵循STROBE报告指南，以确保研究结果的清晰性和可信度。
通过电子问卷从医院护士中收集数据。
