Issues in Mental Health Nursing最新文献

{"title":"When Care Turns Calculated: The Dark Art of Sabotage in Nursing.","authors":"Rachel Kornhaber, Debra Jackson, Michelle Cleary","doi":"10.1080/01612840.2026.2649498","DOIUrl":"10.1080/01612840.2026.2649498","url":null,"abstract":"<p><p>Sabotage in nursing is often unacknowledged, yet many nurses have encountered it in both subtle and overt forms. It can manifest in routine interactions and may involve withholding information, social exclusion, interference with clinical or academic work, or the gradual undermining of a colleague's credibility. These behaviors are intentional and can have lasting effects on those targeted. This discussion paper explores the ways sabotage appears in both clinical and academic settings. It examines the workplace pressures, insecurities, and cultural patterns that allow it to persist. Factors such as competition, professional jealousy, power imbalances, and limited recognition can shape behavior and distort the teamwork and respect that nursing relies on. The impact on nurses and patients is significant, leading to compromised psychosocial safety and negative patient care outcomes. These issues are compounded when leaders respond with silence, avoidance, or by protecting the perpetrators. The paper argues that addressing sabotage requires recognizing its presence, openly discussing its impacts, and enacting leadership that upholds accountability and fairness. Creating positive, healthier workplace cultures depends on everyday actions that demonstrate respect, honesty, and genuine support for colleagues. By naming sabotage and understanding how it develops, nurses can begin to rebuild trust and strengthen the foundations of care essential to the profession.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"967-974"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bullying-Related Victimization in Clinical Learning Environments: Coping Responses and the Moderating Role of Self-Esteem Among Undergraduate Nursing Students in Sri Lanka.","authors":"Lakshika Lagoshan, Ahinsa Brandigampola, Thilini Jayasinghe, Stephica Jeganathan Jubert Stanley","doi":"10.1080/01612840.2026.2723361","DOIUrl":"10.1080/01612840.2026.2723361","url":null,"abstract":"<p><p>Bullying-related victimization in clinical learning environments is an important psychosocial stressor in nursing education, with potential implications for students' coping processes and professional development. Although bullying and related interpersonal mistreatment have been widely documented, research has largely focused on prevalence and descriptive experiences, with limited attention to factors influencing students' coping responses. This study examined associations between bullying-related victimization, self-esteem, and coping strategies among undergraduate nursing students in Sri Lanka and tested whether self-esteem moderated the association between bullying-related victimization and coping responses. An analytical cross-sectional study was conducted among 214 undergraduate nursing students with clinical placement experience. Data were collected using self-report measures of bullying-related victimization and perpetration, self-esteem, and coping strategies. Descriptive statistics, Spearman's rank-order correlations, and moderation analyses using Hayes' PROCESS macro were performed. The bullying-related victimization score was positively correlated with problem-focused coping (<i>r</i>_s = 0.22, <i>p</i> = 0.001), emotion-focused coping (<i>r</i>_s = 0.34, <i>p</i> < 0.001), and avoidant coping (<i>r</i>_s = 0.35, <i>p</i> < 0.001). Bullying-related perpetration was positively associated with emotion-focused and avoidant coping. Self-esteem was negatively correlated with problem-focused (<i>r</i>_s = -0.32, <i>p</i> < 0.001) and emotion-focused coping (<i>r</i>_s = -0.15, <i>p</i> = 0.031). Self-esteem significantly moderated the relationship between victimization severity and problem-focused coping (<i>B</i> = 0.049, <i>SE</i> = 0.020, <i>p</i> = 0.017), but not emotion-focused or avoidant coping. These findings suggest that bullying-related victimization is associated with multiple coping responses, while the moderating role of self-esteem appears limited to problem-focused coping.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"988-997"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sticks and Stones: A Scoping Review of the Impacts of Bullying within the Nursing Profession on Pain Management.","authors":"Andrew Duffy, John Rosenberg","doi":"10.1080/01612840.2026.2703660","DOIUrl":"10.1080/01612840.2026.2703660","url":null,"abstract":"<p><p>Bullying within the nursing profession is widespread, with observable negative impacts upon physical and psychological health, greater job dissatisfaction and attrition, and higher organisational costs. Importantly, bullying is linked to errors in treatment, medication, adverse events and lower patient satisfaction. However, it is not clear whether this includes negative impacts upon pain management. This scoping review aimed to explore what is known about the bullying behaviours and their impact on pain management in nursing practice. A detailed search was performed using PubMed, Scopus and CINAHL electronic databases. Following screening and full-text review, zero articles met inclusion criteria - identifying a nil result outcome. Having used rigorous search methods, we contend that this appears to be a genuinely under-researched phenomenon. Although each element has received attention in research and subsequently appears in the literature, as a discrete phenomenon, it appears to represent a newer emerging field. We explore the nature of bullying behaviours and consider their potential impacts upon pain management practices by nurses, including lower quality practice and poorer patient outcomes. This article provides a foundation for future inquiry and encourages greater integration of consideration of bullying into the pain management discourse.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"975-981"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148828460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Current Culture in Nursing Learning Environments: Encouragement or Incivility?","authors":"Jane K Dickinson","doi":"10.1080/01612840.2026.2690399","DOIUrl":"10.1080/01612840.2026.2690399","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1017-1020"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148583973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Speaking up in Nursing: What Policy Promises and Practice Delivers.","authors":"Rachel Kornhaber, Debra Jackson, Michelle Cleary","doi":"10.1080/01612840.2026.2676204","DOIUrl":"10.1080/01612840.2026.2676204","url":null,"abstract":"<p><p>Speaking up is widely positioned as a core expectation of nursing practice, embedded in professional standards, codes of conduct, and organisational policy. Nurses are taught that raising concerns is central to patient safety, ethical care and professional accountability. Yet for many nurses, the experience of speaking up in practice falls short of this promise. This discussion paper examines the gap between policy rhetoric and workplace realities, and how this disconnect shapes nurses' behaviour, wellbeing, and professional identity. Drawing on contemporary literature, we explore how nurses learn informal rules about voice through everyday interactions, observing how concerns are received, who is protected, and whose voices are marginalised. In settings where encouragement to speak up is not matched by reliable protection, nurses are required to navigate significant psychosocial risk. Repeated exposure to negative responses, scrutiny, or exclusion can contribute to moral distress, hypervigilance and emotional exhaustion. Some nurses respond by limiting engagement, withdrawing from discussions, or avoiding situations in which concerns may arise. These behaviours are frequently misinterpreted as disengagement or a lack of resilience, rather than understood as adaptive strategies for self-protection in environments perceived as unsafe. We argue that silence in nursing should be recognised as a rational response to organisational conditions that fail to safeguard those who raise concerns. Reframing silence in this way shifts attention away from individual blame and towards the structural, cultural and leadership factors that shape whether speaking up is genuinely safe in practice.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"982-987"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma-Related Symptomatology in Horizontal Nurse-to-Nurse Bullying: An Integrative Review of Direct and Indirect Exposure Pathways.","authors":"Adrianna Lorraine Watson, Carmel Bond, Helen Aveyard, Graeme Drummond Smith, Debra Jackson","doi":"10.1080/01612840.2026.2684569","DOIUrl":"10.1080/01612840.2026.2684569","url":null,"abstract":"<p><strong>Aims: </strong>This integrative review synthesized empirical and conceptual literature on horizontal nurse-to-nurse bullying and trauma-related symptomatology, with particular attention to how secondary traumatic stress has been theoretically conceptualized and operationalized in relation to direct versus indirect exposure pathways.</p><p><strong>Methods: </strong>Guided by Whittemore and Knafl, an integrative review was conducted. Searches were completed on 6 May 2026 across three databases. Empirical and theoretical studies examining horizontal bullying and trauma-related symptoms in nurses were included. Methodological quality was appraised using Joanna Briggs Institute tools. Data were analyzed using a constant-comparative approach, with reporting aligned to PRISMA 2020.</p><p><strong>Results: </strong>The literature represented over 3,000 nurses across multiple countries. Four themes emerged: (1) measurement-exposure misalignment, with secondary traumatic stress instruments frequently applied to directly victimized nurses despite the construct's grounding in indirect exposure; (2) aggregation of horizontal bullying within broader workplace violence constructs, limiting relational specificity; (3) under-measurement of witnessing, despite its role as a plausible indirect trauma pathway that may intensify symptoms when combined with direct victimization; and (4) contextual vulnerabilities, particularly among novice and critical care nurses. Common limitations included cross-sectional designs, reliance on self-report, and inconsistent definitions of trauma exposure.</p><p><strong>Conclusions: </strong>Horizontal bullying is associated with trauma-consistent symptom patterns, but conceptual and measurement precision remains limited. Distinguishing direct and indirect exposure pathways, explicitly measuring witnessing, and implementing trauma-informed leadership are critical to protecting nurse well-being and supporting patient safety.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"944-957"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148584032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cyberbullying, Cyberincivility, and Online Harassment in the Nursing Workforce: An Integrative Review.","authors":"Adrianna Lorraine Watson, Carmel Bond, Debra Jackson","doi":"10.1080/01612840.2026.2648568","DOIUrl":"10.1080/01612840.2026.2648568","url":null,"abstract":"<p><p>This integrative review critically examined current evidence on cyberbullying, cyberincivility, and online harassment involving nurses as recipients, perpetrators, or participants in professional and public digital spaces. Guided by Whittemore and Knafl's framework and reported in accordance with PRISMA 2020, peer-reviewed studies (2017-2025) were identified through CINAHL, MEDLINE, and Embase (final search: 3 December 2025). Methodological quality was appraised using Joanna Briggs Institute tools, and findings were synthesised through inductive thematic analysis. Nine studies met the inclusion criteria. Five themes emerged: cyberbullying is widespread and multimodal; shaped by organisational culture and power dynamics; associated with significant psychological and occupational harm; intensified by blurred personal-professional boundaries; and inadequately addressed due to fragmented leadership, education, and policy responses. Cyberbullying and cyberincivility represent pervasive digital extensions of workplace bullying in nursing, with serious implications for nurse wellbeing, professional identity, workforce retention, and patient care. Addressing these behaviours requires recognition of cyber-aggression as workplace violence and coordinated organisational action across leadership, education, policy, and research.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"926-936"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When the Remedy Is the Weapon: Covert Bullying and Weaponised Complaints in Nursing Academia.","authors":"Michelle Cleary, Sancia West, Rachel Kornhaber, Debra Jackson","doi":"10.1080/01612840.2026.2612957","DOIUrl":"10.1080/01612840.2026.2612957","url":null,"abstract":"<p><p>Bullying, harassment, and other negative workplace behaviours are unfortunately all too common in nursing. In this discursive paper, we illuminate the darker side of nursing by summarising prominent negative behaviours in nursing academia, exploring their causes, and considering the weaponisation of complaints as a covert form of bullying. Informed by published peer-reviewed literature on bullying in nursing, bullying in academia, organisational justice, workplace fairness, complaints processes, and weaponisation, as well as specific negative workplace behaviours, we report on how nursing academia shapes professional culture and patient care, yet negative workplace behaviours persist. Weaponised complaints perpetuate bullying in nursing academia, harming academics' wellbeing and reputations while undermining universities' credibility. Such practices damage organisational culture and risk graduating nurses into environments where harm is normalised, ultimately undermining the profession's commitment to safe practice. Addressing weaponised complaints is important to protect nurse wellbeing, foster collegiality and ensure nursing students inherit cultures grounded in procedural fairness, integrity and safe practice. Recognising and preventing misuse is important to safeguarding wellbeing, integrity and collegiality in nursing academia and beyond.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"937-943"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-to-Nurse Boundaries: Transgressions, Grey Areas and Professionalism.","authors":"Michelle Cleary, Rachel Kornhaber, Sancia West, Debra Jackson","doi":"10.1080/01612840.2026.2659194","DOIUrl":"10.1080/01612840.2026.2659194","url":null,"abstract":"<p><p>Nursing teams depend on trust, respect, and clear communication in their interactions, yet these ideals are continually negotiated within hierarchical structures, time pressures and competing demands. While much attention is given to nurse-patient boundaries, far less scrutiny is directed towards boundaries among nurses. The boundaries we maintain with colleagues are often taken for granted rather than openly discussed, even though they significantly shape the workplace culture we encounter each day and can reproduce subtle (and even overt) forms of exclusion, favouritism and harm. The consequences of failing to respect or uphold these boundaries can be far-reaching for individual nurses, teams and those they care for. This paper aims to critically examine professional boundaries in nurse-to-nurse relationships and consider how boundary practices sustain or disrupt professional integrity and psychosocial safety in the workplace. We propose specific working parameters for everyday boundary practices to encourage discussion and debate among nurses. Additionally, this paper clarifies nurses' obligations to use their knowledge and skills to benefit their colleagues during interactions, mitigate harm, and show respect for one another within the constraints and power relations of contemporary health services. These insights may serve as a foundation for self-evaluation, peer review, team discussions, or clinical supervision. We acknowledge that there is scope for conscientious disagreement among nurses about where to draw the lines; nevertheless, we argue that maintaining clear, consistent professional boundaries is essential to fostering a healthy, respectful, and ethically sound work environment for all.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"884-891"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148143331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Autoimmune Crisis: Breaking the Generational Cycle of Bullying and Incivility Across Nursing.","authors":"Lyeisha Hoof, Tneecia Applewhite, Brenda Ross","doi":"10.1080/01612840.2026.2702268","DOIUrl":"10.1080/01612840.2026.2702268","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1025-1028"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148912192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}