Evidence map›Paper›PMID 40008631›Full record

SynthesisJournal of advanced nursing2025

Horizontal Violence or Workplace Bullying Among Intensive Care Unit Nurses: A Mixed Systematic Review.

Guolei Zhang, Tianchang Zou, Menghua Zhang

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Violence in Healthcare Workers Is Associated with Disordered Eating.International journal of environmental research and public health · 2025
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Guolei ZhangUniversity College Cork, Cork, Ireland.ORCID https://orcid.org/0009-0008-9998-6055
Tianchang ZouUniversity College Cork, Cork, Ireland.ORCID https://orcid.org/0009-0004-3466-4224
Menghua ZhangUniversity College Cork, Cork, Ireland.ORCID https://orcid.org/0009-0005-4559-445X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo synthesise literature about horizontal violence or workplace bullying among Intensive Care Unit nurses, exploring its awareness, factors, impacts, and strategies.

designFollowing PRISMA standards, a mixed systematic review using a narrative synthesis approach and thematic analysis design of the Joanna Briggs Institute. DATA SOURCES: Four electronic databases from 2013 to 2023 studies published were searched.

resultsEight studies were included: three qualitative and five quantitative. Four key themes emerged: (i) awareness and understanding of horizontal violence or workplace bullying, (ii) factors affecting horizontal violence or workplace bullying, (iii) impacts of horizontal violence or workplace bullying, and (iv) strategies to address horizontal violence or workplace bullying.

conclusionAddressing horizontal violence or workplace bullying requires hospitals should adopt conflict resolution policies, stress management programs, and supportive supervision to improve nurse retention. Nurse management should establish confidential reporting mechanisms, provide training on interpersonal respect, and implement supportive structures to promote psychological safety. Intensive care unit nurses are encouraged to take proactive steps to address workplace bullying, ensuring improved staff well-being and care quality. IMPACT: This paper addresses a significant gap in the literature regarding horizontal violence or workplace bullying among Intensive Care Unit nurses. The findings will impact on healthcare administrators, policymakers, and educators. By understanding horizontal violence or workplace bullying, strategies can be implemented to improve workplace environment, support nurses' well-being, increase nurse retention, and improve the quality of patient care. REPORTING

methodThis systematic review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The review methodology, including data selection, extraction, and synthesis, follows PRISMA standards to ensure clarity, transparency, and reproducibility. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct, or reporting.

trial registrationThere is a protocol that does not require registration, it made accessible at: https://doi.org/10.17605/OSF.IO/CFNEJ.

Indexed as

BullyingCritical Care NursingIntensive Care UnitsNursing Staff, HospitalWorkplaceWorkplace ViolenceAdultFemaleHumansMaleMiddle Agedhorizontal violenceintensive care unitmixed systematic reviewnursesworkplace bullying

Identifiers

PMID40008631
PMCPMC12623697

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.