Despite over 25 years of extensive research about the workplace bullying phenomenon in various disciplines, there have been mixed conclusions about its prevalence, antecedents, and consequences among nurses reported by multiple systematic reviews. This summary review used the Cochrane’s Overview of Reviews method to examine the prevalence, antecedents, coping behaviors, and consequences of workplace bullying among nurses to understand the interplay of these variables in healthcare workplace contexts. A total of 12 systematic reviews published between 2013 and 2020 were included based on the eligibility criteria. There were differences in workplace bullying prevalence across different reviews, ranging from 1 to 90.4%, but a more recent review estimated the pooled prevalence at 26.3%. This review identified at least five main types of antecedents for workplace bullying: demographics, personality, organizational culture, work characteristics, and leadership and hierarchy. Workplace bullying affected nurses, organizational outcomes, and patient safety. This review proposes an integrative model to explain workplace bullying among nurses and highlights the need for more studies to evaluate interventions to address this phenomenon.

Nurses working in palliative care settings encounter death and dying regularly and face a greater risk of developing death anxiety and negative attitudes than their counterparts. Such distress and apprehension can cause care fatigue and affect patients' quality of life. Death anxiety remains an underresearched area in Asia, where death and dying are still considered taboo. This study explored death anxiety and its impact on community palliative nurses in Singapore and was conducted at a community hospital in Singapore from January to June 2018. Purposive sampling was used to recruit 16 nurses of different job grades for the face-to-face interviews, which were transcribed verbatim and analyzed using the data analytical approach of Miles et al. Four overarching themes were generated: (1) intrinsic factors influencing death anxiety, (2) extrinsic factors influencing death anxiety, (3) emotional struggles and coping, and (4) need for death education and psychological support. Gaps in palliative care education and death education need to be contextualized to increase the community palliative nurses' awareness and acceptance of death and enhance their death literacy in a multicultural setting.

This study examined the pandemic measures taken by nursing leaders to cope with COVID-19 at a nursing home in Singapore. The pandemic has affected over 215 countries, sparking a series of containment and pandemic measures by governments and healthcare organizations worldwide. Long-term care facilities are especially vulnerable to the pandemic, but little has been reported about the nursing homes’ measures in handling the pandemic. The present study used Morley’s (2014) three-stage critical reflection method to review meeting minutes, organizational emails, and government advisories on the COVID-19 pandemic measures undertaken by nursing leaders at a nursing home in Singapore between January and June 2020. The pandemic measures were broadly classified into four groups: (1) infection surveillance and containment measures; (2) ensuring continuity in clinical care and operational support; (3) resource and administrative coordination; and (4) staff training and development. Nurses have played a vital role in the fight against COVID-19 by ensuring continuity in patient care and demonstrating clinical leadership in pandemic efforts. This study proposes a useful nursing pandemic structure that outlines a set of functions and measures required for handling a pandemic and that can be applied to various medical emergencies and contingencies.

International, indexed, open access, double-blind peer reviewed quarterly journal.