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Workplace ostracism impacts psychological wellbeing and organizational functioning among nurses in various global settingsWorkplace Ostracism Hurts Nurses' Wellbeing

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Key Takeaway
Note that workplace ostracism is linked to psychological resource depletion and impaired communication in nurses.

This scoping review analyzed 21 studies from nine countries to map the research status of workplace ostracism among nurses. The review identifies ostracism as an independent variable, mediating variable, or outcome variable that correlates with both individual and organizational factors.

Key findings suggest that workplace ostracism may lead to psychological resource depletion, reduced organizational identification, and impaired communication. These factors contribute to impacts on psychological wellbeing, work-related behaviors, and professional behavior within the nursing workforce.

The authors note significant limitations in the current evidence base, specifically a predominance of cross-sectional designs and limited methodological diversity. There are few time-lagged designs, multilevel nested analyses, or qualitative interviews available to establish clear pathways.

For clinical practice, these findings suggest that nursing managers should focus on leadership behaviors, team culture, communication safety, and organizational support. These interventions may help mitigate the effects of workplace ostracism and improve organizational functioning.

A new review of 21 studies from nine countries, mostly in China, Egypt, and Pakistan, looked at how workplace ostracism affects nurses. Workplace ostracism means feeling ignored, excluded, or left out by coworkers or supervisors. The review found that this experience is linked to poorer psychological wellbeing, changes in work-related behaviors, and problems with individual psychological health, professional behavior, and organizational functioning.

The studies suggest that ostracism may work through several pathways, such as draining psychological resources, reducing a nurse's sense of belonging to the organization, and impairing communication. However, the review notes that most studies were cross-sectional, meaning they only captured a snapshot in time. This makes it impossible to say whether ostracism causes these problems or if other factors are at play.

The review also points out that there was limited variety in research methods, with few studies following nurses over time or using in-depth interviews. This means the evidence is still early and not strong enough to prove cause and effect.

For nursing managers, the findings highlight the importance of addressing leadership behaviors, team culture, communication safety, and organizational support to reduce workplace ostracism. But more longitudinal and intervention studies are needed to clarify how ostracism affects nurses and what can be done about it.

For nurses who feel ostracized, it's important to know that this is a recognized issue, and seeking support from trusted colleagues or supervisors may be helpful. However, this review does not provide specific advice on what individuals should do.

What this means for you:
Workplace ostracism is linked to worse nurse wellbeing, but more research is needed to confirm cause and effect.

Common questions

What is workplace ostracism?

Workplace ostracism is when someone feels ignored, excluded, or left out by coworkers or supervisors. It can happen in any job, including nursing. This review looked at how it affects nurses' wellbeing and work behaviors.

How does workplace ostracism affect nurses?

The review found that workplace ostracism is linked to poorer psychological wellbeing, changes in work-related behaviors, and problems with individual psychological health, professional behavior, and organizational functioning. However, most studies were cross-sectional, so we can't say it causes these issues.

What can nursing managers do about workplace ostracism?

The review suggests that nursing managers should address leadership behaviors, team culture, communication safety, and organizational support to reduce workplace ostracism. But more research is needed to know what works best.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedJul 2026
View Original Abstract ↓
BackgroundWorkplace ostracism is a negative workplace experience. It can affect nurses' psychological wellbeing and work-related behaviors. However, this issue has not been fully discussed in nursing, a profession characterized by intensive interpersonal interaction and complex social contexts.ObjectiveThis scoping review aimed to examine studies on workplace ostracism in nursing. It summarized the current research status, variable roles, potential mechanisms, and major outcomes.MethodsThis study followed the scoping review guidance of the Joanna Briggs Institute. PubMed, Embase, Web of Science, APA PsycInfo, The Cochrane Library, Scopus, CINAHL, and MEDLINE Ultimate were searched. The search covered the period from database inception to April 19, 2026. Two Reviewers independently screened the studies, reviewed the full texts, and extracted the data.ResultsA total of 21 studies from nine countries were included. Most studies were conducted in China, Egypt, and Pakistan, indicating a degree of geographical concentration in the current evidence base. The included studies were predominantly cross-sectional quantitative surveys, with only a small number using time-lagged designs, multilevel nested analyses, or qualitative interviews, suggesting limited methodological diversity. In the field of nursing, workplace exclusion is mainly studied as an independent variable, mediating variable, or outcome variable. The correlates of workplace ostracism among nurses involved individual and organizational factors. Potential mechanisms included psychological resource depletion, reduced organizational identification, and impaired communication. Associated outcomes covered multiple levels, including individual psychological health, professional behavior, and organizational functioning.ConclusionCurrent evidence suggests that workplace ostracism is a complex and context-dependent phenomenon in nursing organizations. Given the predominance of cross-sectional designs, future research should strengthen theoretical integration and methodological development, including longitudinal studies, intervention studies, mixed-methods research, and cross-cultural comparisons, to further clarify its pathways and effective intervention strategies. Nursing managers should address leadership behaviors, team culture, communication safety, and organizational support to reduce workplace ostracism and its potential adverse consequences.
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