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. 2022 Dec 13;32(5-6):666–687. doi: 10.1111/jocn.16600

TABLE 3.

Data extraction table for grey literature

Author Document type Purpose Jurisdiction Key content Quality measure & score: JBI checklist for text & opinion (McArthur et al., 2015) Findings/recommendations
20 Castledine (2002) Case study Educate nurses about how sexual misconduct and harassment breaches the nursing code of conduct, and highlight the process of reprimanding and investigating staff reported for the same. United Kingdom

Breaches in code of conduct

Sexual harassment of nursing students

Investigating staff

Consequences to health professional perpetrators of sexual harassment

83.33% (incongruence with literature/sources not logically defended) Sexual harassment of nursing students from other healthcare professionals breaches the code of professional conduct. Perpetrators reported for sexual misconduct will be judged based on the whole of their practice, not just the incident reported.
21 Chapman (1993) Commentary To educate nurses and students in New Zealand of legal avenues for reporting incidents of workplace sexual harassment. New Zealand

Defines sexual harassment.

Highlights legal avenues for reporting in sexual harassment in the clinical setting throughout New Zealand.

83.33% (incongruence with literature/sources not logically defended)

Health settings hold a responsibility to ensure a safe work environment with appropriate avenues for reporting incidents of sexual harassment for employees and students.

Nursing education providers should include education about sexual harassment in the nursing curriculum.

22 Ganapathy (2018) Discussion paper To build an understanding of the nature, types, motivations, and methods of sexual harassment. Also, to better understand common responses, and current perpetuated myths about nurses that perpetuate the behaviours.

Not reported

Published in India

Draws on sources such as media, and current legislation to discuss impact of sexual harassment.

73.33% (unable to ascertain analytical process of opinions; quotes witnesses without describing source)

The media's portrayal of nurses as well as poor policy, legal support, and negative stereotypes contribute to the high prevalence of sexual harassment for nurses and nursing students. In response to sexual harassment, many nurses and students either do nothing or pretend they have not experienced or witnessed sexual harassment. Unequal power relationships within hospitals and academia increase nursing students' vulnerability to harassment. Myths and stereotypes about nurses as dependent, sexy, nurturing, intimate, and available are tools of oppression. Open discussion, and education is needed to address the social, cultural, and environmental issues identified with sexual harassment.

23 Patrick (2020) Opinion piece To debate the normalisation of sexual harassment in nursing United Kingdom

Uses media sources to build an argument against the sexual harassment of nurses.

Poor culture and support in the profession

66.66% (no analytical process, no reference to extant literature)

In order to denounce sexual harassment in the workplace, the healthcare workforce should better unite and support one another.
24 Perry (1990) Editorial To encourage nursing students to “speak out” against sexual harassment, and not tolerate the behaviour. United Kingdom

Sexual harassment contributes to a hostile work environment and is not appropriate.

Common responses and consolations to incidents of sexual harassment.

Fighting sexual harassment is everyone's responsibility.

50% (logic of opinion unclear; no reference to extant literature; incongruence with literature/sources not logically defended). Sexual harassment contributes to a poor work environment and culture. It is a person's right to a safe work environment, and to decrease sexual harassment, student nurses should assert themselves and report incidents.
25 Trueland (2013) Case study/discussion paper Improve awareness of the types of harassment nurses and nursing students face in the workplace. Considers whether the response from institutions has changed. United Kingdom

Examples of sexual harassment

Hierarchy within hospitals,

Nursing students' experiences of placement,

Education & importance of reporting.

50% (author's expertise not clear; no reference to extant literature; incongruence with literature/sources not logically defended)

The hierarchy within healthcare protects some and leaves others vulnerable.

Students who feel powerless are less likely to assertively respond to inappropriate behaviour.

States that reports/allegations of sexual harassment would be taken seriously.

26 Wolfe (1996) Case study/Opinion piece Improve audiences' understanding of the context in which sexual harassment occurs towards nurses in the workplace, reporting systems in place, and employers' responsibilities. United States

Power influences on sexual harassment,

Nature of nursing profession increasing risk of sexual harassment,

Legal avenues of reporting

83.33% (incongruence with literature/sources not logically defended)

The best response to sexual harassment is to assert boundaries and gain support from your union/managers.

Documentation of sexual harassment incidents is important for later reporting.

Employers should have written policies and formal reporting procedures in place, and promptly investigate reported incidents.