Merav Ben Natan

Purpose: Sexual harassment (SH) is a persistent occupational and public health issue in healthcare systems worldwide. Despite growing awareness, evidence regarding its comprehensive impact on healthcare professionals’ mental, physical, and occupational well-being remains fragmented. This systematic review aimed to identify and synthesize empirical studies examining the effects of workplace sexual harassment on healthcare professionals’ mental health, physical well-being, occupational functioning, and health-related quality of life (HRQoL). Methods: Following PRISMA 2020 guidelines, PubMed, CINAHL, and Scopus were searched for studies published from 2015 to 2025. Eligible studies reported individual-level outcomes of SH among healthcare workers. Data extraction included study design, population, type of harassment, and outcome domains. Methodological quality was appraised using Joanna Briggs Institute tools, and findings were narratively synthesized across four domains: mental health, physical well-being, occupational functioning, and health-related quality of life (HRQoL). Results: Twenty-five studies met inclusion criteria (19 quantitative, 6 qualitative) from Asia, North America, Oceania, Europe, the Middle East, and Africa. Across contexts, SH was significantly associated with anxiety, depression, burnout, post-traumatic stress, and suicidal ideation (β = 0.35–0.69; r = .20–0.32; p < .001). It consistently predicted lower job satisfaction, reduced commitment, and higher turnover intention (β = −0.45 to − 0.98; p < .001). Fewer studies assessed physical outcomes, though fatigue and insomnia were frequently reported. Evidence quality rated via GRADE indicated moderate confidence for mental-health outcomes and low-to-moderate for occupational and HRQoL domains. Conclusions: SH is a global occupational hazard with substantial psychological, physical, and professional consequences. Organizational policies, leadership accountability, and education promoting respect, equity, and psychological safety are essential to protect workers and sustain healthcare quality.

Background and Purpose: Burnout may differ across its dimensions, yet the role of perceived emotional/social support among physical therapists remains unclear. This study examined burnout dimensions, their associations with perceived support, and physical therapists' reported support needs in Israel. Methods: A cross‐sectional online survey was completed by 207 licensed physical therapists. Burnout was assessed using the Maslach Burnout Inventory – Human Services Survey for Medical Personnel, and support was assessed using an adapted work‐related scale. Associations were examined using bivariate analyses and multivariable linear regression adjusted for age group, sex, and work setting. Open‐ended responses were analyzed descriptively. Results: Elevated emotional exhaustion was identified in 28.9% of participants, elevated depersonalization in 14.4%, and low personal accomplishment in 19.3%. Higher support was associated with lower emotional exhaustion ( B = −1.60, 95% CI [−2.76, −0.43], p = 0.008) and higher personal accomplishment ( B = 2.14, 95% CI [1.45, 2.84], p < 0.001), but not with depersonalization. Participants primarily requested structured professional and peer support. Discussion: The findings demonstrate a dimension‐specific pattern: perceived support was associated with lower emotional exhaustion and higher personal accomplishment but not with depersonalization. Interpersonal support alone may therefore be insufficient to address all dimensions of burnout, and organizational working conditions may require separate attention.

This scoping review aims to identify and map the methods and sources of evidence used to assess pre-registration nursing students’ clinical performance while they are providing care to real patients in authentic clinical settings. The review will examine the domains of performance assessed, the individuals contributing evidence to assessment, the use of direct observation and patient feedback, the timing and frequency of assessment, the reported measurement properties and feasibility of the identified approaches, and key methodological gaps requiring further investigation.

Background: Nurses working under armed conflict face heightened psychological stress that may undermine well-being and resilience. Mind-body practices such as yoga have been identified as promising strategies for enhancing emotional regulation and adaptive coping; however, evidence on their contribution to nurses’ resilience during wartime or emergency conditions remains limited. Methods: A descriptive, cross-sectional study was conducted among 105 hospital nurses in Israel during an active armed conflict. Participants completed validated questionnaires assessing personal resilience (CD-RISC-10), stress response (SRQ), and yoga characteristics, including type (workplace vs. personal), duration, and perceived emotional benefits. Data were analyzed using descriptive statistics, Spearman correlations, group comparisons, and hierarchical regressions. Findings: Nurses who engaged in sustained, self-initiated personal yoga practice reported higher personal resilience and lower stress response than non-practitioners. Perceived emotional benefits of yoga, longer duration of practice, and independent engagement were the strongest predictors of resilience, while lower stress response was associated with older age, longer yoga experience, and higher perceived benefits. Participation in brief workplace-only sessions was not independently related to either outcome. Conclusions: Yoga may strengthen nurses’ resilience and reduce stress reactivity even under wartime conditions, particularly when practiced consistently and autonomously. Short-term institutional classes alone appear insufficient without sustained personal engagement and emotional relevance. Application to Practice: Occupational health nurses can promote resilience by developing hybrid yoga-based programs that combine structured on-site sessions with supported self-practice. Emphasizing autonomy, continuity, and reflection on emotional benefits may enhance coping, reduce stress, and foster durable well-being among nurses in conflict-affected environments.

Background: Trauma‐informed care (TIC) is widely recognised in psychiatric practice, yet the trauma specialist nurse role remains undefined in Israel. Aims: This study aimed to examine mental health nurses' attitudes and perceptions of the trauma specialist nurse role and to identify predictors of support for its implementation. Design: This study utilised a cross‐sectional research design. Method: This cross‐sectional study included 152 mental health nurses from inpatient, forensic, rehabilitation, and community settings. Data were collected using an adapted questionnaire based on the Attitudes Related to TIC Scale. Findings: Professional authority and responsibility ( β = 0.643, p < 0.001) and TIC attitudes ( β = 0.423, p < 0.001) were the strongest predictors of mental health nurses' perception of the trauma specialist nurse role, while trauma‐related knowledge and skills showed only a marginal association ( β = 0.059, p = 0.055). The model explained 78% of the variance. Conclusion: Mental health nurses' perception of the trauma specialist nurse role is more strongly associated with TIC attitudes and clear professional authority than with knowledge alone, highlighting the need for formal role definition and leadership support. Reporting Method: STROBE is the relevant reporting method that has been adhered to.

Sexual harassment in healthcare has been documented, yet evidence from geriatric care settings remains limited. This cross-sectional study examined the prevalence of sexual harassment, attribution patterns, reporting intentions, and psychological outcomes among healthcare workers employed in geriatric institutions. A total of 159 staff members from one geriatric medical center and one nursing home in northern Israel completed anonymous questionnaires. Overall, 34.0% of participants reported at least one form of sexual harassment in the preceding year, with verbal behaviors being most common, though physical harassment was also reported. Reporting intentions varied by perpetrator type and were consistently predicted by perceived intentionality, whereas attribution to illness or contextual factors did not independently predict reporting. Multivariable analyses further demonstrated that emotional and occupational impact was the strongest predictor of psychological distress, exceeding the contribution of exposure alone. These findings highlight the complex interplay between attribution, reporting behavior, and psychological burden in geriatric care.