Bullying Among Adult and Pediatric Patients with Chronic Illnesses: Implications for Nursing Practice (Subject Review)

Abstract

Background: The victimization from bullying is an important public health problem across all ages. Patients with chronic illnesses are more likely to be bullied due to the fact that they are different, function differently or are socially stigmatized. An exploration of the phenomenon of bullying of a pediatric and an adult patient with chronic illness.

Methods: A literature search of PubMed, Scopus, CINAHL and PsycINFO was conducted for peer-reviewed studies on bullying of people with chronic conditions. The review investigated publication year 2010 to 2024 where the nursing intervention and clinical implication are focused. Clinical practice relevance and methodological rigor determined the selection of the studies.

Results: Youngsters with chronic conditions have far greater rates of peer victimization (25 to 35%) than healthy peers (15%). Bullying is more likely to occur in individuals with type 1 diabetes, inflammatory bowel disease, cancer, and heart conditions. The rate of bullying at work more than doubles among adults with chronic illness and disability (14% vs. 6% for non-disabled).  This contributes to psychological distress and worsening health. Essential components of comprehensive care evidence-based nursing interventions include screening, education, psychosocial support, and advocacy.

Conclusions: Nurses and other healthcare providers are essential to spotting, preventing, and stopping bullying of those with a chronic illness. Incorporating routine screening for bullying and violence, implementing interventions, and expert consultations will help improve the health outcomes and quality of life of the patients, affected by bullying and violence.