Systematic review assesses psychometric properties of bullying measurement tools for nursing students, highlighting the need for valid instruments.
Bullying among nursing students is a critical issue. Hence, it is essential to identify reliable and valid measurement instruments to accurately assess bullying behaviors in educational settings. To evaluate psychometric properties of bullying instruments for nursing students using COSMIN guidelines. A systematic review of 10 databases up to November 2024 was conducted. The 2 reviewers independently screened studies, assessed methodological quality (COSMIN Risk of Bias checklist), rated psychometric properties (COSMIN criteria for good measurement properties), and graded evidence quality (GRADE). Twelve studies that evaluated 7 instruments were included. The Bullying Behaviors in Nursing Education (BBNE) scale and its Chinese/Persian versions demonstrated acceptable psychometric properties, earning provisional recommendation. The remaining instruments showed limited psychometric support and were weakly recommended. BBNE is currently the most suitable instrument, but evidence quality remains limited. Further refinement and rigorous psychometric testing are needed to enhance bullying assessment in nursing education.
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Li et al. (2025) studied this question.
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