{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T05:40:06Z","timestamp":1792474806710,"version":"4.5.0"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"vor","delay-in-days":291,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Emergency nurses\u2019 unethical pro\u2010organizational behaviors (UPBs) exert detrimental effects on individual well\u2010being, professional performance, and clinical workplace atmosphere; nevertheless, qualitative evidence systematically exploring the underlying mechanisms and coping strategies of such behaviors in the Chinese nursing context remains scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to qualitatively explore the sources, perceived impacts, and coping strategies of UPBs among emergency department nurses in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Descriptive qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was conducted in the emergency department nurses of five hospitals in China between February and March 2026. A total of 21 registered nurses aged\u2009\u2265\u200918\u2009years who were currently in practice were recruited using purposive sampling. Data were collected using semistructured interviews until thematic saturation was achieved. Data analysis was performed using qualitative content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three main themes emerged\u2014sources, impacts, and coping\u2014highlighting that UPBs arose from high\u2010pressure environments and distorted loyalty, led to moral distress and normalization, and was managed with adaptive and self\u2010rationalizing strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>UPBs among emergency nurses constitute a vicious cycle fueled by workplace stressors, implicit cues, and coping strategies, which profoundly affects individual well\u2010being and organizational ethics. These findings suggest that source\u2010oriented humanistic interventions, including environmental optimization, ethical support, competence enhancement, and cultural reshaping, are essential for practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nursing managers should target systemic and cultural drivers of UPBs, clarify ambiguous expectations, establish ethical support (e.g., confidential reporting and debriefings), model integrity\u2010based leadership, and decouple loyalty from unethical compliance. These actions are designed to alleviate ethical distress, reduce rule\u2010bending, and break the vicious cycle in emergency settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contributions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/4212336","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T05:15:45Z","timestamp":1792473345000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences and Coping Strategies of Emergency Department Nurses Regarding Unethical Pro\u2010Organizational Behavior: A Descriptive Qualitative Study"],"prefix":"10.1155","volume":"2026","author":[{"given":"Juan","family":"Qiao","sequence":"first","affiliation":[{"name":"Nursing Department Zibo Central Hospital  Zibo China  zbzxyy.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junjie","family":"Ma","sequence":"additional","affiliation":[{"name":"Emergency Department Zibo Central Hospital  Zibo China  zbzxyy.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiling","family":"Feng","sequence":"additional","affiliation":[{"name":"Emergency Department Zibo Central Hospital  Zibo China  zbzxyy.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4632-6638","authenticated-orcid":false,"given":"Shanshan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Integrated Traditional Chinese and Western Medicine Orthopedic Department Zibo Central Hospital  Zibo China  zbzxyy.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0224-3515","authenticated-orcid":false,"given":"Lin","family":"Wang","sequence":"additional","affiliation":[{"name":"Clinical Trial Center Zibo Central Hospital  Zibo China  zbzxyy.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7345-6941","authenticated-orcid":false,"given":"Minghui","family":"Zhou","sequence":"additional","affiliation":[{"name":"Clinical Trial Center Zibo Central Hospital  Zibo China  zbzxyy.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6669-0935","authenticated-orcid":false,"given":"Hanfei","family":"Cui","sequence":"additional","affiliation":[{"name":"Nursing Department Zibo Central Hospital  Zibo China  zbzxyy.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9922-2216","authenticated-orcid":false,"given":"Xuebing","family":"Jing","sequence":"additional","affiliation":[{"name":"Clinical Trial Center Zibo Central Hospital  Zibo China  zbzxyy.com"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.3390\/bs15050573"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1287\/orsc.1100.0559"},{"key":"e_1_2_13_3_2","first-page":"141","article-title":"Unethical Pro-Organizational Behavior: A Research Overview and Prospect","volume":"15","author":"Luo J. 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