Workplace violence and turnover intentions among nurses: The moderating roles of invulnerability and organisational Support – A cross‐sectional study

Author(s):  
Huseyin Cakal ◽  
Saeed Keshavarzi ◽  
Ali Ruhani ◽  
Golnoosh Dakhil‐Abbasi
BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037464
Author(s):  
Haonan Jia ◽  
Huiying Fang ◽  
Ruohui Chen ◽  
Mingli Jiao ◽  
Lifeng Wei ◽  
...  

ObjectiveThe purpose of this study is to examine workplace violence (WPV) towards healthcare professionals in a multiethnic area in China, including prevalence, influencing factors, healthcare professionals’ response to WPV, expected antiviolence training measures and content, and evaluation of WPV interventions.DesignA cross-sectional study.SettingA grade III, class A hospital in the capital of Yunnan Province, which is the province with the most diverse ethnic minority groups in China.ParticipantsIn total, 2036 healthcare professionals participated, with a response rate of 83.79%.ResultsThe prevalence of physical and psychological violence was 5.5% and 43.7%, respectively. Healthcare professionals of ethnic minority were more likely to experience psychological violence (OR=1.54, 95% CI 1.16 to 2.05). Stratified by gender, male healthcare professionals of ethnic minority suffered from more physical violence (OR=3.31, 95% CI 1.12 to 9.79), while female healthcare professionals suffered from psychological violence (OR=1.71, 95% CI 1.24 to 2.36). We also found a unique work situation in China: overtime duty on-call work (18:00–07:00) was a risk factor for psychological violence (OR=1.40, 95% CI 1.02 to 1.93). Healthcare professionals of ethnic minority are less likely to order perpetrators to stop or to report to superiors when faced with psychological violence. They are also more interested in receiving training in force skills and self-defence. Both Han and ethnic minority participants considered security measures as the most useful intervention, while changing the time of shift the most useless one.ConclusionOur study comprehensively described WPV towards healthcare professionals in a multiethnic minority area. More research on WPV conducted in multiethnic areas is needed.


2021 ◽  
Author(s):  
Alenka Stahl-Gugger ◽  
Oliver Hämmig

Abstract BackgroundViolence and discrimination are common events at work, especially in the health care setting. Nevertheless, comprehensive data on their prevalence and health correlates among the entirety of hospital staff is missing. Thisstudy aimed to estimate the prevalence of different self-reported forms of workplace violence and discrimination among hospital employees in Switzerland and to investigate the association between such experiences at work and the general and mental health status. MethodsThis cross-sectional study was based on secondary data from a company survey among five public hospitals and rehabilitation clinics in German-speaking Switzerland conducted in 2015/16 (N = 1,567). Relative frequencies of different forms of violence and discrimination at work were calculated for the entire study population and for the occupational subgroups. These prevalence data were compared with a representative sample of the general Swiss working population as a reference group. Multiple logistic regression analyses were further computed to investigate the association between the number of different experienced forms of violence and/or discrimination at work and several poor general and mental health outcomes (poor self-rated health, sleep disorders, psychological stress, mental problem, burnout). Results23% of hospital employees experienced at least one form of discrimination or violence at work in the past year, compared to 18% of the general working population. Nurses and midwives were by far the most affected occupational group regarding all forms of violence. More and particularly most exposed hospital employees with regard to experiences of violence and/or discrimination at work showed almost consistently increased prevalence rates and odds ratios for the studied poor mental and general health outcomes. Prevalence rates and adjusted odds ratios for strong sleep disorders, strong stress feelings and increased burnout symptoms were between three and four times higher among the most exposed compared to those hospital employees who did not make any of these experiences at work at all. ConclusionsStudy findings underline the importance of an active combat against violent and discriminatory behaviors in health care. Prevention strategies should particularly focus on nurses and midwives, which turned out to be the most affected and exposed group of all health professions.


2020 ◽  
Author(s):  
Atefeh Ghanbari ◽  
Somaye Pouy ◽  
Latif Panahi ◽  
Abolfazl Etebarian Khorasgani ◽  
Fateme Hasandoost

Abstract BackgroundViolence in the workplace is one of the most important risk factors worldwide. Nurses are always exposed to all kinds of violence due to their presence and activity in medical centers and direct contact with patients and their companions, as well as exposure to various stressors. The aim of this study was to determine the violence against nurses working in Razi educational and medical center in Rasht, Guilan.MethodsThe present study was an analytical cross-sectional study that was performed on 112 nurses working in Razi educational and medical centers in Rasht by convenience sampling method. The instrument used includes a questionnaire to assess workplace violence in medical settings, which has been used in several Iranian studies and has been psychometric assessed by Najafi et al, In Iran. After collecting the data and entering into the SPSS software version 22, they will be evaluated through descriptive and inferential statistical tests (Chi-square, independent t-test and Fisher's exact test). The level of significance was considered as P<0.05.ResultsThe findings of this study showed that 11.1% of nurses experienced physical violence and 55.7% of them experienced verbal violence. Verbal violence is often caused by the patient's companions and physical violence is often caused by the patient, and in the majority of cases, those who did not report the violence attributed it to the uselessness of the report. In addition, the findings showed that there is a statistically significant relationship between education level and verbal violence (p = 0.02) and between work status (p = 0.02) and marital status (p = 0.02) with physical violence.ConclusionThe results of the study show that during the pandemic of COVID-19, verbal and physical violence for nurses occurred in several occasions, which requires the authorities to take effective measures to reduce the incidence of violence in hospitals.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e024186 ◽  
Author(s):  
Guoyuan Sui ◽  
Guangcong Liu ◽  
Lianqun Jia ◽  
Lie Wang ◽  
Guanlin Yang

ObjectivesThe purpose of this study was to (1) Identify the prevalence of workplace violence among doctors in Liaoning, China. (2) Examine the relationships between workplace violence and psychological capital with depressive symptoms and burn-out in Chinese doctors.DesignA quantitative, cross-sectional study.SettingEight hospitals in Liaoning Province were surveyed using a self-reported questionnaire.ParticipantsThe study population comprised 1800 doctors. Ultimately 1392 doctors completed valid questionnaires with a response rate of 77.3%.ResultsThe prevalence of workplace violence was 77.5%. Compared with other types of workplace violence, the prevalence of psychological aggression was the highest (72.7%). Workplace violence (depressive symptoms:β[95% CI]=0.11 [0.06, 0.16]; emotional exhaustion:β[95% CI]=0.18 [0.13, 0.23]; depersonalisation:β[95% CI]=0.17 [0.12, 0.22]) and psychological capital (depressive symptoms:β[95% CI]=−0.32 [−0.37, –0.27]; emotional exhaustion:β[95% CI]=−0.23 [−0.28, –0.18]; depersonalisation:β[95% CI]=−0.23 [−0.28, –0.18]) were associated with depressive symptoms and burn-out. Workplace violence increased the level of depressive symptoms and burn-out by damaging psychological capital (depressive symptoms: a*b=1.61, bias-corrected and accelerated [BCa] 95% CI 1.08 to 2.25; emotional exhaustion: a*b=1.29, BCa 95% CI 0.86 to 1.83; depersonalisation: a*b=0.70, BCa 95% CI 0.45 to 1.00).ConclusionsIn China, most doctors will be exposed to workplace violence, especially psychological aggression. A safer work environment and psychological capital development may be considered in prevention and treatment strategies for improving mental health.


Sign in / Sign up

Export Citation Format

Share Document