scholarly journals Impact of workplace violence and compassionate behaviour in hospitals on stress, sleep quality and subjective health status among Chinese nurses: a cross-sectional survey

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e019373 ◽  
Author(s):  
Shu-E Zhang ◽  
Wenhui Liu ◽  
Jinghui Wang ◽  
Yu Shi ◽  
Fengzhe Xie ◽  
...  

ObjectivesThe aim of this study is to describe the current state of workplace violence (WPV) and compassionate behaviour towards nurses and to explain how they affect nurses’ stress, sleep quality and subjective health status.DesignA cross-sectional online survey study.SettingThe survey was conducted across eight provinces in China.ParticipantsA total of 1024 nurses were recruited to complete an online questionnaire survey from February to May 2016 in China.ResultsApproximately 75.4% participants had experienced some form of violence. Most of the participants experienced WPV such as verbal violence (65.2%), made difficulties (54.5%), tarnished reputation (37.5%), mob behaviour (34.9%), intimidation behaviour (18.8%), physical violence (14.6%) and sexual harassment (5.9%). In this study, 92.4% participants experienced compassionate behaviour from their coworkers (84.9%), supervisors (67.3%), and from their patients (65.3%). The results show that the exposure to WPV behaviour significantly affected the psychological stress (β=0.295, p<0.01), sleep quality (β=−0.198, p<0.01) and subjective health status (β=−0.252, p<0.01) of nurses. The exposure to compassionate behaviour significantly affected the psychological stress (β=−0.229, p<0.01), sleep quality (β=0.326, p<0.01) and subjective health status (β=0.342, p<0.01) of nurses. The results of the mediation analysis showed that psychological stress is a partial mediator in the relationship between violence and sleep quality (β=−0.458, p<0.01) and between violence and subjective health (β=−0.425, p<0.01). Moreover, psychological stress also partially mediated the relationship between compassionate behaviour and sleep quality (β=−0.473, p<0.01), and between compassionate behaviour and subjective health (β=−0.405, p<0.01).ConclusionIn China, most nurses have experienced different forms of WPV from patients and/or their relatives, as well as experiencing various forms of compassionate behaviour from their coworkers, supervisors and/or patients. This study investigates the prevalence of the different types of WPV and compassionate behaviour. Several aspects of harm to nurses from exposure to violence is confirmed. We found that WPV can damage nurses’ health outcomes, while compassionate behaviours were beneficial to their health outcomes. A harmonious nursing environment should be provided to minimise threats to nurses’ health status.

2021 ◽  
Vol 12 ◽  
Author(s):  
Shu-e Zhang ◽  
Li-bin Yang ◽  
Chen-xi Zhao ◽  
Yu Shi ◽  
Hong-ni Wang ◽  
...  

Objectives: The main objectives of this study were to describe the current state of character strengths (CSs) of nurses; explain how they affect stress, sleep quality, and subjective health status; and reveal the mediating role of stress for the subject matter on the association between CSs, sleep quality, and subjective health status.Methods: A cross-sectional online survey was conducted from September to October 2020 in China. A multistage stratified sampling method was used, and 1,221 valid questionnaires across 100 cities in 31 provinces were collected.Results: For the participants in this survey, the three dimensions of CSs ranging from high to low were caring (4.20 ± 0.640), self-control (3.53 ± 0.763), and inquisitiveness (3.37 ± 0.787). There was difference in CSs scores across age (F = 8.171, P &lt; 0.01), professional categories (F = 5.545, P &lt; 0.01), and job tenure (F = 9.470, P &lt; 0.01). The results showed that CSs significantly affected the psychological stress (β = −0.365, P&lt; 0.01), sleep quality (β = 0.312, P&lt; 0.01), and subjective health (β = 0.398, P&lt; 0.01) of nurses. Moreover, psychological stress partially mediated the association between CSs and both types of health outcomes.Conclusion: In China, the CSs of nurses are at high levels. We find that nurses with high-level CSs are likely to experience less psychological stress and exhibit healthy psycho–physiological responses, which contribute to positive health outcomes. Finally, our study argues that strength-based interventions of positive psychology in hospitals should be provided to minimize threats to the physical and psychological health of health professionals, which is a beneficial choice for future hospital reforms in the domain of occupational health management.


BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e017182 ◽  
Author(s):  
Tao Sun ◽  
Lei Gao ◽  
Fujun Li ◽  
Yu Shi ◽  
Fengzhe Xie ◽  
...  

BackgroundWorkplace violence (WPV) against healthcare workers is known as violence in healthcare settings and referring to the violent acts that are directed towards doctors, nurses or other healthcare staff at work or on duty. Moreover, WPV can cause a large number of adverse outcomes. However, there is not enough evidence to test the link between exposure to WPV against doctors, psychological stress, sleep quality and health status in China.ObjectivesThis study had three objectives: (1) to identify the incidence rate of WPV against doctors under a new classification, (2) to examine the association between exposure to WPV, psychological stress, sleep quality and subjective health of Chinese doctors and (3) to verify the partial mediating role of psychological stress.DesignA cross-sectional online survey study.SettingThe survey was conducted among 1740 doctors in tertiary hospitals, 733 in secondary hospital and 139 in primary hospital across 30 provinces of China.ParticipantsA total of 3016 participants were invited. Ultimately, 2617 doctors completed valid questionnaires. The effective response rate was 86.8%.ResultsThe results demonstrated that the prevalence rate of exposure to verbal abuse was the highest (76.2%), made difficulties (58.3%), smear reputation (40.8%), mobbing behaviour (40.2%), intimidation behaviour (27.6%), physical violence (24.1%) and sexual harassment (7.8%). Exposure to WPV significantly affected the psychological stress, sleep quality and self-reported health of doctors. Moreover, psychological stress partially mediated the relationship between work-related violence and health damage.ConclusionIn China, most doctors have encountered various WPV from patients and their relatives. The prevalence of three new types of WPV have been investigated in our study, which have been rarely mentioned in past research. A safer work environment for Chinese healthcare workers needs to be provided to minimise health threats, which is a top priority for both government and society.


2019 ◽  
Vol 33 (5) ◽  
pp. 83-87
Author(s):  
Dorina Pusztai ◽  
Nóra Rozmann ◽  
Éva Horváth ◽  
Szilvia Szunomár ◽  
Katalin Fusz

Author(s):  
Youlim Kim ◽  
Hyeonkyeong Lee ◽  
Mikyung Lee ◽  
Hyeyeon Lee ◽  
Sookyung Kim ◽  
...  

Studies have examined the impact of social determinants of health on the health behaviors and health statuses of ethnic minority adolescents. This study examines the subjective health of this population by examining the direct effects of multicultural adolescents’ subjective socioeconomic status (SES) and the sequential mediating effects of their dietary behaviors and perceived stress. We utilized secondary data of 500 middle school students from multicultural families who participated in the 15th Korean Youth Health Behavior Survey, 2019. Information about SES, perceived stress, subjective health status, and dietary behavior (measured by the breakfast intake frequency during the prior week) were utilized. For the relationship between the SES and the subjective health status, we confirmed the sequential mediating effects of breakfast frequency and perceived stress using SPSS 25.0 and PROCESS macro with bootstrapping. The results showed that SES had a direct effect on subjective health status and indirectly influenced subjective health status through the sequential mediating effect of breakfast frequency and perceived stress. However, SES had no direct effects on perceived stress. These findings emphasize that broadening the community-health lens to consider the upstream factor of SES when preparing health promotion interventions is essential to achieving health equity for vulnerable populations.


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