Purpora Christina, Blegen Mary A
School of Nursing and Health Professions, University of San Francisco (USF), San Francisco, CA, USA.
University of California, San Francisco (UCSF), San Francisco, CA, USA.
J Clin Nurs. 2015 Aug;24(15-16):2286-94. doi: 10.1111/jocn.12818. Epub 2015 May 4.
To describe the association between horizontal violence and job satisfaction in hospital staff registered nurses and the degree to which peer relationships mediates the relationship. Additionally, the association between nurse and work characteristics and job satisfaction were determined.
Horizontal violence is a major predictor of nurses' job satisfaction. Yet, not enough is known about the relationship between these variables. Job satisfaction is an important variable to study because it is a predictor of patient care quality and safety internationally. Peer relationships, a job satisfier for nurses, was identified as a potential mediator in the association between horizontal violence and job satisfaction.
Cross-sectional mediational model testing.
An anonymous four-part survey of a random sample of 175 hospital staff registered nurses working in California provided the data. Data about horizontal violence, peer relationships, job satisfaction, and nurse and work characteristics were collected between March-August 2010.
A statistically significant negative relationship was found between horizontal violence and peer relationships, job satisfaction and a statistically significant positive relationship was found between peer relationships and job satisfaction. Peer relationships mediated the association between horizontal violence and job satisfaction. Job satisfaction was reported as higher by nurses who worked in teaching hospitals. There were no statistically significant differences in job satisfaction based on gender, ethnicity, basic registered nurse education, highest degree held, size of hospital or clinical area.
The results suggest that peer relationships can attenuate the negative relationship between horizontal violence and job satisfaction. This adds to the extant literature on the relationship between horizontal violence and job satisfaction.
The findings highlight peer relationships as an important factor when considering effective interventions that foster hospital staff registered nurses' job satisfaction in the presence of horizontal violence.
描述医院注册护士中横向暴力与工作满意度之间的关联，以及同伴关系在介导二者关系中所起作用的程度。此外，还确定了护士及工作特征与工作满意度之间的关联。
横向暴力是护士工作满意度的一个主要预测因素。然而，对于这些变量之间的关系，我们了解得还不够。工作满意度是一个重要的研究变量，因为在国际上它是患者护理质量和安全的一个预测指标。同伴关系是护士工作的一个满意度因素，被确定为横向暴力与工作满意度之间关联的一个潜在中介因素。
横断面中介模型测试。
对在加利福尼亚工作的175名医院注册护士随机样本进行了一项包含四个部分的匿名调查，以此提供数据。2010年3月至8月期间收集了有关横向暴力、同伴关系、工作满意度以及护士和工作特征的数据。
发现横向暴力与同伴关系、工作满意度之间存在统计学上显著的负相关，同伴关系与工作满意度之间存在统计学上显著的正相关。同伴关系介导了横向暴力与工作满意度之间的关联。在教学医院工作的护士报告的工作满意度更高。基于性别、种族、注册护士基础学历、最高学历、医院规模或临床领域，工作满意度没有统计学上的显著差异。
结果表明同伴关系可以减弱横向暴力与工作满意度之间的负相关。这为横向暴力与工作满意度关系的现有文献增添了内容。
研究结果凸显了同伴关系是在存在横向暴力的情况下，考虑采取有效干预措施以提高医院注册护士工作满意度时的一个重要因素。
