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中国社区医护人员的工作场所暴力与工作绩效:生活质量的中介作用

Workplace Violence and Job Performance among Community Healthcare Workers in China: The Mediator Role of Quality of Life.

作者信息

Lin Wei-Quan, Wu Jiang, Yuan Le-Xin, Zhang Sheng-Chao, Jing Meng-Juan, Zhang Hui-Shan, Luo Jia-Li, Lei Yi-Xiong, Wang Pei-Xi

机构信息

Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou 510182, China.

Baoan Center Hospital of Shenzhen, 6 Xiyuan Road, Baoan District, Shenzhen 518102, China.

出版信息

Int J Environ Res Public Health. 2015 Nov 20;12(11):14872-86. doi: 10.3390/ijerph121114872.

Abstract

OBJECTIVE

To explore the impact of workplace violence on job performance and quality of life of community healthcare workers in China, especially the relationship of these three variables.

METHODS

From December 2013 to April 2014, a total of 1404 healthcare workers were recruited by using the random cluster sampling method from Community Health Centers in Guangzhou and Shenzhen. The workplace violence scale, the job performance scale and the quality of life scale (SF-36) were self-administered. The structural equation model constructed by Amos 17.0 was employed to assess the relationship among these variables.

RESULTS

Our study found that 51.64% of the respondents had an experience of workplace violence. It was found that both job performance and quality of life had a negative correlation with workplace violence. A positive association was identified between job performance and quality of life. The path analysis showed the total effect (β = -0.243) of workplace violence on job performance consisted of a direct effect (β = -0.113) and an indirect effect (β = -0.130), which was mediated by quality of life.

CONCLUSIONS

Workplace violence among community healthcare workers is prevalent in China. The workplace violence had negative effects on the job performance and quality of life of CHCs' workers. The study suggests that improvement in the quality of life may lead to an effective reduction of the damages in job performance caused by workplace violence.

摘要

目的

探讨工作场所暴力对中国社区医护人员工作绩效和生活质量的影响,尤其是这三个变量之间的关系。

方法

2013年12月至2014年4月,采用随机整群抽样方法,从广州和深圳的社区卫生服务中心招募了1404名医护人员。采用自填式问卷调查工作场所暴力量表、工作绩效量表和生活质量量表(SF-36)。运用Amos 17.0构建结构方程模型,评估这些变量之间的关系。

结果

研究发现,51.64%的受访者曾经历过工作场所暴力。研究发现,工作绩效和生活质量均与工作场所暴力呈负相关。工作绩效与生活质量之间存在正相关。路径分析表明,工作场所暴力对工作绩效的总效应(β = -0.243)由直接效应(β = -0.113)和间接效应(β = -0.130)组成,间接效应通过生活质量介导。

结论

中国社区医护人员工作场所暴力现象普遍。工作场所暴力对社区医护人员的工作绩效和生活质量产生负面影响。该研究表明,生活质量的改善可能会有效减少工作场所暴力对工作绩效造成的损害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32aa/4661685/facf050a41a7/ijerph-12-14872-g001.jpg

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