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工作场所暴力和工作挫折经历护士离职意向的预防暴力气候。

Violence-prevention climate in the turnover intention of nurses experiencing workplace violence and work frustration.

机构信息

Department of Nursing, Da-Yeh University, Changhua, Taiwan.

Department of Information Management, Da-Yeh University, Changhua, Taiwan.

出版信息

J Nurs Manag. 2018 Nov;26(8):961-971. doi: 10.1111/jonm.12621. Epub 2018 Sep 16.

Abstract

AIMS

To determine the moderating effect of a violence-prevention climate and the mediating effect of work frustration on the relationship between workplace violence (WPV) and the turnover intention of nurses.

BACKGROUND

To maintain the stability and work quality of nurses, WPV should be studied to provide effective prevention measures.

METHODS

A cross-sectional study with a convenience sample was adopted. Participants were nurses from three hospitals in Taiwan. Of 1,531 questionnaires, 973 were valid for analysis (63.6%).

RESULTS

A total mediating effect of work frustration on nurses' own experiences of WPV increased turnover intention. Witnessing WPV toward coworkers caused a significant partial mediating effect on work frustration that further increased turnover intention. A violence-prevention climate had a significant moderating effect on the work frustration and turnover intention of nurses after they had witnessed violence against others.

CONCLUSION

Effective policies and an incentivized reporting system can foster a safe and friendly work environment not only for nurses who experience violence but also for those who witness violence.

IMPLICATIONS FOR NURSING MANAGEMENT

Nursing managers and leaders must create a positive consultative pipeline to ensure a safe climate and environment for both the victims of WPV and the nurses who witness violence against others.

摘要

目的

确定预防暴力气候的调节作用和工作挫折的中介作用,以探讨工作场所暴力(WPV)与护士离职意向之间的关系。

背景

为了保持护士队伍的稳定性和工作质量,应研究 WPV,以提供有效的预防措施。

方法

采用横断面研究和便利抽样方法。参与者为台湾三家医院的护士。在 1531 份问卷中,有 973 份有效,可用于分析(63.6%)。

结果

护士自身经历 WPV 导致工作挫折感增加离职意向的完全中介效应。目睹同事遭受 WPV 对工作挫折感有显著的部分中介效应,进一步增加离职意向。预防暴力气候对目睹他人遭受暴力的护士的工作挫折感和离职意向有显著的调节作用。

结论

有效的政策和激励报告制度可以营造一个安全友好的工作环境,不仅对遭受暴力的护士,而且对目睹他人遭受暴力的护士也是如此。

对护理管理的意义

护理经理和领导必须建立积极的协商渠道,以确保 WPV 受害者和目睹他人遭受暴力的护士的安全环境和气候。

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