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工作场所暴力与护士结局的关系:倾向评分匹配样本的性别差异研究。

The relationship of workplace violence and nurse outcomes: Gender difference study on a propensity score matched sample.

机构信息

School of Nursing, Sun Yat-sen University, Guangzhou, China.

State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Department of Nursing, Sun Yat-sen University Cancer Center, Guangzhou, China.

出版信息

J Adv Nurs. 2020 Feb;76(2):600-610. doi: 10.1111/jan.14268. Epub 2019 Nov 28.

Abstract

AIMS

To investigate workplace violence and nurse outcomes by comparing gender differences.

DESIGN

A secondary analysis of cross-sectional survey data.

METHODS

Workplace violence was measured by four items from the International Hospital Outcome Study. Nurse outcomes were measured by tools including burnout, job satisfaction and intention to stay. We used propensity score matching to generate a sociodemographic balanced dataset of 108 male and 288 female nurses. A hypothetical relationship model was derived from the affective events theory. Comparative statistics and multi-group structural equation modelling were conducted to analyze gender differences. Data were collected in China from December 2013 - August 2014.

RESULTS

Male nurses reported more workplace violence from staff and less intention to stay than females. Besides finding the mediation of burnout sharing with female nurses consistent with the affective events theory, workplace violence was directly linked to less intention to stay in male nurses.

CONCLUSION

Male nurses experience more workplace violence by staff than female nurses. Besides responding emotionally to workplace violence like female nurses, male nurses also respond behaviourally.

IMPACT

What problem did the study address? Gender differences in workplace violence and its relationship to nurse outcomes. What were the main findings? Male nurses experienced more workplace violence than female nurses, linked directly to less intention to stay. Workplace violence linked to less job satisfaction and intention to stay in nurses was mediated by burnout. Where and on whom will the research have impact? Gender-based prevention of and coping with workplace violence should be included in nursing training.

摘要

目的

通过比较性别差异,调查工作场所暴力和护士结局。

设计

横断面调查数据的二次分析。

方法

工作场所暴力用国际医院结局研究的四项指标来衡量。护士结局用包括倦怠、工作满意度和留职意向在内的工具来衡量。我们使用倾向评分匹配生成了 108 名男性和 288 名女性护士的社会人口统计学平衡数据集。从情感事件理论中得出了一个假设的关系模型。采用比较统计学和多组结构方程模型来分析性别差异。数据于 2013 年 12 月至 2014 年 8 月在中国收集。

结果

男护士比女护士报告更多来自同事的工作场所暴力和更少的留职意向。除了发现与女性护士一致的情感事件理论的倦怠中介作用外,工作场所暴力与男性护士较少的留职意向直接相关。

结论

男护士比女护士更多地遭受同事的工作场所暴力。除了像女性护士一样对工作场所暴力做出情绪反应外,男护士还做出行为反应。

影响

该研究解决了什么问题?工作场所暴力的性别差异及其与护士结局的关系。主要发现是什么?男护士比女护士经历了更多的工作场所暴力,直接与较低的留职意向相关。工作场所暴力与护士的工作满意度和留职意向降低有关,其中介因素是倦怠。这项研究将对哪些人和哪些地方产生影响?应将基于性别的工作场所暴力预防和应对措施纳入护理培训。

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