Department of Work and Organizational Psychology, Universität Hamburg, 20146 Hamburg, Germany.
Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services, 22089 Hamburg, Germany.
Int J Environ Res Public Health. 2020 May 1;17(9):3152. doi: 10.3390/ijerph17093152.
The aim of this study is to obtain a better understanding of the association between the frequency of nurses' exposure to workplace aggression from patients and their levels of burnout. In particular, we seek to shed light on the role of the availability of follow-up counseling in organizations after critical incidents in mitigating the adverse relationships between physical and verbal aggression and nurses' burnout. A total of 582 nurses reported how frequently they had experienced physical and verbal aggression from patients in the last 12 months and whether they had the opportunity to receive follow-up counseling in their organization. In addition, nurses rated the extent to which they experienced each of the three dimensions of burnout (i.e., emotional exhaustion, depersonalization, and personal accomplishment). The results showed that both physical and verbal aggression were substantially related to the burnout dimensions. Furthermore, we found that the availability of follow-up counseling in organizations attenuated the relationships between physical aggression and all three burnout dimensions. While we found that the availability of follow-up counseling moderated the relationship between verbal aggression depersonalization, the moderating effects were not significant for emotional exhaustion and personal accomplishment. The findings indicate that the availability of follow-up counseling might help minimize the adverse impact of exposure to aggression from patients on nurses' mental health.
本研究旨在更好地理解护士遭受患者工作场所攻击的频率与其倦怠水平之间的关联。特别是,我们试图揭示组织在发生重大事件后提供后续咨询的可能性在减轻身体和言语攻击与护士倦怠之间的不良关系方面的作用。共有 582 名护士报告了在过去 12 个月中他们遭受患者身体和言语攻击的频率,以及他们是否有机会在组织中接受后续咨询。此外,护士评估了他们在每个倦怠维度(即情绪耗竭、去个性化和个人成就感)上的体验程度。结果表明,身体和言语攻击都与倦怠维度有很大关系。此外,我们发现组织中提供后续咨询的可能性减轻了身体攻击与所有三个倦怠维度之间的关系。虽然我们发现组织中提供后续咨询的可能性调节了言语攻击去个性化与倦怠之间的关系,但对于情绪耗竭和个人成就感,调节效应并不显著。研究结果表明,提供后续咨询可能有助于最大程度地减少护士遭受患者攻击对其心理健康的不利影响。