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[工作场所暴力与医院护士离职意愿的关系:以心理韧性为中介变量]

[Relationship of Workplace Violence to Turnover Intention in Hospital Nurses: Resilience as a Mediator].

作者信息

Kang Hyun Jung, Shin Jaeyong, Lee Eun Hyun

机构信息

Graduate School of Public Health, Ajou University, Suwon, Korea.

Department of Preventive Medicine, Ajou University School of Medicine, Suwon, Korea.

出版信息

J Korean Acad Nurs. 2020 Oct;50(5):728-736. doi: 10.4040/jkan.20147.

Abstract

PURPOSE

This study aimed to identify the relationship between workplace violence and turnover intention, and the mediation effect of resilience on the relationship in hospital nurses.

METHODS

This was a cross-sectional study. A total of 237 registered nurses were recruited from three hospitals in South Korea from April to May 2019. Participants were invited to complete self-reported questionnaires that measure workplace violence, turnover intention, resilience, and demographic information. The data obtained were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling).

RESULTS

After controlling demographic covariates, workplace violence significantly accounted for the variance of turnover intention. It was also demonstrated that resilience partially mediated the relationship between workplace violence and turnover intention in hospital nurses. A 73.8% of nurses had experienced workplace violence (such as attack on personality, attack on professional status, isolation from work, or direct attack).

CONCLUSION

Workplace violence directly influences turnover intention of nurses and indirectly influences it through resilience. Therefore, hospital administrators need to develop and provide a workplace violence preventive program and resilience enhancement program to decrease nurses' turnover intention, and leaving.

摘要

目的

本研究旨在确定工作场所暴力与离职意愿之间的关系,以及心理韧性在医院护士这一关系中的中介作用。

方法

这是一项横断面研究。2019年4月至5月,从韩国的三家医院招募了237名注册护士。邀请参与者完成自我报告问卷,以测量工作场所暴力、离职意愿、心理韧性和人口统计学信息。使用多元回归和应用PROCESS宏的简单中介模型对获得的数据进行分析,偏差校正自抽样置信区间为95%(5000次自抽样重采样)。

结果

在控制人口统计学协变量后,工作场所暴力显著解释了离职意愿的变异。研究还表明,心理韧性在医院护士的工作场所暴力与离职意愿之间起部分中介作用。73.8%的护士曾经历过工作场所暴力(如人格攻击、职业地位攻击、工作孤立或直接攻击)。

结论

工作场所暴力直接影响护士的离职意愿,并通过心理韧性间接影响。因此,医院管理人员需要制定并提供工作场所暴力预防计划和心理韧性增强计划,以降低护士的离职意愿和离职率。

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