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工作场所暴力与医护人员的组织承诺:主管的支持有影响吗?

Work-related violence and organizational commitment among health care workers: does supervisor's support make a difference?

机构信息

Danish Ramazzini Centre, Department of Occupational Medicine, University Research Clinic, Regional Hospital West Jutland, 7400, Herning, Denmark.

National Center of Psychotraumatology, Department of Psychology, University of Southern Denmark, Odense, Denmark.

出版信息

Int Arch Occup Environ Health. 2021 Oct;94(7):1645-1657. doi: 10.1007/s00420-021-01749-0. Epub 2021 Aug 10.

Abstract

INTRODUCTION

Work-related threats and violence are major occupational hazards, with potentially serious consequences for both victims and the organization that employs them. Only a few studies have prospectively examined the mitigating effect of social support from supervisors on organizational commitment following exposure to work-related violence and threats.

OBJECTIVE

This study aimed at examining the effect of immediate supervisor's support on affective commitment within 1, 3, 6 and 12 months after exposure to violence and threats.

METHODS

After exposure to work-related violence and threats, the employees received a questionnaire within the first month and after 3, 6 and 12 months. Right after the incident, 398 employees filled out the questionnaire, and 138 employees answered the questionnaire at all four time points. Prospective associations and mean differences between groups were calculated using linear mixed models.

RESULTS

Employees receiving very high levels of social support from supervisors immediately after being exposed to work-related violence or threats had a significantly higher level of organizational commitment across all four time points when compared to the group experiencing middle/low levels of support. Furthermore, at 1- and 3-month follow-up employees receiving very high levels of social support from supervisors following work-related violence and threats reported significantly higher levels of commitment than did the group with high levels of social support from supervisors.

CONCLUSION

Organizations should enhance the availability of social support from supervisors for employees experiencing work-related violence and threats. Training of supervisors to be very much concerned about employees exposed to work-related violence may be of critical importance to both the health and work outcomes of employees.

摘要

简介

工作相关的威胁和暴力是主要的职业危害,对受害者和雇用他们的组织都可能产生严重后果。只有少数研究前瞻性地检查了主管的社会支持对工作相关暴力和威胁暴露后组织承诺的缓解作用。

目的

本研究旨在检验主管支持对暴露于工作相关暴力和威胁后 1、3、6 和 12 个月内情感承诺的影响。

方法

在工作相关暴力和威胁暴露后,员工在第一个月内以及 3、6 和 12 个月后收到问卷。在事件发生后,398 名员工填写了问卷,138 名员工在所有四个时间点都回答了问卷。使用线性混合模型计算前瞻性关联和组间平均差异。

结果

与中/低水平支持组相比,在暴露于工作相关暴力或威胁后立即收到主管高度社会支持的员工在所有四个时间点的组织承诺水平显著更高。此外,在 1 个月和 3 个月的随访中,与主管社会支持水平高的员工相比,在工作相关暴力和威胁后收到主管高度社会支持的员工报告的承诺水平显著更高。

结论

组织应为经历工作相关暴力和威胁的员工提供更多主管的社会支持。对主管进行培训,让他们非常关注暴露于工作相关暴力的员工,这对员工的健康和工作结果都至关重要。

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