School of Nursing, WanNan Medical College, Anhui, China.
School of Nursing, Fudan University, Shanghai, China.
Nurse Educ Pract. 2023 Nov;73:103850. doi: 10.1016/j.nepr.2023.103850. Epub 2023 Nov 20.
To identify subtypes of competence in managing workplace violence (WPV) among nursing interns and to assess between-group differences.
Nursing interns are reported to be a vulnerable population for experiencing workplace violence during their clinical placement. Although WPV could have a negative impact on nursing interns' health and attitudes towards the nursing profession, little is known about nursing interns' competence in workplace violence management or its influencing factors.
A cross-sectional study.
Between March to April 2023, nursing interns at three tertiary general hospitals in Anhui Province, China, completed questionnaires including a general information questionnaire, the Management of Workplace Violence Competence Scale (MWVCS), the Utrecht Work Engagement Scale (UWES-9), the Emotional Labour Scale for Nurses (ELSN) and were classified into subtypes by latent class analysis. Subsequently, univariate analysis and multivariate logistic regression were performed to identify the influencing factors by subtypes.
A total of 264 questionnaires were valid and the overall mean age of the participants was 21.06 ±1.41 years. Four classes were identified: low competency group (15.5%), low cognition-low coping competency group (18.2%), low cognition-medium to high competency group (21.6%) and high competency group (44.7%). The results of multinomial logistic regression analysis showed that placement hospitals with a WPV management department, emotional control effort in profession dimension and emotional pretense by norms dimension in the Emotional Labour Scale for Nurses, pursuing further education and vigour dimension in the Utrecht Work Engagement Scale were influencing factors of the potential categories of WPV management competence.
Four classes were identified and there was competence variability among nursing interns. More attention should be given to nursing interns who did not receive WPV-related training in their school or placement hospital.
识别护理实习生应对工作场所暴力（WPV）的能力亚型，并评估组间差异。
据报道，护理实习生在临床实习期间是易遭受工作场所暴力的脆弱人群。尽管 WPV 可能对护理实习生的健康和对护理职业的态度产生负面影响，但对护理实习生应对工作场所暴力的能力或其影响因素知之甚少。
横断面研究。
2023 年 3 月至 4 月，在中国安徽省的三家三级综合医院，护理实习生完成了包括一般信息问卷、工作场所暴力应对能力量表（MWVCS）、乌得勒支工作投入量表（UWES-9）和护士情绪劳动量表（ELSN）在内的问卷，并通过潜在类别分析将他们分为亚型。随后，通过亚型进行单变量分析和多变量逻辑回归分析，以确定影响因素。
共 264 份问卷有效，参与者的平均年龄为 21.06±1.41 岁。确定了四个类别：低能力组（15.5%）、低认知-低应对能力组（18.2%）、低认知-中高能力组（21.6%）和高能力组（44.7%）。多分类逻辑回归分析结果表明，在有 WPV 管理部门、护士情绪劳动量表中职业维度的情绪控制努力和规范维度的情绪掩饰、接受进一步教育和活力维度的乌得勒支工作投入量表的实习医院，是 WPV 管理能力潜在类别分类的影响因素。
确定了四个类别，护理实习生的能力存在差异。应更加关注那些在校或实习医院未接受 WPV 相关培训的护理实习生。
