Zheng Zhihui, Zhan Shanshan, Xu Jiaxian, Lu Kangyuan, Wang Jie, Huang Bixia, Li Xiaohong, Chen Yubei, Ge Li
Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.
The Third People's Hospital of Fujian Province, Fuzhou, Fujian, China.
J Clin Nurs. 2024 Mar;33(3):1012-1021. doi: 10.1111/jocn.16982. Epub 2023 Dec 29.
This study aims to investigate the impact of nurses' experiences of hospital violence on resilience, the mediating effect of trust in patients and the moderating effect of organizational trust.
Despite belonging to the central part of health care worldwide and being the leading provider of medical services, nurses are often subjected to hospital violence, which affects their physical and mental well-being. Trust is a high-order mechanism that encourages positive thinking and personal and professional development. However, research into the impact of trust on resilience concerning nurses' experiences of hospital violence is limited.
The participants were 2331 nurses working in general hospitals in China. A cross-sectional survey was conducted, and data were collected via questionnaires from July to October 2022 and analysed using SPSS 25.0 and SPSS PROCESS 3.3 macros. This study was prepared and reported according to the STROBE checklist.
Mean trust in patients was 48.00 ± 10.86 (12-60), mean organizational trust was 56.19 ± 8.90 (13-65) and mean resilience was 78.63 ± 19.26 (0-100). Nurses' experience of hospital violence had a direct negative effect on resilience (β = -.096, p = .871), a significant adverse effect on trust in patients (β = -3.022, p < .001) and a significant positive effect on trust in patients on resilience (β = 1.464, p < .001). Trusting patients played a mediating role. The significant moderating effect of organizational trust between experience of hospital violence and trust in patients was moderated by a mediating effect index of -0.1867 (95% CI = [-0.3408, -0.0345]).
Nurses' experience of hospital violence exerted a negative effect on resilience, trust in patients had a fully mediated effect and organizational trust had a significant moderating influence in the pathway from nurses' experience of hospital violence to patients' trust-mediated resilience.
This study highlights the impact of nurses' experiences of hospital violence on resilience and explores the importance of trust from the nurses' perspective. Measures taken by managers to provide nurses with a safe, trusting and positive work environment can be highly beneficial in enhancing nurse resilience.
本研究旨在探讨护士遭受医院暴力的经历对心理韧性的影响、患者信任的中介作用以及组织信任的调节作用。
尽管护士在全球医疗保健体系中处于核心地位，是医疗服务的主要提供者，但他们经常遭受医院暴力，这影响了他们的身心健康。信任是一种高级机制，能促进积极思考以及个人和职业发展。然而，关于信任对护士遭受医院暴力经历下心理韧性影响的研究有限。
研究对象为在中国综合医院工作的2331名护士。采用横断面调查，于2022年7月至10月通过问卷调查收集数据，并使用SPSS 25.0和SPSS PROCESS 3.3宏程序进行分析。本研究按照STROBE清单进行准备和报告。
患者信任均值为48.00±10.86（12 - 60），组织信任均值为56.19±8.90（13 - 65），心理韧性均值为78.63±19.26（0 - 100）。护士遭受医院暴力的经历对心理韧性有直接负面影响（β = -0.096，p = 0.871），对患者信任有显著不利影响（β = -3.022，p < 0.001），对患者信任在心理韧性上有显著正向影响（β = 1.464，p < 0.001）。患者信任起到中介作用。医院暴力经历与患者信任之间组织信任的显著调节作用通过中介效应指数 -0.1867（95%CI = [-0.3408, -0.0345]）进行调节。
护士遭受医院暴力的经历对心理韧性产生负面影响，患者信任具有完全中介效应，组织信任在护士遭受医院暴力经历到患者信任中介的心理韧性这一途径中具有显著调节作用。
本研究强调了护士遭受医院暴力经历对心理韧性的影响，并从护士角度探讨了信任的重要性。管理者采取措施为护士提供安全、信任和积极的工作环境，对增强护士心理韧性可能非常有益。
