School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
Department of Nursing, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Nurs Health Sci. 2024 Mar;26(1):e13085. doi: 10.1111/nhs.13085.
Workplace violence (WPV) exposure has been particularly prevalent in emergency nurses, coupled with negative mental health outcomes. Few explored resilience after WPV exposure using the perspective of positive mental health. We aimed to identify latent profiles of resilience and examine associations with flourishing in emergency nurses with WPV exposure. A total of 1241 Chinese emergency nurses were surveyed on the frequency of WPV exposure, resilience, and flourishing. Eight hundred and twenty five participants (90.1% female, 86.6% aged 20-39) reported WPV exposure at least once in the past 3 months. Latent profile analysis identified profiles of resilience as low resilience (15.0%), moderate decision respond and interpersonal link with low rational thought and flexible adaption (18.0%), moderate resilience (31.0%), high decision respond, interpersonal link, and rational thought with moderate flexible adaption (16.0%), and high resilience (20.0%). Higher flourishing was observed in profiles of moderate resilience, high decision respond, interpersonal link, and rational thought with moderate flexible adaption, and high resilience. We differentiated profiles of resilience and the associations with flourishing in emergency nurses with WPV exposure, which informed targeted interventions for promoting positive mental health.
工作场所暴力（WPV）暴露在急诊护士中尤为普遍，且伴随着负面的心理健康后果。很少有研究从积极心理健康的角度探讨 WPV 暴露后的韧性。我们旨在确定具有 WPV 暴露的急诊护士的韧性潜在特征，并探讨其与繁荣的关系。共对 1241 名中国急诊护士进行了 WPV 暴露频率、韧性和繁荣的调查。825 名参与者（90.1%为女性，86.6%年龄在 20-39 岁）报告在过去 3 个月内至少经历过一次 WPV 暴露。潜在特征分析确定了韧性特征为低韧性（15.0%）、中度决策反应和人际关系，同时理性思维和灵活适应度较低（18.0%）、中度韧性（31.0%）、高决策反应、人际关系、理性思维和中度灵活适应度（16.0%），以及高韧性（20.0%）。在具有 WPV 暴露的急诊护士中，中度韧性、高决策反应、人际关系、理性思维和中度灵活适应度以及高韧性的特征与更高的繁荣度有关。我们区分了具有 WPV 暴露的急诊护士的韧性特征及其与繁荣的关系，为促进积极心理健康提供了有针对性的干预措施。
