Hu Yan, Zhang Shu, Zhai Jian, Wang Delin, Gan Xiangzhi, Wang Fulan, Wang Dan, Yi Hongmei
Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Hepatological Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Prev Med Rep. 2024 Feb 28;40:102667. doi: 10.1016/j.pmedr.2024.102667. eCollection 2024 Apr.
Although workplace violence is prevalent in the healthcare system, the relationship between workplace violence, job satisfaction, and burnout among healthcare workers (HCWs) in mobile cabin hospitals in China during the COVID-19 pandemic has not yet been investigated. This study analyzes the mediating effects of perceived stress and work environment in the relationship between workplace violence, job satisfaction, and burnout.
A cross-sectional study was conducted in December 2022 on 1,199 frontline HCWs working in mobile cabin hospitals in Chongqing, China, during the COVID-19 pandemic. Multiple linear regression and mediation analysis were performed.
A positive correlation was observed between workplace violence and burnout ( = 0.420, < 0.01) and perceived stress ( = 0.524, < 0.01), and a negative correlation was observed with job satisfaction ( = -0.254, < 0.01). The perceived stress was positively correlated with burnout ( = 0.528, < 0.01) and negatively with job satisfaction ( = -0.397, < 0.01). Job satisfaction was negatively correlated with burnout ( = -0.300, < 0.01). Perceived stress plays a significant mediating role between workplace violence and job burnout and between workplace violence and job satisfaction. The work environment has a significant moderating effect between workplace violence and job burnout and between workplace violence and job satisfaction.
To reduce burnout among HCWs, hospital administrators should focus on reducing the incidence of workplace violence and perceived stress from work and on improving the work environment and job satisfaction.
尽管工作场所暴力在医疗系统中普遍存在，但在新冠疫情期间，中国方舱医院医护人员的工作场所暴力、工作满意度和职业倦怠之间的关系尚未得到研究。本研究分析了感知压力和工作环境在工作场所暴力、工作满意度和职业倦怠之间关系中的中介作用。
2022年12月，对新冠疫情期间在中国重庆方舱医院工作的1199名一线医护人员进行了一项横断面研究。进行了多元线性回归和中介分析。
工作场所暴力与职业倦怠（=0.420，<0.01）和感知压力（=0.524，<0.01）呈正相关，与工作满意度呈负相关（= -0.254，<0.01）。感知压力与职业倦怠呈正相关（=0.528，<0.01），与工作满意度呈负相关（= -0.397，<0.01）。工作满意度与职业倦怠呈负相关（= -0.300，<0.01）。感知压力在工作场所暴力与职业倦怠以及工作场所暴力与工作满意度之间起显著中介作用。工作环境在工作场所暴力与职业倦怠以及工作场所暴力与工作满意度之间起显著调节作用。
为了降低医护人员的职业倦怠，医院管理人员应专注于减少工作场所暴力的发生率和工作中的感知压力，并改善工作环境和工作满意度。
