The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China.
Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
BMC Public Health. 2024 Sep 7;24(1):2437. doi: 10.1186/s12889-024-19964-y.
Workplace violence is a global public health issue and a major occupational hazard cross borders and environments. Nurses are the primary victims of workplace violence due to their frontline roles and continuous interactions.
The present study aimed to investigate the status of workplace violence, turnover intention, compassion fatigue, and psychological resilience among Chinese nurses, and explore the mediating role of compassion fatigue and the moderating role of psychological resilience on relationship between workplace violence and turnover intention among Chinese nurses.
A cross-sectional study was conducted among a convenience sample of clinical registered nurses from public hospitals in Changsha, Hunan, China. Data was collected through an online questionnaire, which included a demographic information form, the Workplace Violence Scale (WVS), the Turnover Intention Questionnaire (TIQ), the Compassion Fatigue Scale (CF-CN), and the Connor-Davidson Resilience Scale (CD-RISC). Descriptive statistics and correlation analysis were employed to examine the relationships among the main variables. A moderated mediation analysis was further conducted using the PROCESS macro for SPSS (Model 4 and Model 8) to examine the mediating role of compassion fatigue and the moderating role of psychological resilience.
The present survey recruited a convenience sample of 1,141 clinical registered nurses, who reported experiencing multiple types of workplace violence during the past year. Correlation analysis revealed significant positive correlations between workplace violence and turnover intention (r = 0.466, P < 0.01) as well as compassion fatigue (r = 0.452, P < 0.01), while negative correlation between workplace violence and psychological resilience (r=-0.414, P < 0.01). Moderated mediation analysis revealed that compassion fatigue mediated, while psychological resilience moderated, the positive relationship between workplace violence and turnover intention (all P < 0.05).
This study underscores the mediating effect of compassion fatigue and the moderating role of psychological resilience in the relationship between workplace violence and turnover intention among Chinese nurses. Future efforts should be undertaken to develop effective preventive measures and intervention strategies at individual, organizational, and national levels to mitigate workplace violence and foster supportive work environment.
Not applicable.
工作场所暴力是一个全球性的公共卫生问题，也是跨越国界和环境的主要职业危害。护士由于处于一线岗位并持续与他人互动，成为工作场所暴力的主要受害者。
本研究旨在调查中国护士的工作场所暴力、离职意愿、同情心疲劳和心理弹性现状，并探讨同情心疲劳的中介作用以及心理弹性对中国护士工作场所暴力与离职意愿之间关系的调节作用。
采用横断面研究方法，便利抽取湖南省长沙市公立医院的临床注册护士作为研究对象。通过在线问卷收集数据，问卷包括一般资料表、工作场所暴力量表（WVS）、离职意愿问卷（TIQ）、同情心疲劳量表（CF-CN）和Connor-Davidson 心理弹性量表（CD-RISC）。采用描述性统计和相关性分析来检验主要变量之间的关系。采用 SPSS 的 PROCESS 宏（模型 4 和模型 8）进一步进行调节中介分析，以检验同情心疲劳的中介作用和心理弹性的调节作用。
本研究共纳入 1141 名临床注册护士，他们在过去一年中报告经历了多种类型的工作场所暴力。相关性分析显示，工作场所暴力与离职意愿（r=0.466，P<0.01）和同情心疲劳（r=0.452，P<0.01）呈显著正相关，而与心理弹性呈显著负相关（r=-0.414，P<0.01）。调节中介分析显示，同情心疲劳在工作场所暴力与离职意愿之间起中介作用，而心理弹性起调节作用（均 P<0.05）。
本研究强调了同情心疲劳的中介作用和心理弹性的调节作用，在中国护士中，工作场所暴力与离职意愿之间存在这种关系。未来应在个人、组织和国家层面采取有效措施，制定预防措施和干预策略，以减轻工作场所暴力并营造支持性的工作环境。
无。
