Meng Lingyao, He Lifang, Ouyang Lu, Fu Mengxue, Li Pan, He Yongmei
School of Nursing, Xiangnan University, Chenzhou, 423000, People's Republic of China.
College of Nursing and Allied Health Sciences, St. Paul University Manila, Manila, Philippines.
Risk Manag Healthc Policy. 2025 Jan 7;18:33-42. doi: 10.2147/RMHP.S491989. eCollection 2025.
The cases of workplace violence (WPV) experienced by nurses and nursing students in recent years has become alarming high. However, managing and developing WPV competence among nursing students remain underreported. Therefore, this study investigated the current status of management of workplace violence competence (MWVC) and identify associated factors affecting their MWVC among nursing interns.
A total of 817 nursing interns from six tertiary hospitals in Hunan Province, China, participated in this study in July 2023. Data were collected via online survey questionnaires using the Management of Workplace Violence Competence Scale (MWVCS), the Patient Risk Identification Ability Assessment Questionnaire, and the Professional Identity Questionnaire for Nursing Students (PIQNS).
Among participants, 91.1% were female (n=744), 68.1% (n=556) were between 21 to 23 years old, and 54.1% (n=442) obtained a bachelor's degree. The score of management of workplace violence competence was 123.25 (SD=11.06). The multiple linear regression analysis showed that the diploma degree (B=3.152, p<0.001, 95% CI: 2.087-4.217), witnessed a workplace violence incident in a hospital (B=4.274, p<0.001, 95% CI: 3.164-5.384), trained in WPV prevention skills (B=7.196, p<0.001, 95% CI: 6.007-8.386), patient risk identification ability (B=1.006, p<0.001, 95% CI: 1.163-0.893), and professional identity (B=0.693, p<0.001, 95% CI: 0.571-0.815) were the associated factors of MWVC among nursing interns.
The MWVC among nursing interns was at an intermediate level. To enhance MWVC, it is recommended to strengthen WPV prevention and management training, particularly for interns with diploma degrees, no experience witnessing WPV incidents, no prior training in WPV prevention skill, and lower levels of patient risk identification ability and professional identity. Our findings may guide the establishment of focused training programs and support measures to improve interns' capacity to manage WPV, increasing their professional growth and mental health while giving significant insights and intervention techniques for nursing educators and managers.
近年来护士和护生遭遇的工作场所暴力（WPV）事件数量高得惊人。然而，对护生工作场所暴力能力的管理和培养仍鲜有报道。因此，本研究调查了工作场所暴力能力管理（MWVC）的现状，并确定了影响护理实习生MWVC的相关因素。
2023年7月，来自中国湖南省六所三级医院的817名护理实习生参与了本研究。通过在线调查问卷收集数据，使用工作场所暴力能力管理量表（MWVCS）、患者风险识别能力评估问卷和护生专业认同问卷（PIQNS）。
参与者中，91.1%为女性（n = 744），68.1%（n = 556）年龄在21至23岁之间，54.1%（n = 442）拥有本科学历。工作场所暴力能力管理得分123.25（标准差 = 11.06）。多元线性回归分析表明，学历（B = 3.152，p < 0.001，95%置信区间：2.087 - 4.217）、在医院目睹过工作场所暴力事件（B = 4.274，p < 0.001，95%置信区间：3.164 - 5.384）、接受过WPV预防技能培训（B = 7.196，p < 0.001，95%置信区间：6.007 - 8.386）、患者风险识别能力（B = 1.006，p < 0.001，95%置信区间：1.163 - 0.893）和专业认同（B = 0.693，p < 0.001，95%置信区间：0.571 - 0.815）是护理实习生MWVC的相关因素。
护理实习生的MWVC处于中等水平。为提高MWVC，建议加强WPV预防和管理培训，特别是针对学历较低、未目睹过WPV事件、未接受过WPV预防技能培训以及患者风险识别能力和专业认同水平较低的实习生。我们的研究结果可为制定针对性培训计划和支持措施提供指导，以提高实习生管理WPV的能力，促进他们的职业成长和心理健康，同时为护理教育工作者和管理人员提供重要的见解和干预技巧。
