Chen Miao, Liao Xiaoli, Xie Hao
The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China.
School of Nursing, Sun Yat-Sen University, Guangzhou, Guangdong, China
BMJ Open. 2025 Jan 15;15(1):e086006. doi: 10.1136/bmjopen-2024-086006.
This study aimed to investigate the status of workplace violence, psychological resilience and work engagement, and explore the potential mediating role of psychological resilience in the relationship between workplace violence and work engagement among Chinese nurses.
A cross-sectional survey was conducted among a convenience sample of clinical registered nurses.
A convenience sample of clinical registered nurses was recruited from affiliated hospitals of Hunan University of Chinese Medicine.
A total of 1725 questionnaires were received, of which 1571 were deemed valid, resulting in an effective response rate of 91.07%. The final sample consisted of 1571 clinical registered nurses with a mean age of 31.65±7.16 years.
Data were collected through an online questionnaire comprising a general information form, the Workplace Violence Scale (WVS), Connor-Davidson Resilience Scale (CD-RS) and Utrecht Work Engagement Scale (UWES). Descriptive analysis, correlation analysis, and mediation analysis were performed using IBM SPSS Statistics software.
This cross-sectional investigation recruited a convenience sample of 1571 clinical registered nurses, who encountered multiple types of workplace violence in the past year. Pearson correlation analysis indicated negative associations between workplace violence and work engagement (r=-0.505, p<0.01), as well as between workplace violence and psychological resilience (r=-0.523, p<0.01). Mediation analysis revealed that psychological resilience partially mediated the relationship between workplace violence and work engagement, with the mediation effect accounting for 66.67% of the total effect.
Nurses exposed to workplace violence demonstrated decreased work engagement, while psychological resilience acted as a protective factor to mitigate the adverse impacts of workplace violence on work engagement. These findings provide a theoretical basis for interventions that equip nurses with resilience to combat workplace violence and improve work engagement.
本研究旨在调查工作场所暴力、心理韧性和工作投入的现状，并探讨心理韧性在中国护士工作场所暴力与工作投入关系中的潜在中介作用。
对临床注册护士的便利样本进行横断面调查。
从湖南中医药大学附属医院招募临床注册护士的便利样本。
共收到1725份问卷，其中1571份被视为有效，有效回复率为91.07%。最终样本包括1571名临床注册护士，平均年龄为31.65±7.16岁。
通过在线问卷收集数据，问卷包括一般信息表、工作场所暴力量表（WVS）、康纳-戴维森韧性量表（CD-RS）和乌得勒支工作投入量表（UWES）。使用IBM SPSS Statistics软件进行描述性分析、相关性分析和中介分析。
本次横断面调查招募了1571名临床注册护士的便利样本，他们在过去一年中遭遇了多种类型的工作场所暴力。Pearson相关性分析表明，工作场所暴力与工作投入之间呈负相关（r=-0.505，p<0.01），工作场所暴力与心理韧性之间也呈负相关（r=-0.523，p<0.01）。中介分析显示，心理韧性部分中介了工作场所暴力与工作投入之间的关系，中介效应占总效应的66.67%。
遭受工作场所暴力的护士工作投入降低，而心理韧性起到了保护作用，减轻了工作场所暴力对工作投入的不利影响。这些发现为干预措施提供了理论依据，这些干预措施旨在使护士具备应对工作场所暴力和提高工作投入的韧性。
