Tao Junjie, Wang Yuchuan, Chen Meng, Yan Zhenlong, Huang Ping
School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Department of Emergency, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
BMC Nurs. 2025 Jul 1;24(1):769. doi: 10.1186/s12912-025-03350-z.
Emergency nurses face exceptionally high rates of workplace violence, posing a significant threat to their perceived professional identity. While perceived organizational support and resilience are recognized as potential protective factors, the specific pathways particularly their chain mediating roles linking workplace violence to diminished perceived professional identity among this high-risk group remain inadequately explored and lack empirical validation within the Chinese healthcare context.
A convenience sample of 1,804 emergency nurses was recruited from 13 cities across Jiangsu Province, China, during January-March 2024. Participants completed: (1) A Sociodemographic Questionnaire, (2) Workplace Violence Scale, (3) Nurse Organizational Support Scale, (4) Medical Staff Resilience Scale, and (5) Nurse Professional Identity Scale. Structural equation modeling examined the chain mediation of perceived organizational support and resilience on the workplace violence and perceived professional identity among emergency nurses.
The results of correlation analysis showed that workplace violence was negatively correlated with perceived organizational support (r=-0.308, P < 0.01), resilience (r=-0.403, P < 0.01) and perceived professional identity (r=-0.454, P < 0.01); perceived organizational support was positively correlated to resilience (r = 0.706, P < 0.01) and perceived professional identity (r = 0.736, P < 0.01); and resilience was positively correlated with perceived professional identity (r = 0.783, P < 0.01). The total effect coefficient, direct effect coefficient, and indirect effect coefficient of workplace violence and perceived professional identity are "-0.493", "-0.067", and "-0.426", respectively; the indirect effect accounts for 86.41% of the total effect. Among the indirect effects, the specific mediating effects of perceived organizational support and resilience account for 21.50% and 21.10%, respectively, and the chain mediating effects of perceived organizational support and resilience account for 44.02%.
Workplace violence not only directly harms the perceived professional identity of emergency nurses but also indirectly affects it through the chain mediation of perceived organizational support and resilience. Nursing managers should establish a multi-level intervention system, including strengthening organizational support and enhancing nurses' resilience, to improve the perceived professional identity of emergency nurses.
Not applicable.
急诊护士面临着极高的工作场所暴力发生率，这对他们的职业认同感构成了重大威胁。虽然感知到的组织支持和心理韧性被认为是潜在的保护因素，但在中国医疗环境中，尤其是将工作场所暴力与该高危群体职业认同感降低联系起来的具体路径，特别是它们的链式中介作用，仍未得到充分探索且缺乏实证验证。
2024年1月至3月期间，从中国江苏省13个城市招募了1804名急诊护士作为便利样本。参与者完成了：（1）一份社会人口学问卷，（2）工作场所暴力量表，（3）护士组织支持量表，（4）医务人员心理韧性量表，以及（5）护士职业认同量表。结构方程模型检验了感知到的组织支持和心理韧性对急诊护士工作场所暴力和职业认同感的链式中介作用。
相关性分析结果显示，工作场所暴力与感知到的组织支持（r = -0.308，P < 0.01）、心理韧性（r = -0.403，P < 0.01）和职业认同感（r = -0.454，P < 0.01）呈负相关；感知到的组织支持与心理韧性（r = 0.706，P < 0.01）和职业认同感（r = 0.736，P < 0.01）呈正相关；心理韧性与职业认同感呈正相关（r = 0.783，P < 0.01）。工作场所暴力与职业认同感的总效应系数、直接效应系数和间接效应系数分别为“-0.493”、“-0.067”和“-0.426”；间接效应占总效应的86.41%。在间接效应中，感知到的组织支持和心理韧性的具体中介效应分别占21.50%和21.10%，感知到的组织支持和心理韧性的链式中介效应占44.02%。
工作场所暴力不仅直接损害急诊护士的职业认同感还通过感知到的组织支持和心理韧性的链式中介间接影响其职业认同感。护理管理者应建立多层次干预体系，包括加强组织支持和提高护士心理韧性，以提升急诊护士的职业认同感。
不适用。
