Koinis Aristotelis, Papathanasiou Ioanna V, Moisoglou Ioannis, Kouroutzis Ioannis, Tzenetidis Vasileios, Anagnostopoulou Dimitra, Sarafis Pavlos, Malliarou Maria
Laboratory of Education and Research of Trauma Care and Patient Safety, Department of Nursing, University of Thessaly, Gaiopolis Campus, Larissa-Trikala Ring-Road, 415 00 Larissa, Greece.
Department of Nursing, University of Thessaly, Gaiopolis Campus, Larissa-Trikala Ring-Road, 415 00 Larissa, Greece.
Healthcare (Basel). 2025 Aug 5;13(15):1908. doi: 10.3390/healthcare13151908.
Moral harassment (mobbing) in healthcare, particularly among nurses, remains a persistent issue with detrimental effects on mental health, resilience, and quality of life.
We examine the relationship between the resilience of nurses working in Emergency Departments (EDs) and how these factors influence experiences of workplace mobbing.
This cross-sectional study included 90 nurses from four public hospitals in Greece's 5th Health District. Data were collected between October 2023 and March 2024 using the WHOQOL-BREF, Workplace Psychologically Violent Behaviors (WPVB) scale and the Connor-Davidson Resilience Scale (CD-RISC). The sample consisted primarily of full-time nurses (84.3% female; mean age = 43.1 years), with 21.1% reporting chronic conditions. Most participants were married (80.0%) and had children (74.4%), typically two (56.1%). Statistical analyses-conducted using SPSS version 27.0-included descriptive statistics, Pearson and Spearman correlations, multiple linear regression, and mediation analysis, with significance set at < 0.05.
Resilience was moderate (mean = 66.38%; Cronbach's α = 0.93) and positively correlated with all WHOQOL-BREF domains-physical, psychological, social, and environmental (r = 0.30-0.40)-but not with the overall WHOQOL-BREF. The mean overall WHOQOL-BREF score was 68.4%, with the lowest scores observed in the environmental domain (mean = 53.76%). Workplace mobbing levels were low to moderate (mean WPVB score = 17.87), with subscale reliabilities ranging from α = 0.78 to 0.95. Mobbing was negatively associated with social relationships and the environmental WHOQOL-BREF (ρ = -0.23 to -0.33). Regression analysis showed that cohabitation and higher resilience significantly predicted better WHOQOL-BREF outcomes, whereas mobbing was not a significant predictor. Mediation analysis (bootstrap N = 5000) indicated no significant indirect effect of resilience in the relationship between mobbing and WHOQOL-BREF.
Resilience was identified as a key protective factor for nurses' quality of life in emergency care settings. Although workplace mobbing was present at low-to-moderate levels, it was negatively associated with specific WHOQOL-BREF domains. Enhancing mental resilience among nurses may serve as a valuable strategy to mitigate the psychological effects of moral harassment in healthcare environments.
医疗保健领域的道德骚扰（职场暴力），尤其是在护士群体中，仍然是一个长期存在的问题，对心理健康、适应力和生活质量产生不利影响。
我们研究急诊科护士的适应力与这些因素如何影响职场骚扰经历之间的关系。
这项横断面研究纳入了希腊第5个卫生区4家公立医院的90名护士。在2023年10月至2024年3月期间，使用世界卫生组织生活质量简表（WHOQOL-BREF）、职场心理暴力行为（WPVB）量表和康纳-戴维森适应力量表（CD-RISC）收集数据。样本主要由全职护士组成（84.3%为女性；平均年龄 = 43.1岁），21.1%报告患有慢性病。大多数参与者已婚（80.0%）并有子女（74.4%），通常为两个孩子（56.1%）。使用SPSS 27.0版进行的统计分析包括描述性统计、Pearson和Spearman相关性分析、多元线性回归分析和中介分析，显著性设定为<0.05。
适应力处于中等水平（均值 = 66.38%；Cronbach's α = 0.93），与WHOQOL-BREF的所有领域——身体、心理、社会和环境领域——呈正相关（r = 0.30 - 0.40），但与WHOQOL-BREF总体得分无关。WHOQOL-BREF总体平均得分为68.4%，环境领域得分最低（均值 = 53.76%）。职场骚扰水平为低到中等（WPVB量表平均得分 = 17.87），子量表信度范围为α = 0.78至0.95。骚扰与社会关系和WHOQOL-BREF环境领域呈负相关（ρ = -0.23至-0.33）。回归分析表明，同居和较高的适应力显著预测了更好的WHOQOL-BREF结果，而骚扰不是一个显著预测因素。中介分析（自助法N = 5000）表明，适应力在骚扰与WHOQOL-BREF之间的关系中没有显著的间接效应。
适应力被确定为急诊护理环境中护士生活质量的关键保护因素。尽管职场骚扰处于低到中等水平，但它与WHOQOL-BREF的特定领域呈负相关。增强护士的心理适应力可能是减轻医疗保健环境中道德骚扰心理影响的一项有价值的策略。
