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Prevalence of Workplace Violence Against Chinese Nurses and Its Association with Mental Health: A Cross-sectional Survey

Published:November 06, 2017DOI:https://doi.org/10.1016/j.apnu.2017.11.009

      HIGHLIGHTS

      • In China, research on WPV has begun only recently. Therefore, the present study primarily focuses on the mental health of nurses, explored the prevalence of WPV in China’s hospitals, examined the influence of WPV on mental health of nurses, and attempted to provide empirical evidence for the negative effects of WPV in hospitals.
      • An interesting phenomenon was identified in the present study. We found that service years played a role in the relationship between WPV and anxiety. This greatly contributed to a better understanding of the association between WPV and mental health.
      • Our findings also proved that gender moderated the relationship between WPV and depression.
      • Strength is a big sample and the fact that this is the early study in China on this subject. This study can arouse public concerns regarding the need to pay more attention to the nurses’ suffering and to provide related strategies to tackle WPV.

      ABSTRACT

      OBJECTIVES

      The aim of this study to investigate the prevalence of workplace violence (WPV) in nurses in hospitals in China, and its influence on nurses' mental health.

      METHODS

      A cross-sectional, anonymous survey was conducted with 886 nurses (effective response rate: 87.46%) from Heilongjiang Province of China.

      RESULTS

      Findings revealed that 595 of the 886 participating nurses (67.2%) were exposed to different levels of WPV. Further, WPV was correlated positively with nurses' anxiety (r = 0.256, P < 0.01) and depression (r = 0.131, P < 0.01) levels. In addition, this survey demonstrated that service years (r = 0.263, P < 0.01) played a moderating role in the relationship between WPV and anxiety, and gender (r = 0.135, P < 0.01) played a moderating role in the association between WPV and depression.

      CONCLUSIONS

      WPV is an extensive problem in the work setting of nurses and it poses a major threat to Chinese nurses. Chinese nurses encounter hospital workplace violence frequently, and WPV has a considerably negative impact on the mental health and well-being of the nurses. It is critical to establish a more secure working environment for Chinese nursing staff to minimize the health threats caused by the negative outcomes associated with WPV, such as symptoms caused by anxiety and depression. This study also confirmed that new nurses and female nurses were more likely to be affected by WPV. Thus, addressing WPV should be one of the top concerns for both the government and the society.

      KEYWORDS

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      REFERENCES

        • Aivazi A.A.
        • Menati W.
        • Tavan H.
        • Navkhasi S.
        • Mehrdadi A.
        Patients' bill of rights and effective factors of workplace violence against female nurses on duty at Ilam teaching hospitals.
        Journal of Injury & Violence Research. 2017; 9: 1-6
        • Alexy E.M.
        • Hutchins J.A.
        Workplace violence: a primer for critical care nurses.
        Critical Care Nursing Clinics of North America. 2006; 18: 305-312
        • Anand S.
        • Bärnighausen T.
        Human resources and health outcomes: Cross-country econometric study.
        Lancet. 2004; 364: 1603-1609
        • Balci E.
        • Gün İ.
        • Şenol V.
        • Yağmur F.
        • Öksüzkaya A.
        Exposure to violence and occupational satisfaction of health personnal in a health group area.
        Taf Preventive Medicine Bullletin. 2011; 10: 13-18
        • Bossche S.v.d.
        • Taris T.
        • Houtman I.
        • Smulders P.
        • Kompier M.
        Workplace violence and the changing nature of work in Europe: Trends and risk groups.
        European Journal of Work and Organizational Psychology. 2013; 22: 588-600
        • Cai W.
        • Deng L.
        • Liu M.
        • Yu M.
        Antecedents of medical workplace violence in South China.
        Journal of Interpersonal Violence. 2010; 26: 312-327
        • Chen W.C.
        • Wang J.D.
        • Lew-Ting C.Y.
        • Chiu H.J.
        • Lin Y.P.
        Workplace violence on workers caring for long-term institutionalized schizophrenic patients in Taiwan.
        Journal of Occupational Health. 2007; 49: 311
        • Eid J.
        • Mearns K.
        • Larsson G.
        • Laberg J.C.
        • Johnsen B.H.
        Leadership, psychological capital and safety research: Conceptual issues and future research questions.
        Safety Science. 2012; 50: 55-61
        • Gerberich S.G.
        An epidemiological study of the magnitude and consequences of work related violence: The Minnesota Nurses' Study.
        Occupational and Environmental Medicine. 2004; 61: 495-503
        • Gerberich S.G.
        • Church T.R.
        • Mcgovern P.M.
        • Hansen H.E.
        • Nachreiner N.M.
        • Geisser M.S.
        • Watt G.D.
        An epidemiological study of the magnitude and consequences of work related violence: The Minnesota Nurses' Study.
        Occupational and Environmental Medicine. 2004; 61: 495
        • Hegney D.
        • Eley R.
        • Plank A.
        • Buikstra E.
        • Parker V.
        Workplace violence in Queensland, Australia: The results of a comparative study.
        International Journal of Nursing Practice. 2006; 12: 220-231
        • Henderson A.D.
        Nurses and workplace violence: nurses' experiences of verbal and physical abuse at work.
        Nursing Leadership. 2003; 16: 82-98
        • Hobfoll S.E.
        Conservation of resource caravans and engaged settings.
        Journal of Occupational and Organizational Psychology. 2011; 84: 116-122
        • Itzhaki M.
        • Peles-Bortz A.
        • Kostistky H.
        • Barnoy D.
        • Filshtinsky V.
        • Bluvstein I.
        Exposure of mental health nurses to violence associated with job stress, life satisfaction, staff resilience, and post-traumatic growth.
        International Journal of Mental Health Nursing. 2015; 24: 403-412
        • Jalil Eslamian S.H.H.F.
        • Tavakol K.
        • Yazdani M.
        The effect of anger management by nursing staff on violence rate against them in the emergency unit.
        Iranian Journal of Nursing & Midwifery Research. 2010; 15: 337-342
        • James L.R.
        • Brett J.M.
        Mediators, moderators, and test for mediation.
        Journal of Applied Psychology. 1984; 69: 307-321
        • Janssen O.
        • Lam C.K.
        • Huang X.
        Emotional exhaustion and job performance: The moderating roles of distributive justice and positive affect.
        Journal of Organizational Behavior. 2010; 31: 787-809
        • Jiao M.
        • Ning N.
        • Li Y.
        • Gao L.
        • Cui Y.
        • Sun H.
        • Hao Y.
        Workplace violence against nurses in Chinese hospitals: A cross-sectional survey.
        BMJ Open. 2015; 5e006719
        • Korr W.S.
        Workplace safety policies in mental health settings.
        Journal of Workplace Behavioral Health. 2008; 22: 29-47
        • Kwok R.P.
        • Law Y.K.
        • Li K.E.
        • Ng Y.C.
        • Cheung M.H.
        • Fung V.K.
        • Leung W.C.
        Prevalence of workplace violence against nurses in Hong Kong.
        Hong Kong Medical Journal. 2006; 12: 6-9
        • Lavoie-Tremblay M.
        • O'Brien-Pallas L.
        • Gélinas C.
        • Desforges N.
        • Marchionni C.
        Addressing the turnover issue among new nurses from a generational viewpoint.
        Journal of Nursing Management. 2008; 16: 724-733
        • Munoz A.E.
        • Pence M.E.
        Fortitude in the face of adversity: Resilience as a moderator of the developmental pathway from childhood exposure to violence to dating violence perpetration.
        Journal of Child & Adolescent Trauma. 2016; 9: 167-177
        • Najafi F.
        • Fallahi-Khoshknab M.
        • Ahmadi F.
        • Dalvandi A.
        • Rahgozar M.
        Human dignity and professional reputation under threat: Iranian Nurses' experiences of workplace violence.
        Nursing & Health Sciences. 2016; 19: 44-50
        • Paterson B.
        • Leadbetter D.
        • Miller G.
        • Bowie V.
        Re-framing the problem of workplace violence directed towards nurses in mental health services in the UK: A work in progress.
        International Journal of Social Psychiatry. 2009; 56: 310-320
        • Rosenfield S.
        • Mouzon D.
        Gender and mental health.
        Handbooks of Sociology & Social Research. 2013; 48: 277-296
        • Rosvall P.
        Gender-based generalisations in school nurses' appraisals of and interventions addressing students' mental health.
        BMC Health Services Research. 2016; 16: 1-8
        • Rudman L.A.
        • Moss-Racusin C.A.
        • Phelan J.E.
        • Nauts S.
        Status incongruity and backlash effects: Defending the gender hierarchy motivates prejudice against female leaders.
        Journal of Experimental Social Psychology. 2012; 48: 165-179
        • Schat A.C.H.
        • Kelloway E.K.
        Reducing the adverse consequences of workplace aggression and violence: The buffering effects of organizational support.
        Journal of Occupational Health Psychology. 2003; 8: 110-122
        • Scott L.D.
        • Hwang W.-T.
        • Rogers A.E.
        • Nysse T.
        • Dean G.E.
        • Dinges D.F.
        The relationship between nurse work schedules, sleep duration, and drowsy driving.
        Sleep. 2007; 30: 1801-1807
        • Shahzad A.
        • Malik R.K.
        Workplace violence: An extensive issue for nurses in Pakistan: A qualitative investigation.
        Journal of Interpersonal Violence. 2014; 29: 2021
        • Tao H.
        • Ellenbecker C.H.
        • Wang Y.
        • Li Y.
        Examining perception of job satisfaction and intention to leave among ICU nurses in China.
        International Journal of Nursing Sciences. 2015; 2: 140-148
        • Trossman S.
        Not ‘part of the job’. Nurses seek an end to workplace violence.
        The American Nurse. 2010; 42 (1, 6)
        • Wang Y.
        Primary modification of Chinese nurse job stressors questionnaire.
        Chinese Journal of Clinical Psychology. 2007; 15: 129-131
        • World Health Organization
        New research shows workplace violence threatens health services.
        14(3). 2002: 6-9
        • Wu S.
        • Zhu W.
        • Li H.
        • Lin S.
        • Chai W.
        • Wang X.
        Workplace violence and influencing factors among medical professionals in China.
        American Journal of Industrial Medicine. 2012; 55: 1000-1008
        • You L.M.
        • Aiken L.H.
        • Sloane D.M.
        • Liu K.
        • He G.P.
        • Hu Y.
        • Liu H.P.
        Hospital nursing, care quality, and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe.
        International Journal of Nursing Studies. 2013; 50: 154-161
        • Zeng J.Y.
        • An F.R.
        • Xiang Y.T.
        • Qi Y.K.
        • Ungvari G.S.
        • Newhouse R.
        • Ding Y.M.
        Frequency and risk factors of workplace violence on psychiatric nurses and its impact on their quality of life in China.
        Psychiatry Research. 2013; 210: 510-514
        • Zhao S.
        • He L.
        • Ma H.
        • Jiao M.
        • Ye L.
        • Hao Y.
        • Zheng K.
        Coping with workplace violence in healthcare settings: Social support and strategies.
        International Journal of Environmental Research and Public Health. 2015; 12: 14429-14444
        • Zung W.W.K.
        Zung self rating depression scale.
        Archives of General Psychiatry. 1965; 12: 63-70
        • Zung W.W.K.
        A rating instrument for anxiety disorders.
        Psychosomatics. 1971; 12: 371-379