ED nurses taking care of MERS-CoV-infected patients should be aware that burnout is higher for nurses in their divisions than nurses in other hospital departments and that job stress is the biggest influential factor of burnout. To be ready for the outbreak of emerging contagious diseases such as MERS-CoV, efforts and preparations should be made to reduce burnout. Job stress should be managed and resolved. Working conditions for mitigating job stress and systematic stress management programs should be provided, and hospital resources for the treatment of MERS-CoV need to be reinforced. Moreover, promoting support from family and friends is required.
Similar to other emerging infectious diseases, Middle East respiratory syndrome outbreaks may occur in other countries. The results of this study can be used to develop and apply efficient and feasible Middle East respiratory syndrome education programmes for nursing students during Middle East respiratory syndrome outbreaks.
Through this study, we obtained information on emergency nurses' ethical problems during the Middle East respiratory syndrome-coronavirus outbreak and identified the factors that influence them. As found in this study, nurses' ethical problems were influenced most by cognitions of social stigmatization. Accordingly, to support nurses confidently care for people during future health disasters, it is most urgent to promote appropriate public consciousness that encourages healthcare workers.
Preventive behavior against emerging infectious diseases such as MERS-CoV was found to be affected most significantly by attitude and risk perception. It is crucial to provide nursing students with information or knowledge, but it is also important to help those in nursing education recognize that active preventive behavior can prevent this infectious disease and stop its spread.
Aims
The purpose of this study was to investigate the effect of workplace cyberbullying on nurses' symptom experience and turnover intention.
Background
While face‐to‐face workplace bullying occurs frequently in nursing organisations, workplace cyberbullying has rarely been studied.
Method
This is a cross‐sectional descriptive study using self‐reporting surveys of 249 nurses from 20 hospitals.
Results
The prevalence of workplace cyberbullying was 8%, and the mean was 1.11 ± 0.31. Factors influencing symptom experience were workplace cyberbullying and perceived organisational support, while factors influencing turnover intention were workplace cyberbullying, perceived organisational support and educational level.
Conclusions
Workplace cyberbullying and perceived organisational support are factors that significantly influenced both symptom experience and turnover intention in nurses working in hospital settings. Managing workplace cyberbullying can reduce the negative effects on nurses' symptom experience and turnover intention. This suggests that the management of workplace cyberbullying by a nursing organisation is essential.
Implications for Nursing Management
Nursing managers need to focus on the control and prevention of workplace cyberbullying as well as traditional forms of bullying. Managing workplace cyberbullying can reduce negative effects on nurses' symptom experience. Interest in and prevention of workplace cyberbullying would decrease turnover intention and stabilize the nursing organisation and the workforce.
A Middle East respiratory coronavirus (MERS-CoV) outbreak occurred in Korea between June 20 and July 28, 2015. A total of 186 patients were confirmed as being infected with MERS-CoV, 36 of whom died. Infection control nurses referred to hospital guidelines to address the screening and isolation needs of patients and instigated a variety of infection control activities to prevent MERS-CoV transmission at the frontlines of patient care. Their concerted effort is believed to have been instrumental in ending the outbreak.
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