Aims
This study aims to examine coronavirus disease 2019 (COVID‐19) pandemic‐related work factors for adverse effects on the mental health and whether organisational strategies attenuate these effects.
Background
COVID‐19 pandemic has led to increased work burden and mental health risks for nurses.
Methods
A total of 1499 Taiwanese full‐time nurses completed a web‐based questionnaire between July and December 2020. Pandemic‐related work conditions, namely, increased working hours, caring for COVID‐19 patients, occupational stigma and redeployment, were assessed. Organisational strategies to combat pandemic‐related work stressors including compensation to workers and adequate protection equipment were surveyed. Outcome measures were intention to leave, burnout and depression assessed using validated questionnaires.
Results
Redeployment, increased working hours and occupational stigma were associated with adverse mental health and intention to leave in logistic regression analysis. Caring for COVID‐19 patients was negatively associated with depression. Adequate compensation for workers modified the association between redeployment and burnout.
Conclusions
Pandemic‐related work conditions were associated with adverse mental health and intention to leave. Organisational strategies attenuated the adverse impact of the pandemic.
Implications for Nursing Management
Efforts to decrease stigma and organisational strategies including compensation for workers and adequate protection equipment provision should be adopted to improve nurses' health during a pandemic.
Aims
To examine the associations between different workplace violence sources and health outcome in nurses.
Background
Workplace violence is a major threat to nurses’ physical and mental health. Other workers in the health sector, patients and visitors can cause workplace violence. To effectively prevent workplace violence‐related health problems, the differential impact of internal and external violence needs to be explored.
Designs
A cross‐sectional survey of 1,690 fully employed female nurses.
Methods
A self‐administered questionnaire was used to record the nurses’ experiences of workplace violence, including types (physical, psychological, verbal and sexual) and sources (internal and external) of violence. Data on psychosocial work conditions including work shift, psychological job demands, job control and workplace justice, were also collected. The nurses’ health condition was measured using the 5‐item Brief Symptom Rating Scale and Self‐Rated Health Scale and multivariable logistic regression was used to examine the associations between workplace violence and health. The study was carried out in 2015–2016.
Results
Sixty percent of the internal workplace violence was psychological and verbal and adverse psychosocial work conditions were associated with workplace violence. After adjustment for demographic characteristics and psychosocial work conditions, internal workplace violence resulted in higher risks of poor self‐rated health and mental health than did external workplace violence, particularly in nurses who had experienced psychological and verbal violence.
Conclusion
Internal workplace violence in the form of psychological and verbal violence had a stronger effect on nurses’ health than did external workplace violence. Organization‐level measures should be implemented to prevent internal violence.
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