Effect of Workplace Violence on Turnover Intention: The Mediating Roles of Job Control, Psychological Demands, and Social Support

Abstract

Exposing nursing staff to workplace violence workplace violence (WV) affects their psychological, emotional, and physical health; engenders increased workload; affects the medical reciprocity between nurses and patients; and ultimately leads to staff turnover intention. To preventing WV, development of intervention strategies and WV prevention measures are crucial. This study discusses the mediating effect of job control, psychological needs, and social support on WV and turnover intention. Through this discussion, this study aims to aid medical institutions in reducing their nursing staff turnover rate and to provide a reference for hospital management and decision making. A cross-sectional research method was adopted and conducted quantitative research to prove the complexity of the relationship between WV and turnover intention. Participants comprised clinical nurses working in 2 regional teaching hospital in central Taiwan. A total of 268 questionnaires were distributed, and 213 completed questionnaires were returned. Of the returned questionnaires, 198 contained valid responses, yielding a response rate of 73.9%. Our results demonstrated the mechanisms through which psychological demands and social support mediate the relationship between WV and turnover intention. This study determined the mediating effects of psychological demands and social support. The results expand the findings of previous research and demonstrate the complexity of the relationship between WV and turnover intention. Hospitals should formulate effective mechanisms for preventing and addressing incidents of WV, improve their ability to address and regulate violent incidents in clinics, reduce the psychological pressure exerted on employees, and establish communication channels for social support.

Moderated Mediation Analysis of Work-Related Fatigue, Job Dissatisfaction and Burnout on Workplace Violence in Hospital Nurses

“…Our findings suggested that WPV might be a long-lasting or cumulative stressor rather than a brief, extreme exhaustion experience. Compared to our findings, Yeh's study [35] in Taiwan examined the mediating roles of job control, psychological demands, and social support for the relationship between WPV and turnover intention using a structural equation model. The results indicated nurse-experiencing WPV were significantly associated with turnover intention.…”

Prevalence and determinants of workplace violence among nurses in the South‐East Asian and Western Pacific Regions: a systematic review and meta‐analysis

“…It is very important to point out that the relationship between WPV and stress; violence causes stress and social isolation and stress, in turn, makes workers more exposed to violence than those who are not distressed (Magnavita, 2014;Magnavita et al, 2020). Notably, job dissatisfaction compromised poor quality of care, and higher turnover intention among nurses was reported in a good number of included studies in this review (Alexander & Fraser, 2004;Chang & Cho, 2016;Fujishiro et al, 2011;Han et al, 2017;Kobayashi et al, 2020;Suhaila & Rampal, 2012;Tang et al, 2007;Thu Hien et al, 2019;Yang et al, 2018;Yeh et al, 2020). Therefore, this demands that key steps be taken to set up policy and strategies for safety at work and aggression management training to save nurses against various types of WPV.…”

“…The professional sphere was also affected in terms of compromised nursing quality, work‐related injury, missed work, poor job morale and reduced work effectiveness (Fujishiro et al, 2011; Tang et al, 2007; Thu Hien et al, 2019). Notably, multiple papers have reported turnover intention among nurses (Alexander & Fraser, 2004; Chang & Cho, 2016; Han et al, 2017; Kobayashi et al, 2020; Suhaila & Rampal, 2012; Thu Hien et al, 2019; Yang et al, 2018; Yeh et al, 2020).…”

“…Younger nurses who were less than thirty years (Jiao et al, 2015; Md. Kawsar Alam MSN, etal., 2019; Pandey et al, 2018; Pich & Roche, 2020; Yeh et al, 2020; Yokoyama et al, 2016), those with fewer years of experience (Kobayashi et al, 2020; Md. Kawsar Alam MSN et al, 2019; Pandey et al, 2018; Shi et al, 2017b; Suhaila & Rampal, 2012) more educated (Chang & Cho, 2016) and those with experience of sexual assault or verbal abuse in the past (Shiao et al, 2010) reported a higher rate of WPV.…”

“…Notably, multiple papers have reported turnover intention among nurses (Alexander & Fraser, 2004;Chang & Cho, 2016;Han et al, 2017;Kobayashi et al, 2020;Suhaila & Rampal, 2012;Thu Hien et al, 2019;Yang et al, 2018;Yeh et al, 2020).…”