Effects of Emergency Nurses’ Experiences of Violence, Resilience, and Nursing Work Environment on Turnover Intention: A Cross-Sectional Survey

Park, Ji Eun; Song, Mi Ryeong

doi:10.1016/j.jen.2022.10.001

Cited by 9 publications

(7 citation statements)

References 21 publications

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“…The current study discovered that nurses' experiences of hospital violence was negatively correlated with resilience, and the mediator analysis showed that experiences of hospital violence had a negative effect on resilience and a direct effect of −.096 (−1.257, −0.096) (Table 4). The key element leading to separation is the association between experiences of hospital violence and resilience (Park & Song, 2023). However, this relationship was not studied.…”

Section: Discussionmentioning

confidence: 99%

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The impact of nurses' experiences of hospital violence on resilience: A mediated moderation model

Zheng,

Zhan,

et al. 2023

Journal of Clinical Nursing

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AimsThis study aims to investigate the impact of nurses' experiences of hospital violence on resilience, the mediating effect of trust in patients and the moderating effect of organizational trust.BackgroundDespite belonging to the central part of health care worldwide and being the leading provider of medical services, nurses are often subjected to hospital violence, which affects their physical and mental well‐being. Trust is a high‐order mechanism that encourages positive thinking and personal and professional development. However, research into the impact of trust on resilience concerning nurses' experiences of hospital violence is limited.MethodsThe participants were 2331 nurses working in general hospitals in China. A cross‐sectional survey was conducted, and data were collected via questionnaires from July to October 2022 and analysed using SPSS 25.0 and SPSS PROCESS 3.3 macros. This study was prepared and reported according to the STROBE checklist.ResultsMean trust in patients was 48.00 ± 10.86 (12–60), mean organizational trust was 56.19 ± 8.90 (13–65) and mean resilience was 78.63 ± 19.26 (0–100). Nurses' experience of hospital violence had a direct negative effect on resilience (β = −.096, p = .871), a significant adverse effect on trust in patients (β = −3.022, p < .001) and a significant positive effect on trust in patients on resilience (β = 1.464, p < .001). Trusting patients played a mediating role. The significant moderating effect of organizational trust between experience of hospital violence and trust in patients was moderated by a mediating effect index of −0.1867 (95% CI = [−0.3408, −0.0345]).ConclusionsNurses' experience of hospital violence exerted a negative effect on resilience, trust in patients had a fully mediated effect and organizational trust had a significant moderating influence in the pathway from nurses' experience of hospital violence to patients' trust‐mediated resilience.Implications for Nursing and Health PolicyThis study highlights the impact of nurses' experiences of hospital violence on resilience and explores the importance of trust from the nurses' perspective. Measures taken by managers to provide nurses with a safe, trusting and positive work environment can be highly beneficial in enhancing nurse resilience.

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Section: Discussionmentioning

confidence: 99%

“…The key element leading to separation is the association between experiences of hospital violence and resilience (Park & Song, 2023).…”

Section: Discussionmentioning

confidence: 99%

The impact of nurses' experiences of hospital violence on resilience: A mediated moderation model

Zheng,

Zhan,

et al. 2023

Journal of Clinical Nursing

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“…Previous research has demonstrated that some registered nurses exhibit remarkable resilience. Some nurses do not experience the same intensity of stress or express a high intention to leave their positions, even when exposed to stressful clinical environments [27,28]. This indicates that nurses with higher resilience may have lower turnover rates and intentions.…”

Section: The Mediating Role Of Resilience Between Oid and Turnover In...mentioning

confidence: 99%

Mediating effect of resilience and job embeddedness on the relationship between organisational identification and turnover intention among junior nurses: a cross-sectional study

Liu,

Li,

Zhou

et al. 2024

Preprint

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Background The role of junior nurses in healthcare services has been emphasised in China, where a high turnover rate among junior nurses has been observed. Junior nurses’ turnover intentions have garnered increasing attention in further research to determine the factors that keep them with their employers. This study aimed to investigate the relationship between Organisational Identification (OID), resilience, job embeddedness, and turnover intention among Chinese junior nurses based on social identity and conservation of resources (COR) theories. Methods This cross-sectional study comprising 602 junior nurses was conducted at four tertiary hospitals in Shandong Province, China, and the data were analysed using descriptive statistics, independent-sample t-tests, one-way Analysis of Variance (ANOVA), Spearman’s correlation analysis, regression analysis, and bootstrapping. Results Significant correlations were found between OID, resilience, job embeddedness, and turnover intention. Analysis of mediating effects revealed that OID predicted turnover intention through three indirect pathways: the mediating effect value of resilience was − 0.033 [Bootstrap 95% CI: -0.057, -0.010], accounting for 16.26% of the total effect; the mediating effect value of job embeddedness was − 0.080 [Bootstrap 95% CI: -0.114, -0.054], accounting for 39.41% of the total effect; and the chain mediating effect value of resilience and job embeddedness was − 0.036 [Bootstrap 95% CI: -0.051, -0.023], accounting for 17.73% of the total effect. Conclusions OID not only directly predicts turnover intention but also exerts indirect predictions through the separate and chain mediating effects of resilience and job embeddedness. OID can reduce junior nurses’ turnover intention by amplifying the accumulation of personal resources. Hospital administrators should incorporate OID, resilience, and job embeddedness into the routine psychological screening of junior nurses and implement essential comprehensive strategies aimed at enhancing OID, bolstering resilience, and promoting job embeddedness, to mitigate junior nurses’ turnover intentions.

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“…Research suggests that resilience is a significant protective factor that influences the retention of emergency nurses (Clark et al., 2021, 2022; Gorman, 2019). By increasing work engagement and improving satisfaction with the work environment, resilience can help reduce turnover rates (Clark et al., 2022; Park & Song, 2023). However, one study has found no evidence of resilience mediating the relationship between workplace violence and turnover intention (Li et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Although different measurement tools were used, studies reported moderate to upper levels of resilience in acute care nurses after exposure to workplace violence (Hsieh et al., 2016, 2017; Park & Song, 2023). This high level of resilience indicates that emergency nurses may use more spontaneous psychological strategies to cope with the stress caused by workplace violence, thereby affecting the development of psychological assistance in hospital institutions (Abu‐Alhaija & Gillespie, 2022).…”

Section: Introductionmentioning

confidence: 99%

Perceived organizational support, self‐efficacy and cognitive reappraisal on resilience in emergency nurses who sustained workplace violence: A mediation analysis

Huang,

Su,

Liao

et al. 2023

Journal of Advanced Nursing

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AimsThe aims of this study were as follows: (a) to examine the relationship between perceived organizational support and resilience; (b) to investigate the potential mediating role of general self‐efficacy and cognitive reappraisal among emergency nurses who have experienced workplace violence; and (c) to explore the application of Kumpfer's resilience framework to emergency department nurses.DesignA cross‐sectional study.MethodsFrom February 17, 2021, to March 8, 2021, 825 emergency nurses working in the emergency departments of tertiary hospitals in Shanghai, China, completed an online survey. Data on resilience, organizational support, cognitive reappraisal and general self‐efficacy were collected through questionnaires. The Spearman analysis was employed to investigate the relationship between variables, while the mediation analysis was conducted using AMOS 23.0 statistical software.ResultsThe findings of a study involving 825 emergency nurses who reported experiencing workplace violence reveal a positive correlation between perceived organizational support and resilience. Additionally, it has been observed that the relationship between these two factors is mediated by both cognitive reappraisal and general self‐efficacy. Furthermore, the mediating effect of cognitive reappraisal is more significant in this relationship.ConclusionKumpfer's resilience framework is found to apply to emergency nurses. Perceived organizational support, an environmental factor, affects resilience directly and positively. In addition, cognitive reappraisal and general self‐efficacy, which are individual factors, mediate this influence path. These findings suggest an interaction between environmental and individual factors in determining the resilience of emergency nurses.ImpactThese findings have implications for developing resilience intervention strategies for emergency nurses exposed to occupational violence. Enhancing personal attributes such as general self‐efficacy and cognitive reappraisal is as significant as strengthening external organizational support environments for enhancing nurses' resilience.Patient or Public ContributionEmergency nurses participated in the pilot test of our questionnaire survey and gave their opinions on the questionnaire design.Summary StatementWhat is already known about the topic? In emergency rooms, workplace violence is prevalent, and it seriously endangers nurses' physical and mental health. Enhancing resilience can improve nurses' ability to self‐regulate after experiencing violence. However, the drivers and mechanisms of resilience among emergency nurses who have experienced workplace violence remain unidentified.What this paper adds? This study confirms the applicability of Kumpfer's resilience framework to emergency nurses who have experienced workplace violence. Nurses' self‐efficacy and cognitive reappraisal mediate the relationship between perceived organizational support and resilience after exposure to workplace violence. The resilience process for emergency nurses involves the interaction of individual and environmental factors.Implications for practice/policy. Managers and researchers should consider the interaction between individual and environmental factors when developing resilience intervention strategies for emergency nurses who have suffered workplace violence. It is essential to support emergency nurses from the dyadic dimensions of the environment and the individual. A supportive organizational environment and individual positive adjustment strategies are equally important in promoting resilience among nurses.

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Effects of Emergency Nurses’ Experiences of Violence, Resilience, and Nursing Work Environment on Turnover Intention: A Cross-Sectional Survey

Cited by 9 publications

References 21 publications

The impact of nurses' experiences of hospital violence on resilience: A mediated moderation model

The impact of nurses' experiences of hospital violence on resilience: A mediated moderation model

Mediating effect of resilience and job embeddedness on the relationship between organisational identification and turnover intention among junior nurses: a cross-sectional study

Perceived organizational support, self‐efficacy and cognitive reappraisal on resilience in emergency nurses who sustained workplace violence: A mediation analysis

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