Workplace aggression as cause and effect: Emergency nurses’ experiences of working fatigued

Wolf, Lisa; Perhats, Cydne; Delao, Altair M.; Clark, Paul R.

doi:10.1016/j.ienj.2016.10.006

Cited by 62 publications

(46 citation statements)

References 24 publications

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“…Workplace violence was found to be a contributor to CFS (OR, 1.313; 95% CI, 1.204–1.431), which was in line with Wolf, Perhats, Delao, and Clark (). Lateral violence was both the cause and effect of mental and emotional fatigue (Wolf et al, ). Workplace violence was common and growing in medical institutions.…”

Section: Discussionsupporting

confidence: 81%

Associations of occupational stress, workplace violence, and organizational support on chronic fatigue syndrome among nurses

Shu

Huang

et al. 2020

Journal of Advanced Nursing

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Aims Chronic fatigue syndrome is an agnogenic disease worldwide. Nurses are at a high risk of chronic fatigue syndrome. However, no research has been done to examine the associations of workplace violence, organizational support, and occupational stress with chronic fatigue syndrome among Chinese nurses. This study aimed to examine effects of these factors on chronic fatigue syndrome in this occupational group. Design Cross‐sectional. All participants voluntarily completed a questionnaire survey. Methods The study was conducted in Liaoning province from December 2017–January 2018. Self‐administered questionnaires were distributed to 1,200 nurses, including Effort‐Reward‐Imbalance, Workplace Violence Scale, Survey of Perceived Organizational Support, together with age, gender, marital status, education levels, physical activities, job rank, monthly income, and weekly working hours. Complete responses were obtained from 1,080 (90%) participants. Chronic fatigue syndrome was diagnosed by doctors according to the Centers for Disease Control and Prevention criteria. Multivariable logistic regression was performed to examine these independent risk factors. Results The prevalence of chronic fatigue syndrome was 6.76%. The results of logistic regression analysis showed that nurses who experienced serious higher levels of overcommitment, workplace violence and less organizational support were more likely to be classified as chronic fatigue syndrome. Conclusion There was a high prevalence of chronic fatigue syndrome. Lower workplace violence, more organizational support and lower overcommitment could be effective resources for reducing chronic fatigue syndrome. Impact Workplace violence, organizational support, and occupational stress were related to chronic fatigue syndrome, which helped to explain why Chinese nurses suffered higher prevalence of chronic fatigue syndrome. Overcommitment explained chronic fatigue syndrome better than Effort/Reward Ratio, so intrinsic stress played a more critical role than extrinsic stress in chronic fatigue syndrome. Chinese nurses suffered serious sleep disorders and impairment of concentration and memory. These symptoms might also attribute to serious occupational stress, unsafe and unsupportive working environment. Creating a safe and supportive working environment, relieving intrinsic occupational stress should be considered as an institutional strategy to early prevent chronic fatigue syndrome.

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Section: Discussionsupporting

confidence: 81%

Associations of occupational stress, workplace violence, and organizational support on chronic fatigue syndrome among nurses

Shu

Huang

et al. 2020

Journal of Advanced Nursing

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“…Greater exposure to patient violence was also observed to be related to cynicism, lower job satisfaction and more emotional exhaustion (Waschgler, Ruiz‐Hernández, Llor‐Esteban, & García‐Izquierdo, ). Wolf, Perhats, Delao, and Clark () further reported workplace aggression having a negative effect on the personal lives of nurses and creating a toxic departmental culture. Why studying workplace aggression is still relevant is because de Looff, Nijman, Didden, and Embregts () have recently described staff reporting the highest level of stress management skills showing greater burnout symptoms than those with less stress alleviating internal resources.…”

Section: Introductionmentioning

confidence: 99%

Discriminating low‐, medium‐ and high‐burnout nurses: Role of organisational and patient‐related factors

et al. 2019

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Aim To discriminate low/medium/high burnout in nurses by work and patient‐related indicators and explore what factors characterize these categories best. Methods Cross‐sectional, online survey with a representative sample of nurses. Measures assessed burnout, intragroup conflict, job insecurity, overt aggression and impact of patient aggression on nurses. Results Top nurse managers experienced more burnout than middle managers or staff, middle managers also reported greater burnout than staff. Those who had never suffered aggression experienced greater burnout but less intragroup conflict and job insecurity. Staff differed on job insecurity from top and midlevel managers. The first discriminant function differentiated high burnout from medium and low; this function was characterized by exhaustion, aggression and intragroup conflict. The second function differentiated medium burnout from others; job insecurity, years worked, over aggression and overtime dominated this function. Conclusions Burnout affects managers and staff differently; top managers may be more susceptible to burnout than reported before. Low, medium and high burnout groups require tailored interventions because of their different characteristics. Implications for Nursing Management In the future, burnout assessment should focus on both organisational and care related factors. Determining levels of burnout will guide managers to improve the right aspects of practice and work environment.

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“…Although these clinical uncertainties and changes to working practice encountered by emergency nurses have been reported in the literature [11,12], little is known about the strategies that emergency nurses adopt in response to them amid an epidemic. Addressing such gaps might offer insights into the development of plans and interventions for promoting the preparedness and response of emergency nurses in prevailing EID events.…”

Section: Introductionmentioning

confidence: 99%

Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study

Lam

Kwong

Hung

et al. 2020

IJERPH

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Emergency nurses frequently encounter uncertainty and changes during the management of emerging infectious diseases, which challenge their capability to perform their duties in a well-planned and systematic manner. To date, little is known about the coping strategies adopted by emergency nurses in addressing uncertainty and changes during an epidemic event. The present study explored emergency nurses' behaviours and strategies in handling uncertainty and practice changes during an epidemic event. A qualitative study based on the Straussian grounded theory approach was established. Semi-structured, face-to-face, individual interviews were conducted with 26 emergency nurses for data collection. Adapting protocol to the evolving context of practice was revealed as the core category. Four interplaying subcategories were identified: (1) Completing a comprehensive assessment, (2) continuing education for emerging infectious disease management, (3) incorporating guideline updates and (4) navigating new duties and competencies. The nurses demonstrated the prudence to orientate themselves to an ambiguous work situation and displayed the ability to adapt and embrace changes in their practice and duties. These findings offer insights into the need for education and training schemes that allow emergency nurses to acquire and develop the necessary decision-making and problem-solving skills to handle a public health emergency.

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Workplace aggression as cause and effect: Emergency nurses’ experiences of working fatigued

Cited by 62 publications

References 24 publications

Associations of occupational stress, workplace violence, and organizational support on chronic fatigue syndrome among nurses

Associations of occupational stress, workplace violence, and organizational support on chronic fatigue syndrome among nurses

Discriminating low‐, medium‐ and high‐burnout nurses: Role of organisational and patient‐related factors

Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study

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