Workplace violence against nursing interns and patient safety: The multiple mediation effect of professional identity and professional burnout

Abstract

Background: Most nursing interns indicated they had experienced some form of workplace violence on clinical placement, which could be linked to higher adverse events. Prior researches have examined the effects of workplace violence on patient safety, but there have been very few explorations of whether workplace violence affects patient safety through professional identity and burnout among nursing interns.The purpose of this study is to test whether professional identity and professional burnout play mediating roles in the relationship of workplace violence and patient safety among nursing interns. Methods: Our study used a cross-sectional design. The study consisted of 466 nursing interns from three tertiary grade A hospitals in Shandong Province, China. The Chinese version of the Workplace Violence Scale, the Professional Identity Scale, the Chinese version of the Maslach Burnout Inventory-General Survey, the Patient Safety Behavior Scale were used to gather data. Descriptive analysis, t tests, analysis of variance, Pearson correlation, the serial multiple mediation analysis were used to analyze data.Results: Workplace violence, professional identity, professional burnout and patient safety were significantly correlated (p < 0.01). Workplace violence can not only have a direct positive impact on patient safety of the nursing interns (effect=-0.3280;SE=0.1492;95%CI: LL=-0.6212, UL=-0.0347), but also have an indirect impact on the patient safety through three paths: the independent mediating role of professional identity (effect=-0.3070;SE=0.1282;95%CI: LL=-0.6495, UL=-0.1399), the independent mediating role of professional burnout(effect=-0.1151;SE=0.

More exposure to medical injury news, better doctor-patient communication, but less doctors' professional identity: A moderated chain mediation model

“…Exposure to news of medical malignant injury events may increase medical staff 's perception of workplace violence. And the perception of workplace violence has then been found to be negatively related to medical staff 's professional identity (19) and be positively correlated with their professional burnout (20). Moreover, an investigation has found that violence against doctors leads to a 0.6% decrease in the number of students enrolled in medicine-related majors, and the violence-related news reduces the quality of medical students too (21).…”

Assessment of Cynicism and Burnout Syndrome Among Nurses; A Descriptive Study

“…Burnout and job stress directly influence the quality of care nurses provide (15). Burnout syndrome has profound effects on the mental health status of healthcare workers, affecting cognitive, behavioral, and psychomotor function, which can lead to medical errors and treatment failure (16).…”

“…Cynicism can lead to decreased enthusiasm for patient care and reduced satisfaction in the nursing profession (17). It is associated with lower patient safety and more adverse events (16). Workplace violence, which is often associated with cynicism, has a direct impact on burnout and patient safety (16).…”

“…It is associated with lower patient safety and more adverse events (16). Workplace violence, which is often associated with cynicism, has a direct impact on burnout and patient safety (16). Nurse-reported workplace violence is associated with higher incidences of burnout, lower patient safety, and more adverse events (16).…”