Workplace Violence and Turnover Intention Among Psychiatrists in a National Sample in China: The Mediating Effects of Mental Health

Chen, Yanhua; Wang, Peicheng; Zhao, Lingjuan; He, Yanrong; Chen, Nuoya; Liu, Huanzhong; Liu, Yuanli; Liu, Tingfang; Tang, Yi-Lang; Jiang, Feng; Zhu, Jiming

doi:10.3389/fpsyt.2022.855584

Cited by 12 publications

(17 citation statements)

References 59 publications

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“…The professional commitment of nurses refers to the positive attitude and behavior of nurses who identify with their major and are willing to make corresponding efforts, which reflects the status of nurses' identification, loyalty, and devotion to the nursing profession (15,16). The higher the professional commitment of nurses, the higher the job satisfaction (17,18), and the lower the work pressure (19) and turnover intention (20,21). Studies have confirmed that the level of professional commitment of nurses is affected by psychological WPV (22,23).…”

Section: Introductionmentioning

confidence: 98%

Psychological workplace violence and its influence on professional commitment among nursing interns in China: A multicenter cross-sectional study

Dong²,

Li³

et al. 2023

Front. Public Health

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BackgroundPsychological workplace violence (WPV) is the primary form of workplace violence suffered by nursing interns. Psychological WPV not only damages the physical and mental health of nursing interns, but also has a negative impact on their work quality and career choice.AimTo investigate the characteristics and types of psychological WPV suffered by nursing interns in China, analyze the influencing factors of psychological WPV among nursing interns, and explore the influence of psychological WPV on the professional commitment of nursing interns.MethodsThe subjects were 1,095 nursing interns from 14 medical colleges in Shandong Province. The data were collected electronically using the psychological WPV against nursing interns questionnaire and the professional commitment scale of nursing. The frequency and component ratio were used to describe the incidence and characteristics of psychological WPV. Binary logistic regression was used to analyze the influencing factors of psychological WPV, and linear regression investigated the influence of psychological WPV on the professional commitment of nursing interns.ResultsIn the study, 45.0% (n = 493) of nursing interns suffered at least one incidence of psychological WPV during clinical practice, mainly discrimination and verbal abuse. Patients and their relatives were the main perpetrators of psychological WPV. Discrimination and lack of trust were the two main reasons behind psychological WPV. Furthermore, 75.9% of psychological WPV incidents were not effectively reported. Logistic regression showed that clinical internship duration, place of family residence, and hospital level were the influencing factors of psychological WPV among nursing interns. Linear regression results showed that psychological WPV had a negative effect on nursing interns' professional commitment.ConclusionPsychological WPV against nursing interns is highly prevalent in China, negatively impacting their professional commitment. It is suggested that colleges should introduce courses for nursing interns to understand and cope with psychological WPV before entering clinical practice, and hospitals should establish a mechanism to prevent, cope with, report, and deal with psychological WPV to effectively reduce the incidence of psychological WPV against nursing interns, improve their ability to cope with psychological WPV, and enhance their professional commitment.

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Section: Introductionmentioning

confidence: 98%

Psychological workplace violence and its influence on professional commitment among nursing interns in China: A multicenter cross-sectional study

Dong²,

Li³

et al. 2023

Front. Public Health

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“…Numerous studies have consistently demonstrated the association between workplace violence and high turnover intention [30,31]. A study conducted with Chinese psychiatrists revealed that doctors who experience workplace violence exhibit greater intentions to leave their current position than do those who do not [32]. The incidence of workplace violence targeting healthcare professionals has surged during the COVID-19 pandemic [33,34].…”

Section: Introductionmentioning

confidence: 99%

The relationships between turnover intention and job satisfaction, workplace violence and perceived overqualification among general practitioners in Chongqing, China, during the COVID-19 epidemic

Zhou,

Chen,

Wang

et al. 2024

Preprint

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Background The shortage and turnover of general practitioners (GPs) have become significant global public health issues. The increased workload and psychological pressure experienced by GPs during the COVID-19 period may exacerbate their turnover intention. This study aimed to investigate the current status of turnover intention among GPs during the COVID-19 pandemic and its relationship with job satisfaction, workplace violence, and perceived overqualification. Methods A cross-sectional survey was conducted among GPs in Chongqing from March to April 2022. A total of 1885 GPs completed a questionnaire that covered demographic characteristics, turnover intention, job satisfaction, workplace violence, and perceived overqualification. Descriptive statistics, Pearson correlation analysis, and hierarchical linear regression analysis were performed using SPSS 25.0. Results Overall, 80.9% of the GPs had a medium or high level of turnover intention. Hierarchical linear regression analysis revealed several significant predictors of turnover intention, including negative predictors such as job satisfaction (β = -0.537), female sex (β = -0.043), age (β = -0.257), and within-staff status (permanent employment status) (β = -0.108). Positive predictors included workplace violence (β = 0.085), possession of a bachelor's degree (β = 0.073), middle (β = 0.068), senior professional title (β = 0.104), part-time management role (β = 0.061), and long working hours per week (β = 0.066). Perceived overqualification did not significantly predict turnover intention. Conclusion During the period of COVID-19 normalization, GPs in Chongqing demonstrated a significant tendency toward turnover. Mighting pressure, enhancing job satisfaction, and fostering a secure working environment can effectively reduce GPs' intention to leave. Health administrators should formulate corresponding policies to improve GP retention.

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“…In contrast, physical violence (PV) and verbal violence (VV) were the main classifications for WPV against medical staff. In recent years, studies have identified a higher prevalence of VV than PV among medical staff ( 32 , 33 ). Another study also supported that nurses were at higher risk of PV and doctors were at higher risk of VV ( 34 ).…”

Section: Introductionmentioning

confidence: 99%

Associations between work-related variables and workplace violence among Chinese medical staff: A comparison between physical and verbal violence

Sun

Zhang

2023

Front. Public Health

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BackgroundWorkplace violence (WPV) against medical staff has been an important public health and societal problem worldwide. Although numerous studies have implied the differences between physical violence (PV) and verbal violence (VV) against medical staff, few studies were conducted to analyze the different associations between work-related variables, PV, and VV, especially in China.MethodsA cross-sectional study was conducted among Chinese medical staff in public hospitals, and 3,426 medical staff were interviewed and analyzed. WPV, including PV and VV, were evaluated by the self-report of the medical staff. Work-related variables, physical disease, depression, and social-demographic variables were also measured. The work-related variables included types of medical staff, professional titles, hospital levels, managers, working years, job changing, working hours/week, night duty times/week, monthly income, self-reported working environment, and social position. Logistic regressions were conducted to examine the factors associated with PV and VV.ResultsA total of 489 medical staff (23.0%) reported the experience of PV and 1,744 (50.9%) reported the experience of VV. Several work-related variables were associated with PV and VV, including nurse (OR = 0.56 for PV, p < 0.01; OR = 0.76 for VV, p < 0.05), manager (OR = 1.86 for PV, p < 0.01; OR = 1.56 for VV, p < 0.001), night duty frequency/week (OR = 1.06 for PV, p < 0.01; OR = 1.03 for VV, p < 0.01), bad working environment (OR = 2.73 for PV, p < 0.001; OR = 3.52 for VV, p < 0.001), averaged working environment (OR = 1.51 for PV, p < 0.05; OR = 1.55 for VV, p < 0.001), and bad social position (OR = 4.21 for PV, p < 0.001; OR = 3.32 for VV, p < 0.001). Working years (OR = 1.02, p < 0.05), job changing (OR = 1.33, p < 0.05), and L2 income level (OR = 1.33, p < 0.01) were positively associated with VV, but the associations were not supported for PV (all p>0.05). The other associated factors were male gender (OR = 1.97 for PV, p < 0.001; OR = 1.28 for VV, p < 0.05) and depression (OR = 1.05 for PV, p < 0.001; OR = 1.04 for VV, p < 0.001).ConclusionBoth PV and VV were positively associated with work-related variables, such as doctor, manager, more night duty frequency, perceived bad working environment, or social position. Some variables were only associated with VV, such as working years, job changing, and monthly income. Some special strategies for the work-related variables should be applied for controlling PV and VV.

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Workplace Violence and Turnover Intention Among Psychiatrists in a National Sample in China: The Mediating Effects of Mental Health

Cited by 12 publications

References 59 publications

Psychological workplace violence and its influence on professional commitment among nursing interns in China: A multicenter cross-sectional study

Psychological workplace violence and its influence on professional commitment among nursing interns in China: A multicenter cross-sectional study

The relationships between turnover intention and job satisfaction, workplace violence and perceived overqualification among general practitioners in Chongqing, China, during the COVID-19 epidemic

Associations between work-related variables and workplace violence among Chinese medical staff: A comparison between physical and verbal violence

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