Purpose The purpose of this study was to investigate the moderating role of positive psychological capital on the effects of clinical nurses' responses to violence on burnout and to provide basic date for an intervention program that reduces nurse burnout. Methods The participants in this study were 172 nurses recruited through convenience sampling at one general hospital in Seoul. Data were collected from June 5 to 10, 2023 using structured questionnaires. The collected data were analyzed using SPSS/WIN 26.0. Results Burnout was positively correlated with violence responses and negatively correlated with positive psychological capital among clinical nurses. Verbal violence experience (β=.14, p=.014), job satisfaction (β=.31, p<.001), social violence response (β=.15, p=.035) and positive psychological capital (β=-.39, p<.001) were identified as factors significantly influencing clinical nurses' burnout. The interaction term between social violence response and positive psychological capital significantly influenced burnout (β=.18, p=.044). Conclusion Social violence response affected burnout among clinical nurses, and positive psychological capital was identified as a moderating factor in burnout. Therefore, hospital and nursing organizational efforts such as fostering an appropriate organizational atmosphere, providing social support that encourages trust and creativity among organizational members, and implementing various educational and mentoring programs are required to reduce nurses' social violence response and enhance positive psychological capital.
Purpose The purpose of this study was to provide the fundamental data for improving working environments for operating room nurses as well as the quality of surgical nursing. Methods Study participants were 95 operating room nurses with at least three months of work experience in general and tertiary hospitals in S and G provinces. Data were collected from October 2021 to November 2021 using a structured questionnaire. Results: Factors affecting the participants’ burnout were verbal violence (β=.23, p=.007), the self-perceived health status “not healthy” (β=.21, p=.009), and job satisfaction: “dissatisfied” (β=.34, p<.001) and “moderate” (β=.44, p<.001). Work-oriented nursing organizational culture (β=.26, p=.007) had a moderating effect on the relationship between verbal violence and burnout. Conclusion The results indicated that the verbal violence experienced by the participants affected their burnout, and work-oriented nursing organizational culture acted as a moderating variable.Therefore, a hospital’s organizational efforts to reduce verbal violence in the operating room and develop a well-balanced nursing organizational culture must be aimed at lowering nurse burnout.
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Purpose Workplace violence affects workplace performance. Bystanders’ role in social violence affects the consequences of violence. The purpose of current study was to explore the influences of workplace violence and bystander type on handover error of nurses caring for adult patients.
Methods: A cross-sectional survey design was conducted using a structured questionnaire pertaining to teamwork, workplace violence, bystander type and handover error. This study involved adult patients nurses working in a tertiary university hospital having over 1,100 beds, located in a city. The questionnaire was administered to 193 bedside nurses at September 2019.
Results: Nurses’ handover error was significantly correlated with overall workplace violence (p<.001), teamwork (p<.001), and all three bystander types; facilitating (p<.001), abdicating (p<.001) and defending (p<.001). A hierarchical multiple regression model with career, teamwork, workplace violence and bystander type explained 27.0% of nurses’ handover error (F=13.55, p<.001). Among input variables, positive bystander type-defender (β=-.20, p=.005) was the most powerful influential factors on nurses’ handover error. Negative bystander types - facilitating, abdicating bystander (β=.18, p=.025) workplace violence (β=.18, p=.015), and teamwork (β=-.15, p=.026) influenced nurses’ handover error, also.
Conclusion: Bystanders is more than simple witnesses or observers. In this study, a positive bystander reduced the handover error in the clinical area, while a negative bystander exacerbated the handover error. Therefore, it is necessary to educate hospital nurses regarding positive bystanders and it’s importance for handover error and develop strategies to reduce nurse handover error.
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PURPOSE The purpose of this study was to investigate resiliency and its mediating effect on the association between violence experience and violence response among nurses in intensive care units (ICU) and emergency departments (ED). METHODS Nurses working in ICU and ED were recruited from five hospitals in Busan city. Data were collected from 1st July to 31st August 2016 using structured questionnaires about violence experiences of nurses in the last three months and nurses' resilience including Korean Version of the Assault Response Questionnaire (ARQ-K). Data from 195 nurses were analyzed using the SPSS/WIN 21.0 program. Baron & Kenny's 3-step hierarchical regression analysis was used to test the mediating effect of resilience on the relationship between violence experience and violence response. RESULTS A positive correlational relationship between nurses' violence experience and violence response was significant (r=.37, p < .001). Negative correlational relationships were found between nurses' violence experience and resilience (r=−.19, p=.008) and between resilence and violence response (r=−.38, p < .001). This study found a partial mediating effect of resilience on the association between violence experience and violence response (z=2.49, p=.013). CONCLUSION There is a need to develop a variety of intervention programs that can improve resilience in reducing violence response of nurses.
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PURPOSE Clinical nurses are at high risk of incurring hospital violence during their working life. Hospital violence and its outcomes have an impact on the job satisfaction, the recruitment and retention of nurses as well as the quality of care delivered to patients. The purpose of this study was to identify coping styles toward hospital violence in clinical nurses using Q-methodology. METHODS Q-methodology, which analyzes the subjectivity of each type of attitude, and coping styles was used. The 40 selected Q-statements from each of 35 participants were classified into the shape of a normal distribution using a 9-point scale. The collected data were analyzed using the pc-QUANAL program. RESULTS The results revealed four discrete groups of clinical nurses toward hospital violence: take strong action and promote the recurrence prevention, appear psychosomatic symptoms, investigate the cause and focus on prevention, and request hospital assistance and keep up my duty. CONCLUSION The findings indicate that development of nursing intervention program based on the four types could beneficially contribute to the violence prevention in hospital.
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