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"Violence"

Original Articles
Effects of Clinical Nurses' Responses to Violence on Burnout: The Moderating Role of Positive Psychological Capital
Haejun Choi, Sujin Shin, Seungji Kim, Sungran Kim
Korean J Adult Nurs 2023;35(4):406-417.   Published online November 30, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.4.406
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.
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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.

Citations

Citations to this article as recorded by  
  • The Effects of Grit, Emergency Nursing Competency, and Positive Nursing Organisational Culture on Burnout Among Nurses in the Emergency Department
    Su-Young Moon, Hyung-Ran Park
    Behavioral Sciences.2025; 15(4): 486.     CrossRef
  • Effects of Verbal Abuse Experience and Communication Competence on Burnout among Operating Room Nurses
    Yesol Byon, Yoon Goo Noh
    Journal of Health Informatics and Statistics.2024; 49(2): 117.     CrossRef
  • Predictive modeling of burnout based on organizational culture perceptions among health systems employees: a comparative study using correlation, decision tree, and Bayesian analyses
    Teray Johnson, Sameh Shamroukh
    Scientific Reports.2024;[Epub]     CrossRef
  • The relationship between occupational burnout and moral courage in operating room personnel: A cross-sectional study
    Mahla Zakeriafshar, Camellia Torabizadeh, Zahra Jamshidi
    Perioperative Care and Operating Room Management.2023; 32: 100339.     CrossRef
  • Effects of Clinical Nurses' Responses to Violence on Burnout: The Moderating Role of Positive Psychological Capital
    Haejun Choi, Sujin Shin, Seungji Kim, Sungran Kim
    Korean Journal of Adult Nursing.2023; 35(4): 406.     CrossRef
  • 47 View
  • 1 Download
  • 5 Crossref
  • 4 Scopus
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.

Citations

Citations to this article as recorded by  
  • Influence of Workplace Bullying and Bystander Types on Speaking Up for Patient Safety Among Hospital Nurses: A Cross‐Sectional Study
    Sunghee Park, Kyoungja Kim, Sinhye Kim, Cheryl B. Jones
    Journal of Advanced Nursing.2025;[Epub]     CrossRef
  • Development of nursing handoff competency scale: a methodological study
    Jiyoung Do, Sujin Shin
    BMC Nursing.2024;[Epub]     CrossRef
  • Exploring Bystander Behavior Types as a Determinant of Workplace Violence in Nursing Organizations Focusing on Nurse‐To‐Nurse Bullying: A Qualitative Focus Group Study
    Kyoungja Kim, Scott Seung Woo Choi, Cheongin Im, Jacopo Fiorini
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • Effects of Communication Skills and Organisational Communication Satisfaction on Self-Efficacy for Handoffs among Nurses in South Korea
    Yongmi Lee, Hyekyoung Kim, Younjae Oh
    Healthcare.2023; 11(24): 3125.     CrossRef
  • Influences of Workplace Violence on Depression among Nurses: The Mediating Effect of Social Support
    Eun-Mi Seol, Soohyun Nam
    STRESS.2021; 29(1): 37.     CrossRef
  • 81 View
  • 2 Download
  • 5 Crossref
Mediating Effect of Resilience on the Association between Violence Experience and Violence Response among Nurses
Cheol Jeong, Eun Nam Lee
Korean J Adult Nurs 2018;30(1):41-48.   Published online February 28, 2018
DOI: https://doi.org/10.7475/kjan.2018.30.1.41
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.

Citations

Citations to this article as recorded by  
  • Violence against healthcare professionals in intensive care units: a systematic review and meta-analysis of frequency, risk factors, interventions, and preventive measures
    Sebastian Berger, Pascale Grzonka, Anja I. Frei, Sabina Hunziker, Sira M. Baumann, Simon A. Amacher, Caroline E. Gebhard, Raoul Sutter
    Critical Care.2024;[Epub]     CrossRef
  • Effects of a Remote Videoconferencing-based Expressive Writing Program on Posttraumatic Stress, Resilience, and Post-traumatic Growth among Traumatized Nurses
    Nam Hee Chae, Ji Young Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 152.     CrossRef
  • Hemşirelerin İş Yerinde Yaşadıkları Psikolojik Şiddet ile Psikolojik Sağlamlılıkları Arasındaki İlişki
    Fatma GÜNDOGDU, Aybüke ULAŞ, Ecem TAŞ, Vildan ÇARDAK, İrem Yaren ŞANDIR, Muhammed DURMAZ, Mehmet Salim ECER
    Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi.2023; 6(3): 608.     CrossRef
  • Relationships between Violence Experience, Resilience, and the Nursing Performance of Emergency Room Nurses in South Korea
    Sarang Kim, Minkyung Gu, Sohyune Sok
    International Journal of Environmental Research and Public Health.2022; 19(5): 2617.     CrossRef
  • Experience of Violence and Factors Influencing Response to Violence Among Emergency Nurses in South Korea: Perspectives on Stress-Coping Theory
    Seung-Yi Choi, Hyunlye Kim, Kwang-Hi Park
    Journal of Emergency Nursing.2022; 48(1): 74.     CrossRef
  • Verbal violence and turnover intention among new nurses in Korea: A time‐lagged survey
    Ae Kyung Chang, Ah Young Kim
    Journal of Nursing Management.2022; 30(6): 1823.     CrossRef
  • Factors Affecting on Turnover Intentions of Emergency Department Nurses who have Experienced Verbal Abuse
    Gyoo-Yeong CHO, Mi-Kyung SEO
    JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(2): 314.     CrossRef
  • Influence of Resilience and Workplace Bullying on Depression of Hospital Nurses
    Suniy Jeon, Moonhee Gang
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(1): 43.     CrossRef
  • Mediating Effect of Resilience on the Relationship between Psychological Stress and Burnout among Workers with Violence Experiences in Community Mental Health Welfare Center
    Su Young Kim, Mi Kyung Yun, Myung Sun Hyun
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2020; 29(4): 347.     CrossRef
  • Effects of Hospital-Based Violence-Prevention and Coping Programs on Nurses' Violence Experience, Violence Responses, Self-Efficacy, and Organizational Commitment
    Yu Jeong Yang, Jeong-Hee Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(5): 550.     CrossRef
  • Relationship of Workplace Violence to Turnover Intention in Hospital Nurses: Resilience as a Mediator
    Hyun-Jung Kang, Jaeyong Shin, Eun-Hyun Lee
    Journal of Korean Academy of Nursing.2020; 50(5): 728.     CrossRef
  • 52 View
  • 1 Download
  • 11 Crossref
  • 9 Scopus
Experience of Workplace Violence among Intensive Care Unit Nurses
Yoon Young Hwang, Youngrye Park, Sunghee Park
Korean J Adult Nurs 2015;27(5):548-558.   Published online October 31, 2015
DOI: https://doi.org/10.7475/kjan.2015.27.5.548
PURPOSE
The purpose of this study was to explore the experience of workplace violence among intensive care unit nurses.
METHODS
The participants of this research were twelve registered nurses who work in the intensive care units (ICU) at the hospitals in Seoul and Gyunggido. Data were collected by individual in-depth interviews and analyzed using the phenomenological methodology by Colaizzi.
RESULTS
From significant statements, five theme clusters emerged as follow; 1) vulnerable young women to violence, 2) my own reflection was bruised and exhausted, 3) a hopeless everyday, 4) seeking a solution in relation, 5) establishing one's status as a professional nurse.
CONCLUSION
This study provides a profound understanding on the experiences of workplace violence among ICU nurses. The hospitals are suggested to provide a safe environment by developing programs and policies to prevent and cope with hospital workplace violence for ICU nurses.

Citations

Citations to this article as recorded by  
  • Violence against healthcare professionals in intensive care units: a systematic review and meta-analysis of frequency, risk factors, interventions, and preventive measures
    Sebastian Berger, Pascale Grzonka, Anja I. Frei, Sabina Hunziker, Sira M. Baumann, Simon A. Amacher, Caroline E. Gebhard, Raoul Sutter
    Critical Care.2024;[Epub]     CrossRef
  • Factors Related to Post-traumatic Stress Disorder Symptoms Among Intensive Care Unit Nurses
    SuHee Kim, YeoJin Im
    Asian Nursing Research.2024; 18(2): 159.     CrossRef
  • The Moderating Role of Perceived Social Support in the Relation between Type D Personality and PTSD Symptoms among ICU and ER Nurses
    Sohyeon Kim, Myung-Ho Hyun
    STRESS.2023; 31(4): 197.     CrossRef
  • Effects of Personality Traits and Mentalization on Workplace Bullying Experiences among Intensive Care Unit Nurses
    Sun Joo Jang, Eunhye Kim, Haeyoung Lee, Amanda Jane Henderson
    Journal of Nursing Management.2023; 2023: 1.     CrossRef
  • Clinical nurses’ experiences of workplace verbal violence: a phenomenological study
    Min Soo Woo, Hyoung Suk Kim, Jeung-Im Kim
    Korean Journal of Women Health Nursing.2022; 28(2): 154.     CrossRef
  • Validity and reliability of the gender equity scale in nursing education
    Sunhee Cho, So‐Hi Kwon, Sun Joo Jang
    Nursing & Health Sciences.2022; 24(2): 447.     CrossRef
  • Post-traumatic Growth and it’s associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses
    Sae Mi Min, Hee Jun Kim, Chun-Ja Kim, Jeong-Ah Ahn
    Journal of Korean Critical Care Nursing.2022; 15(2): 50.     CrossRef
  • Mediating Effects of Psychological States on Work Performance of Visiting Nurses According to COVID-19 Workplace Quarantine Measures: A Multi-Group Path Analysis Study
    Jee-Hyun Hwang
    International Journal of Environmental Research and Public Health.2021; 19(1): 444.     CrossRef
  • Health-Related Symptoms and Working Conditions on Vulnerability to Presenteeism Among Nurses in South Korea
    Jee-Seon Yi, Eungyung Kim, Hyeoneui Kim
    Asia Pacific Journal of Public Health.2021; 33(8): 880.     CrossRef
  • The Moderating Effect of Supervisor's Support in Relation to Violence Experience between Co-workers and Organizational Commitment of Nurses Working in Special Departments of a Hospital
    Kyung Min Kim, Eun Nam Lee, Moon Ja Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(4): 400.     CrossRef
  • Mediating Effect of Resilience on the Association between Violence Experience and Violence Response among Nurses
    Cheol Jeong, Eun Nam Lee
    Korean Journal of Adult Nursing.2018; 30(1): 41.     CrossRef
  • Experience of Violence from the Clients and Coping Methods Among Intensive Care Unit Nurses Working in a Hospital in South Korea
    Hye Jin Yoo, Eunyoung E. Suh, Soon Haeng Lee, Jin Hee Hwang, Ji Hye Kwon
    Asian Nursing Research.2018; 12(2): 77.     CrossRef
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  • 12 Crossref
Predictors of Violent Behavior by Patient or Caregiver of Patient in the Emergency Department
Eun Young Park, Eun Nam Lee
Korean J Adult Nurs 2014;26(5):500-511.   Published online October 31, 2014
DOI: https://doi.org/10.7475/kjan.2014.26.5.500
PURPOSE
The purpose of this study was to investigate predictors of violent behavior by patient or caregiver of patient in the emergency department.
METHODS
Subjects of the study were 447 residents who have visited the emergency department in community P Metropolitan City during the past year. The data collecting period was from June 1, 2012 to August 31, 2012. Data was collected using self-reported questionnaires.
RESULTS
Predictors of violent behavior in the emergency department were divided into personal and institutional factors. Personal factors included relationship with patients, presence of alcohol, reports of discontent during and past treatment and responses to deterioration in patient's conditions, institution factors included perceived attitudes toward medical workers' explanations and proficiency of medical workers, and delay in medical treatment hours.
CONCLUSION
Knowledge of personal and institutional factors may permit emergency staff to minimize or prevent potential violence in the emergency department.

Citations

Citations to this article as recorded by  
  • Predicting Workplace Violence in the Emergency Department Based on Electronic Health Record Data
    Hyungbok Lee, Heeje Yun, Minjin Choi, Hyeoneui Kim
    Journal of Emergency Nursing.2023; 49(3): 415.     CrossRef
  • Experiences of traumatic events, knowledge and attitudes concerning post-traumatic stress disorder, and resilience among nurses and paramedics working in emergency department
    Sun-Woo Hong, Kyung-Sook Bang, Hwal Lan Bang, Hye Jin Hyun, Miyoung Lee, Yu Na Jung
    The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 86.     CrossRef
  • Relationships between Violence Experience, Resilience, and the Nursing Performance of Emergency Room Nurses in South Korea
    Sarang Kim, Minkyung Gu, Sohyune Sok
    International Journal of Environmental Research and Public Health.2022; 19(5): 2617.     CrossRef
  • Factors Affecting on Turnover Intentions of Emergency Department Nurses who have Experienced Verbal Abuse
    Gyoo-Yeong CHO, Mi-Kyung SEO
    JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(2): 314.     CrossRef
  • Usefulness of Korean Version of Behavioral Cue Checklist for Predicting of Patient Violence in Emergency Departments
    Jang Mi Kim, Eun Nam Lee
    Journal of Korean Academy of Nursing.2018; 48(3): 289.     CrossRef
  • Mediating Effect of Resilience on the Association between Violence Experience and Violence Response among Nurses
    Cheol Jeong, Eun Nam Lee
    Korean Journal of Adult Nursing.2018; 30(1): 41.     CrossRef
  • The Study of Preceptor Nurses’ Occupational Stress and Burden
    Joohee Han, Eun Kwang Yoo
    Korean Journal of Stress Research.2018; 26(1): 38.     CrossRef
  • The relationship between intention to leave the hospital and coping methods of emergency nurses after workplace violence
    In‐Young Jeong, Ji‐Soo Kim
    Journal of Clinical Nursing.2018; 27(7-8): 1692.     CrossRef
  • Hardiness Mediates Stress and Impact Level in ED Nurses Who Experienced a Violent Event
    Jin Hee Park, Eun Nam Lee, Kyung Ran Kong, Moon Jung Jang
    Journal of Emergency Nursing.2017; 43(6): 539.     CrossRef
  • 16 View
  • 0 Download
  • 9 Crossref
  • 7 Scopus
Coping Styles toward Hospital Violence in Clinical Nurses: An Application of Q Methodology
Eunho Ha, Jinyoung Cho
Korean J Adult Nurs 2013;25(3):263-274.   Published online June 30, 2013
DOI: https://doi.org/10.7475/kjan.2013.25.3.263
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.

Citations

Citations to this article as recorded by  
  • Influences of Workplace Violence on Depression among Nurses: The Mediating Effect of Social Support
    Eun-Mi Seol, Soohyun Nam
    STRESS.2021; 29(1): 37.     CrossRef
  • Effects of Hospital-Based Violence-Prevention and Coping Programs on Nurses' Violence Experience, Violence Responses, Self-Efficacy, and Organizational Commitment
    Yu Jeong Yang, Jeong-Hee Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(5): 550.     CrossRef
  • Development and Validation of the Hospital Violence Attitude Scale-18 (HVAS-18) for Clinical Nurses
    Eun-Ho Ha, Jin-Young Cho, Jin-Mi Kim
    Korean Journal of Adult Nursing.2015; 27(1): 39.     CrossRef
  • Convergent approach of phenomenological methodology about Emergency Nurses' experience of hospital violence
    Young-Hee Jeong
    Journal of the Korea Convergence Society.2015; 6(5): 63.     CrossRef
  • 23 View
  • 0 Download
  • 4 Crossref
  • 2 Scopus
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