Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2021
Rethinking "zero tolerance": A moderated mediation model of mental resilience and coping strategies in workplace violence and nurses' mental health.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Fan Sisi, An Wenhong, Zeng Lihong, Liu Jue, Tang Siyuan, Chen Jia, Huang Hui
Аннотация
AIMS: This study aimed to investigate whether the impact of workplace violence (WPV) on nurses' mental health varies with mental resilience and coping strategies.
BACKGROUND: Workplace violence is a serious threat to nurses' mental health, and its impact on nurses' mental health is influenced by many factors.
METHOD: A cross-sectional study involving 349 participants was conducted over 12 months. The data were analyzed using SPSS 25.0 and SPSS PROCESS macro.
RESULTS: In total, 82.52% of nurses were exposed to WPV. WPV not only affects mental health directly but also indirectly through mental resilience. Coping strategies had a moderating effect among WPV, mental resilience and mental health. When nurses coped with psychological violence with intolerance, WPV had a stronger negative effect on their mental health. When nurses coped with psychological violence with tolerance but coped with physical violence with intolerance, mental resilience had a stronger positive effect on their mental health.
CONCLUSIONS: Good mental resilience and coping with psychological violence with tolerance while coping with physical violence with intolerance can help buffer WPV and promote mental health.
CLINICAL RELEVANCE: Employers who have a "zero tolerance" policy regarding WPV need to re-examine how they currently operate.
BACKGROUND: Workplace violence is a serious threat to nurses' mental health, and its impact on nurses' mental health is influenced by many factors.
METHOD: A cross-sectional study involving 349 participants was conducted over 12 months. The data were analyzed using SPSS 25.0 and SPSS PROCESS macro.
RESULTS: In total, 82.52% of nurses were exposed to WPV. WPV not only affects mental health directly but also indirectly through mental resilience. Coping strategies had a moderating effect among WPV, mental resilience and mental health. When nurses coped with psychological violence with intolerance, WPV had a stronger negative effect on their mental health. When nurses coped with psychological violence with tolerance but coped with physical violence with intolerance, mental resilience had a stronger positive effect on their mental health.
CONCLUSIONS: Good mental resilience and coping with psychological violence with tolerance while coping with physical violence with intolerance can help buffer WPV and promote mental health.
CLINICAL RELEVANCE: Employers who have a "zero tolerance" policy regarding WPV need to re-examine how they currently operate.