Yan Wu1, Jun Wang2, Jiali Liu2, Jing Zheng3, Ke Liu2, Judith G Baggs4, Xu Liu2, Liming You2. 1. School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, China. 2. School of Nursing, Sun Yat-sen University, Guangzhou, China. 3. School of Nursing, Guangdong Pharmaceutical University, Guangzhou, China. 4. School of Nursing, Oregon Health & Science University, Portland, OR, USA.
Abstract
AIM: We aimed to test a model examining the direct and indirect effects of the work environment on workplace violence, nurse burnout and work attitudes of Chinese hospital nurses. BACKGROUND: Work environment is a key factor related to nurses' work attitudes. There has been limited information about how the work environment influences nurses' work attitudes. METHOD: This was a cross-sectional study that included 1,517 hospital nurses in 111 medical/surgical units in 23 hospitals from Guangdong province, China. Structural equation modelling was used to test a hypothesized model that supposed work environment has both direct and indirect effects on work attitudes (e.g. job satisfaction and intention to leave) through workplace violence and nurse burnout. RESULTS: Better work environment was related to higher job satisfaction and lower intention to leave both directly and indirectly through two mediators: workplace violence and burnout. Burnout mediated the association of workplace violence with job satisfaction and intention to leave. CONCLUSIONS: Improving work environment would promote nurse safety and subsequently contribute to stabilize the nurse workforce. IMPLICATIONS FOR NURSING MANAGEMENT: To help nurses achieve safety and improved work attitudes, nurse managers should build a positive work environment and help nurses who have experienced workplace violence relieve their burnout.
AIM: We aimed to test a model examining the direct and indirect effects of the work environment on workplace violence, nurse burnout and work attitudes of Chinese hospital nurses. BACKGROUND: Work environment is a key factor related to nurses' work attitudes. There has been limited information about how the work environment influences nurses' work attitudes. METHOD: This was a cross-sectional study that included 1,517 hospital nurses in 111 medical/surgical units in 23 hospitals from Guangdong province, China. Structural equation modelling was used to test a hypothesized model that supposed work environment has both direct and indirect effects on work attitudes (e.g. job satisfaction and intention to leave) through workplace violence and nurse burnout. RESULTS: Better work environment was related to higher job satisfaction and lower intention to leave both directly and indirectly through two mediators: workplace violence and burnout. Burnout mediated the association of workplace violence with job satisfaction and intention to leave. CONCLUSIONS: Improving work environment would promote nurse safety and subsequently contribute to stabilize the nurse workforce. IMPLICATIONS FOR NURSING MANAGEMENT: To help nurses achieve safety and improved work attitudes, nurse managers should build a positive work environment and help nurses who have experienced workplace violence relieve their burnout.
Authors: Yudai Kobayashi; Misari Oe; Tetsuya Ishida; Michiko Matsuoka; Hiromi Chiba; Naohisa Uchimura Journal: Int J Environ Res Public Health Date: 2020-04-16 Impact factor: 3.390
Authors: Rebecca M Jedwab; Alison M Hutchinson; Elizabeth Manias; Rafael A Calvo; Naomi Dobroff; Bernice Redley Journal: Int J Med Inform Date: 2022-04-29 Impact factor: 4.730