Journal Article

Workplace violence and turnover intention among Chinese nurses: the mediating role of compassion fatigue and the moderating role of psychological resilience

Ni, Juan, Chen, Miao, Xie, Hao, Liao, Xiaoli

2024

Overview

Background Workplace violence is a global public health issue and a major occupational hazard cross borders and environments. Nurses are the primary victims of workplace violence due to their frontline roles and continuous interactions. Objective The present study aimed to investigate the status of workplace violence, turnover intention, compassion fatigue, and psychological resilience among Chinese nurses, and explore the mediating role of compassion fatigue and the moderating role of psychological resilience on relationship between workplace violence and turnover intention among Chinese nurses. Method A cross-sectional study was conducted among a convenience sample of clinical registered nurses from public hospitals in Changsha, Hunan, China. Data was collected through an online questionnaire, which included a demographic information form, the Workplace Violence Scale (WVS), the Turnover Intention Questionnaire (TIQ), the Compassion Fatigue Scale (CF-CN), and the Connor-Davidson Resilience Scale (CD-RISC). Descriptive statistics and correlation analysis were employed to examine the relationships among the main variables. A moderated mediation analysis was further conducted using the PROCESS macro for SPSS (Model 4 and Model 8) to examine the mediating role of compassion fatigue and the moderating role of psychological resilience. Result The present survey recruited a convenience sample of 1,141 clinical registered nurses, who reported experiencing multiple types of workplace violence during the past year. Correlation analysis revealed significant positive correlations between workplace violence and turnover intention ( r  = 0.466, P  < 0.01) as well as compassion fatigue ( r  = 0.452, P  < 0.01), while negative correlation between workplace violence and psychological resilience ( r =-0.414, P  < 0.01). Moderated mediation analysis revealed that compassion fatigue mediated, while psychological resilience moderated, the positive relationship between workplace violence and turnover intention (all P  < 0.05). Conclusion This study underscores the mediating effect of compassion fatigue and the moderating role of psychological resilience in the relationship between workplace violence and turnover intention among Chinese nurses. Future efforts should be undertaken to develop effective preventive measures and intervention strategies at individual, organizational, and national levels to mitigate workplace violence and foster supportive work environment. Clinical trial number Not applicable.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Adult / Aggression / Analysis / Biostatistics / Burn out (Psychology) / Burnout / Care and treatment / China / China - epidemiology / Chinese nurses / Compassion / Compassion fatigue / Compassion Fatigue - epidemiology / Compassion Fatigue - psychology / Correlation analysis / Cross-Sectional Studies / Diagnosis / East Asian People / Employee turnover / Environmental Health / Epidemiology / Fatigue / Female / Health aspects / Hospitals / Humans / Intention / Male / Mediation / Medical personnel / Medicine / Medicine & Public Health / Middle Aged / Nurses / Nursing / Nursing Staff, Hospital - psychology / Nursing Staff, Hospital - statistics & numerical data / Occupational hazards / Occupational safety / Organizational aspects / Patient safety / Personnel Turnover - statistics & numerical data / Prevention / Psychological aspects / Psychological resilience / Public Health / Questionnaires / Registered nurses / Resilience / Resilience (Psychology) / Resilience, Psychological / Risk factors / Secondary traumatic stress / Sexual harassment / Social aspects / Statistical analysis / Statistics / Surveys and Questionnaires / Turnover intention / Vaccine / Violence / Working conditions / Workplace violence / Workplace Violence - psychology / Workplace Violence - statistics & numerical data / Young Adult