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Aksoy F, Bıyık Bayram S, Özsaban A. Nursing students' exposure to violence in clinical practice and violence management competence levels. NURSE EDUCATION TODAY 2024; 139:106237. [PMID: 38735095 DOI: 10.1016/j.nedt.2024.106237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 04/21/2024] [Accepted: 05/04/2024] [Indexed: 05/14/2024]
Abstract
INTRODUCTION The violence nursing students experience in the clinic may affect their attitudes towards the profession. AIM This study was conducted to determine nursing students' exposure to violence during their clinical practice and their violence management competence levels. DESIGN This was a two-centred, descriptive, and correlational study. PARTICIPANTS A total of 512 nursing students from two universities in Türkiye participated in this study. METHODS The study data was collected between March and April 2023 with the Student Information Form, Violence Exposure Form, and Management of Workplace Violence Competence Scale for Nursing Students. Institutional permission and ethics committee approval were obtained before starting the study (Date: 05/01/2023, No: 50). Descriptive statistics, Mann-Whitney U test, Kruskal Wallis test and linear regression analysis were used to evaluate the data. Statistical significance was accepted as p < 0.05. RESULTS It was determined that 17.4 % (n = 89) of the participant students felt competent in managing violence, and 94.3 % (n= 483) were concerned about being exposed to violence at various levels. In these results, 20.5 % (n = 105) of them were exposed to violence during clinical practice, 60.9 % (n = 64) of whom experienced verbal violence and 52.3 % (n = 55) psychological violence. The total mean score from the violence management competence scale was 103.29 ± 16.64. No statistically significant difference was found between the scale total and subscale scores according to gender (p > 0.05). The scale total scores of fourth-grade students with a good perceived academic success and who received training on coping with violence were statistically significantly higher (p˂0.05). The regression model created between the scale score and students' perceived academic success and receiving white code training (Training on the use of the alarm system that will enable security guards to reach the scene as soon as possible in cases where healthcare workers are exposed to all kinds of violence.) was statistically significant (F = 23.108, p < 0.001). CONCLUSION Some of the students participating in the study experienced violence in clinical practices. Their violence management competence levels were good. It can be said that academic success, coping with violence, and white code training are useful in increasing competence levels.
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Affiliation(s)
- Fatma Aksoy
- Karadeniz Technical University Institute of Health Sciences, Trabzon, Türkiye.
| | - Sule Bıyık Bayram
- Karadeniz Technical University, Faculty of Health Sciences, Department of Nursing, Trabzon, Türkiye.
| | - Aysel Özsaban
- Karadeniz Technical University, Faculty of Health Sciences, Department of Nursing, Trabzon, Türkiye.
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Won YA, Noh HJ. Human rights among Korean dental hygiene students in hospital clinical practice. BMC MEDICAL EDUCATION 2024; 24:674. [PMID: 38886789 PMCID: PMC11184815 DOI: 10.1186/s12909-024-05655-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 06/11/2024] [Indexed: 06/20/2024]
Abstract
BACKGROUND The human rights of dental hygiene students should be guaranteed during practice at medical institutions for their mental and physical health as well as professionalism, for patient safety. Safe and well guaranteed clinicians can perform their work in a more stable way. This study investigated the human rights circumstances of dental hygiene students during their hospital clinical practice at dental institutions. METHODS This study used a cross-sectional survey design. Convenience sampling was conducted on 121 third- and fourth-year dental hygiene students from universities in Seoul, Gyeonggi, and Gangwon. The survey used the Human Rights Indicators for Dental Hygiene Students to investigate the rights to safety, equality, and personality to understand participants' experiences of guaranteed fundamental rights. Data were collected from October 31 to November 8, 2019. A chi-square test was used to assess differences in experience according to general characteristics. RESULTS During dental hygiene practice at dental institutions, less than 50% of students felt safe. When human rights violations occurred in dental institutions, only 42.4% of students received guidance on response measures from their universities. While 72.1% of students who practiced at dental university hospitals were given information on first aid supplies (facilities) within dental institutions, only approximately 45% of students who practiced at lower-scale dental institutions were given this information (p < 0.05). Regarding equality rights, only 52.5% of trainees reported that they had received equal treatment from healthcare workers during hospital clinical practice. CONCLUSIONS During dental practice at dental institutions, Korean dental hygiene students confirmed that human rights (including safety rights, equality rights, and personality rights) were guaranteed to varying degrees. Dental hygiene students' rights during hospital clinical practice in dental institutions should be guaranteed across institutions regardless of their scale. This is necessary for dental hygiene students' human rights and safe policies and guidelines in dental institution clinical practice and regular monitoring systems.
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Affiliation(s)
- Yoon-Ah Won
- Department of Dental Hygiene at the College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Gangwon-Do, Korea
| | - Hie-Jin Noh
- Department of Dental Hygiene at the College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Gangwon-Do, Korea.
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Birks M, Harrison H, Zhao L, Wright H, Tie YC, Rathnayaka N. Nursing students' experience of bullying and/or harassment during clinical placement. NURSE EDUCATION TODAY 2024; 136:106151. [PMID: 38479329 DOI: 10.1016/j.nedt.2024.106151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Revised: 02/12/2024] [Accepted: 02/29/2024] [Indexed: 03/24/2024]
Abstract
PROBLEM OR BACKGROUND Bullying is a recognised problem in nursing. Nursing students are particularly vulnerable. Bullying and harassment of nursing students can be detrimental to both students and recipients of care. AIM This study aims to identify the incidence and nature of bullying and/or harassment experienced by nursing students in Sri Lanka. METHODS A cross-sectional survey consisting of eight demographic questions and 15 items specific to the experience of bullying and harassment was administered to nursing students online. FINDINGS A total of 656 students from 26 nursing education institutions in Sri Lanka participated. The majority were female with a mean age of 24.4 years. More than a quarter of respondents reported that they had experienced bullying and/or harassment while on clinical placement, with a further 16.7 % being unsure. Most bullying or harassment (55 %) occurred in hospitals with 29 % experienced in community settings. Registered nurses, including nurse managers and clinical facilitators were the most common perpetrators. Verbal abuse was the most frequent type of behaviour reported. DISCUSSION These findings support existing literature that indicates that bullying of nursing students is an international phenomenon. The context of this study provides clues as to how culture may influence the problem. There is a need to better understand bullying and harassment in the environments in which it occurs, in order to identify strategies that can bridge cultures and settings. CONCLUSION The incidence of bullying and harassment of nursing students in Sri Lanka is concerning. Further research is needed to identify and evaluate targeted strategies to help prevent negative outcomes in all nursing contexts.
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Affiliation(s)
- Melanie Birks
- Nursing and Midwifery, College of Healthcare Sciences, James Cook University, Douglas 4811, Queensland, Australia.
| | - Helena Harrison
- Nursing and Midwifery, College of Healthcare Sciences, James Cook University, Douglas 4811, Queensland, Australia
| | - Lin Zhao
- Discipline of Nursing, School of Health & Biomedical Sciences, RMIT University, Bundoora 3083, Victoria, Australia
| | - Helen Wright
- Nursing and Midwifery, College of Healthcare Sciences, James Cook University, Douglas 4811, Queensland, Australia
| | - Ylona Chun Tie
- Nursing and Midwifery, College of Healthcare Sciences, James Cook University, Douglas 4811, Queensland, Australia
| | - Nadun Rathnayaka
- Academic Department, International Institute of Health Sciences Multiveristy, Welisara 71722, Columbo, Sri Lanka
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Johnston S, Fox A, Patterson S, Jones R, Dafny H, Pich J, Duff J. Australian nursing students' experiences of workplace violence during clinical placement: A cross-sectional study. J Adv Nurs 2024. [PMID: 38571292 DOI: 10.1111/jan.16189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 03/01/2024] [Accepted: 03/22/2024] [Indexed: 04/05/2024]
Abstract
AIM To identify the nature, degree and contributing factors of workplace violence (WPV) incidents experienced by Australian nursing students during clinical placement. DESIGN Descriptive cross-sectional study. METHODS Data were collected from 13 September to 25 November 2022. Eligible participants included all nursing students enrolled in nursing degrees at any Australian university who had completed at least one clinical placement. An adapted version of the WPV in the Health Sector Country Case Study survey was used. RESULTS A total of 381 nursing students across eight states of Australia completed the survey. More than half of the students had experienced an episode of WPV; patients were the most frequent perpetrators. Personal factors of patients, staff and students, organizational factors and cultural norms within the workplace supported acts of WPV. CONCLUSION Student nurses (SNs) most often experience violence from patients during direct care. Patient encounters are the core component of clinical placement. Education providers have a responsibility to effectively prepare students to be able to identify escalating situations and manage potentially violent situations. Registered nurses who supervise students during clinical placement require support to balance their clinical role with student supervision. IMPLICATIONS FOR THE PROFESSION Experiencing WPV can negatively impact relationships between students, healthcare professionals and care recipients. This results in personal distress, decreased job satisfaction and potentially the decision to leave the nursing profession. IMPACT What already is known: SNs are exposed to WPV during clinical placement. WHAT THIS PAPER ADDS More than half the SNs in this study experienced violence inclusive of physical, verbal, racial and sexual harassment. Patients were the predominant perpetrators. Implications for practice/policy: Interventions at individual and systemic levels are required to mitigate WPV. REPORTING METHOD This study is reported using the STROBE guidelines.
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Affiliation(s)
- Sandra Johnston
- School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Amanda Fox
- School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
- Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Susan Patterson
- School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Rikki Jones
- School of Health, Faculty of Medicine and Health, University of New England, Armidale, New South Wales, Australia
| | - Hila Dafny
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia
- Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia
| | - Jacqueline Pich
- School of Nursing and Midwifery, Faculty of Health, University of Technology, Sydney, New South Wales, Australia
| | - Jed Duff
- School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
- Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia
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Huang Y, Chen D, Li C, Fan Y, Wu Y. The mediating role of academic support perception in the relationship between emotional intelligence and bullying behaviours in clinical practice: A cross-sectional study. NURSE EDUCATION TODAY 2024; 135:106129. [PMID: 38342038 DOI: 10.1016/j.nedt.2024.106129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 01/22/2024] [Accepted: 02/07/2024] [Indexed: 02/13/2024]
Abstract
BACKGROUND Bullying behaviours experienced by nursing interns in clinical practice are a considerable and serious concern. Understanding the factors that influence such behaviours in clinical practice is crucial for developing effective preventive measures and fostering a supportive learning environment. PURPOSE This study aims to investigate the prevalence and influencing factors of bullying behaviours experienced by nursing interns and examine the mediating role of academic support perception in the relationship between emotional intelligence and bullying behaviours in clinical practice. METHODS This is a cross-sectional study that used convenience sampling. A socio-demographic information questionnaire, Bullying Behaviours in Nursing Education Scale, Wong and Law's Emotional Intelligence Scale, and Academic Support in the Practicum Scale were used to collect data from nursing interns (n = 813) at seven tertiary hospitals in Changsha, China. Binary logistic regression and mediating analyses were used to explore the factors influencing bullying behaviours in nursing practice and examine the potential mediating role of academic support perception. RESULTS The prevalence of bullying behaviours in clinical practice among 813 nursing interns was 82.7 %. Binary logistic regression analyses indicated that attitude toward the nursing profession, emotional intelligence, and academic support perception were significantly associated with bullying behaviours in clinical practice. Academic support perception (β = 0.375, p < 0.001) played a significant mediating role in the relationship between emotional intelligence and bullying behaviours in clinical practice, accounting for 55.7 % of the total effect. CONCLUSION Nursing educators and administrators should recognise that improving emotional intelligence and enhancing academic support perception among nursing interns can reduce the occurrence of bullying behaviours in clinical practice.
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Affiliation(s)
- Yi Huang
- Nursing Department, Medical College, Hunan Normal University, Changsha, China
| | - Dan Chen
- Nursing Department, Medical College, Hunan Normal University, Changsha, China.
| | - Chaofeng Li
- Nursing Department, Medical College, Hunan Normal University, Changsha, China
| | - Yingying Fan
- Nursing Department, Medical College, Hunan Normal University, Changsha, China
| | - Yuwei Wu
- Nursing Department, Medical College, Hunan Normal University, Changsha, China
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Lavery J, Morrell-Scott N. Pre-registration nursing students' perceptions of a district nursing career: a qualitative descriptive study. Br J Community Nurs 2024; 29:86-94. [PMID: 38300242 DOI: 10.12968/bjcn.2024.29.2.86] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2024]
Abstract
District nursing vacancies are recognised as high in comparison to many other nursing specialities. The role is often considered as an option for nurses after a period of registration as a nurse, which may be informed by multiple factors. The objectives of the study were to explore barriers to district nurse employment from the perspective of undergraduate nurses. A descriptive qualitative design was employed using focus groups as the method of data collection in accordance with study approval reference no: 21/NAH/006, 30/03/23. Participants were recruited from the current undergraduate nursing programme (n=60). Thematic analysis was chosen as a flexible method of qualitative data analysis. The study produced themes relating to role ambiguity, personal preferences, educational opportunities and recruitment and employer engagement. The experiences provided an insight into the barriers to recruitment of student nurses into district nursing on qualification. Increased engagement from community nurse providers is required to inform the role and incentivise entering this career option. Educational strategies that support community career pathways are required to ensure a balanced view of nursing roles among undergraduates.
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Affiliation(s)
- Joanna Lavery
- Senior Lecturer in Adult Nursing, Liverpool John Moores University
| | - Nicola Morrell-Scott
- Associate Dean of Education and Student Experience/Programme Lead Pre-registration Nursing, Liverpool John Moores University
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Lu X, Hou C, Bai D, Yang J, He J, Gong X, Cai M, Wang W, Gao J. Prevalence, associated factors, and nursing practice-related outcomes of workplace violence towards nursing students in clinical practice: A systematic review and meta-analysis. NURSE EDUCATION TODAY 2024; 133:106074. [PMID: 38150776 DOI: 10.1016/j.nedt.2023.106074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 11/13/2023] [Accepted: 12/11/2023] [Indexed: 12/29/2023]
Abstract
OBJECTIVES To estimate the prevalence of Workplace violence (WPV) among nursing students in clinical practice, and examine the associated factors and nursing practice-related outcomes. DESIGN A systematic review and meta-analysis. REVIEW METHODS AND DATA SOURCES A comprehensive literature search was performed in nine databases from inception to Mar 2023. Two researchers independently screened studies, extracted data and assessed the quality of included studies. The random-effects model was used to estimate the pooled prevalence of WPV. Separate analyses were conducted by WPV type and source. RESULTS 57 studies involving 23,451 nursing students were identified. The overall prevalence of WPV experienced and witnessed by nursing students was 45.37 % and 53.76 %, respectively, and 13.73 % were unsure if they had WPV. Psychological violence was the most prevalent form of WPV, but the prevalence of WPV also varied by setting and source, with obstetrics and gynaecology (41.25 %) being the most common settings and patients and their relatives (50.80 %) being the most common sources. When exposed to WPV, 65 % of nursing students did nothing except keep quiet, and 74 % did not report it. Concerning the associated factors of WPV, there were few reports on patient-related factors, and the selected studies focused primarily on nursing student- and occupational-related factors. Regarding nursing practice-related outcomes, WPV had a predominantly negative impact on nursing students' professional practice, but it also had a certain motivating effect. CONCLUSIONS This meta-analysis estimates the global prevalence, associated factors, and nursing practice-related outcomes of WPV among nursing students. The findings confirm the high prevalence of WPV; therefore, schools and institutions should prioritize WPV education and training. The hospital should then formulate WPV laws and regulations, enhance the WPV reporting procedure, and protect the rights and interests of nursing students. Finally, hospital administrators should employ individualized intervention strategies for nursing students based on the variables that affect them.
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Affiliation(s)
- Xianying Lu
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China
| | - Chaoming Hou
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China
| | - Dingxi Bai
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China
| | - Jing Yang
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China
| | - Jiali He
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China
| | - Xiaoyan Gong
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China
| | - Mingjin Cai
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China
| | - Wei Wang
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China
| | - Jing Gao
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.
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Zhou J, Wang Y, Zeng Q, Zeng Y, Liu Q, Tan S, Gang H. Global prevalence of bullying and associated factors among nursing students during clinical practice: A systematic review and meta-analysis. NURSE EDUCATION TODAY 2024; 133:106090. [PMID: 38150777 DOI: 10.1016/j.nedt.2023.106090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 12/11/2023] [Accepted: 12/19/2023] [Indexed: 12/29/2023]
Abstract
OBJECTIVE This meta-analysis aims to estimate the global prevalence of bullying among nursing students during clinical practice and identify associated factors. DESIGN Systematic review and meta-analysis. REVIEW METHODS AND DATA SOURCES We conducted a comprehensive literature search across ten databases (PubMed, Cochrane, Web of Science, Embase, CINAHL, PsycINFO, Scopus, Chinese Biomedical, China National Knowledge Internet, and WANFANG) from their inception to January 3, 2023. Two researchers independently screened potentially eligible studies, extracted data, and assessed study quality. Data were analyzed using random-effects or fixed-effects models. Subgroup analyses and meta-regression explored the influence of participant and study characteristics on bullying prevalence. Publication bias and sensitivity analyses were also performed. RESULTS We included 28 studies (N = 9511) from 13 countries on five continents. The pooled estimate of bullying prevalence among nursing students during clinical practice was 65.60 % (95 % CI 55. 75 to 74.27), with no evidence of publication bias (t = 1.51, p-value = 0.14). Subgroup and moderator analyses highlighted the impact of country, continent, publication year, and assessment tool on bullying prevalence. CONCLUSION Nursing students face a high prevalence of bullying during clinical practice. Addressing this issue in nursing education requires prioritizing associated factors, fostering a culture of safety, providing effective training, and promoting individual resilience. These actions can prevent and mitigate bullying, creating a supportive and empowering learning environment for future nurses.
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Affiliation(s)
- Jing Zhou
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China; Dazhou Vocational and Technical College, Dazhou, Sichuan, China
| | - Yuqiang Wang
- Chengdu Fifth People's Hospital, Chengdu, Sichuan, China
| | - Qinglin Zeng
- School of Clinical Medicine, Sichuan College of Traditional Chinese Medicine, Mianyang, China
| | - Yanli Zeng
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
| | - Qin Liu
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Shiliang Tan
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Haiju Gang
- Chengdu Vocational and Technical College, Chengdu, Sichuan, China
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Chen W, Shi J, Xu J, Wang Y, Wu Y. Workplace violence against Chinese licensed doctors: a cross-sectional study. Front Public Health 2024; 12:1235576. [PMID: 38356951 PMCID: PMC10864590 DOI: 10.3389/fpubh.2024.1235576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 01/08/2024] [Indexed: 02/16/2024] Open
Abstract
Introduction China has issued and implemented a series of policies aimed at preventing and controlling workplace violence (WPV) against licensed doctors. However, the prevalence of WPV has not been fundamentally curbed. The aim of this study was to present the prevalence of WPV, identify its influencing factors and propose responsive measures. Method The online Chinese Physician Practice Survey was conducted with purposive sampling method among licensed doctors in China from January 2022 to June 2022. Data covered licensed doctors' sociodemographic characteristics, occupational characteristics, prevalence of WPV, and perception of effective countermeasures. Results A total of 74,305 licensed doctors participated in this study. A total of 44.88% of respondents had experienced WPV, among them, either physical violence only (1.06%) or non-physical violence only (89.91%) or encountered both of them (9.03%). Age, gender, marital status, education level, professional title and registration type were all associated with WPV, being younger, non-married, more educated, and higher professional title are all risk factors for WPV. Male (OR = 1.396, 95CI%: 1.355 to 1.439), clinicians (OR = 1.342,95%CI: 1.177 to 1.529), who were single (OR = 1.174, 95%CI: 1.111 to 1.241), with master's degree (OR = 2.021, 95%CI: 1.739 to 2.349) and professional title were subsenior (OR = 1.194, 95%CI: 1.125 to 1.267) were most likely to occur WPV. WPV occurred mostly in provincial capitals, public hospitals, primary and community hospitals, and departments of internal medicine, surgery, pediatrics, emergency medicine and mental health. Overall, 44.24% of doctors perceived that strengthening crackdowns on criminal behaviors was the most effective measure to prevent WPV against healthcare staff. Conclusion The frequency of WPV decreased after the implementation of relevant laws and policies. Future efforts should be made to strengthen crackdowns on illegal and criminal activities and to issue specific legal provisions on the prevention and control of WPV against doctors.
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Affiliation(s)
- Wenhao Chen
- School of Health Humanities, Peking University, Beijing, China
| | - Jingyu Shi
- School of Public Health, Peking University, Beijing, China
| | - Jingyi Xu
- School of Health Humanities, Peking University, Beijing, China
| | - Yue Wang
- School of Health Humanities, Peking University, Beijing, China
| | - Yanbin Wu
- School of Health Humanities, Peking University, Beijing, China
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Huang S, Zhai J, Lu X, Liang Y, Li Q, Lilenga HS. Prevalence of workplace violence in Chinese obstetric nurses under the new situation and its correlation with violence prevention knowledge-attitude-practice and climate perception: a cross-sectional study. BMC Nurs 2023; 22:473. [PMID: 38093351 PMCID: PMC10717719 DOI: 10.1186/s12912-023-01637-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 12/05/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND Workplace violence severely impacts individual nurses. With the three-child opening policy of China and the impact of the COVID-19 epidemic in the recently years, obstetric nurses face the double attack of heavy workload and staffing shortage. This study aimed to evaluate the current situation of workplace violence among Chinese obstetric nurses under the new situation, assess the level of violence prevention knowledge-attitude-practice and climate perception in Chinese obstetric nurses and explore the correlation between workplace violence and the level of violence prevention knowledge-attitude-practice and climate perception. METHODS A cross-sectional survey on the workplace violence for Chinese obstetric nurses was conducted from August to February 2023. All the questionnaires came from 10 provinces and 3 autonomous regions in China. The basic characteristics of obstetric nurse's workplace violence, workplace violence prevention knowledge-attitude-practice scale and workplace violence climate perception scale were collected. RESULTS Totally, 522 Chinese obstetric nurses were included. 55.0% of obstetric nurses (287) had experienced workplace violence in the past 12 months, including verbal assault (40.4%), physical assault (34.1%), and sexual assault (31.0%). The overall level of obstetric nurses' workplace violence prevention knowledge-attitude-practice and climate perception of workplace violence was low. Multiple linear regression analysis showed that the violence prevention knowledge dimension significantly influenced obstetric nurses' workplace violence (B = -0.278, P < .001), attitude dimension (B = -0.241, P < .001), behavior dimension (B = -0.216, P < .001) and the violence climate perception's organizational management (B = -0.177, P < .001), organizational training (B = -0.175, P < .001), organizational support (B = -0.143, p < .001) and the violence handling (B = -0.165, P < .001). CONCLUSION The incidence of workplace violence among obstetric nurses in the new situation is high. However, the overall violence prevention knowledge-attitude-practice and climate perception levels are low. Therefore, nursing managers should take targeted measures according to the relevant influencing factors and the characteristics of obstetrics to improve the level of obstetric nurses' violence prevention knowledge-attitude-practice and climate perception to reduce workplace violence among obstetric nurses.
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Affiliation(s)
- Shan Huang
- School of Nursing, Southern Medical University, Guangzhou, 510515, China
| | - Jinguo Zhai
- School of Nursing, Southern Medical University, Guangzhou, 510515, China.
- School of Nursing, Southern Medical University, No.1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong Province, 510515, China.
| | - Xiaoqin Lu
- Nursing Department, Guangzhou University of Traditional Chinese Medicine Dongguan Hospital, No. 3, Dongcheng section, Songshan Lake Avenue, Dongguan City, Guangdong Province, 523000, China
| | - Yulian Liang
- Nursing Department, Guangzhou University of Traditional Chinese Medicine Dongguan Hospital, No. 3, Dongcheng section, Songshan Lake Avenue, Dongguan City, Guangdong Province, 523000, China
| | - Qiumei Li
- Department of Obstetrics and Gynecology, Songshan Lake Central Hospital, No. 1, Xianglong Road, Dongguan City, Guangdong Province, 523000, China
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Sharif-Nia H, Marôco J, Rahmatpour P, Allen KA, Kaveh O, Hoseinzadeh E. Bullying behaviors and intention to drop-out among nursing students: the mediation roles of sense of belonging and major satisfaction. BMC Nurs 2023; 22:417. [PMID: 37940934 PMCID: PMC10631184 DOI: 10.1186/s12912-023-01584-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 10/30/2023] [Indexed: 11/10/2023] Open
Abstract
Bullying in academic settings has long-lasting implications on students' well-being and career prospects, particularly in fields like nursing that require a high level of interpersonal skills and emotional resilience. This study explored the relationships between experiences of bullying and intentions to drop out among Iranian nursing students, with major satisfaction and a sense of belonging serving as mediating factors. A cross-sectional research design was employed from April to June 2023. Undergraduate nursing students (n = 386) filled out a five-part questionnaire namely demographic and educational information, bullying behaviors in nursing education environments, the Belongingness scale, intention to drop out, and academic major satisfaction scale. The study confirmed that experiences of bullying positively correlated with intentions to drop out, negatively affected students' sense of belonging and major satisfaction, and established that course satisfaction and a sense of belonging acted as mediators between bullying and intentions to drop out. The findings show the urgent need for anti-bullying interventions targeting faculty behavior and educational strategies aimed at fostering a sense of belonging and course satisfaction among nursing students.
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Affiliation(s)
- Hamid Sharif-Nia
- Educational Development Center, Mazandaran University of Medical Sciences, Sari, Iran
- Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - João Marôco
- William James Centre for Research ISPA - Instituto Universitário PT & FLU Pedagogy, Nord University, Bodø, NO, Norway
| | - Pardis Rahmatpour
- School of Nursing, Alborz University of Medical Sciences, Karaj, Iran.
| | - Kelly A Allen
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, Australia
- Centre for Wellbeing Science, Melbourne Graduate School of Education, University of Melbourne, Parkville, Australia
| | - Omolhoda Kaveh
- School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Esmaeil Hoseinzadeh
- Department of Nursing, School of Nursing and Midwifery, Gorgan Branch, Islamic Azad University, Gorgan, Iran
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Wang M, Cai T, Guan H, Yang Y, Da C, Pan Q. Competence in managing workplace violence among nursing interns: Application of latent class analysis. Nurse Educ Pract 2023; 73:103850. [PMID: 37995448 DOI: 10.1016/j.nepr.2023.103850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 11/01/2023] [Accepted: 11/16/2023] [Indexed: 11/25/2023]
Abstract
AIM To identify subtypes of competence in managing workplace violence (WPV) among nursing interns and to assess between-group differences. BACKGROUND Nursing interns are reported to be a vulnerable population for experiencing workplace violence during their clinical placement. Although WPV could have a negative impact on nursing interns' health and attitudes towards the nursing profession, little is known about nursing interns' competence in workplace violence management or its influencing factors. DESIGN A cross-sectional study. METHODS Between March to April 2023, nursing interns at three tertiary general hospitals in Anhui Province, China, completed questionnaires including a general information questionnaire, the Management of Workplace Violence Competence Scale (MWVCS), the Utrecht Work Engagement Scale (UWES-9), the Emotional Labour Scale for Nurses (ELSN) and were classified into subtypes by latent class analysis. Subsequently, univariate analysis and multivariate logistic regression were performed to identify the influencing factors by subtypes. RESULTS A total of 264 questionnaires were valid and the overall mean age of the participants was 21.06 ±1.41 years. Four classes were identified: low competency group (15.5%), low cognition-low coping competency group (18.2%), low cognition-medium to high competency group (21.6%) and high competency group (44.7%). The results of multinomial logistic regression analysis showed that placement hospitals with a WPV management department, emotional control effort in profession dimension and emotional pretense by norms dimension in the Emotional Labour Scale for Nurses, pursuing further education and vigour dimension in the Utrecht Work Engagement Scale were influencing factors of the potential categories of WPV management competence. CONCLUSIONS Four classes were identified and there was competence variability among nursing interns. More attention should be given to nursing interns who did not receive WPV-related training in their school or placement hospital.
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Affiliation(s)
- Miao Wang
- School of Nursing, WanNan Medical College, Anhui, China
| | - Tingting Cai
- School of Nursing, Fudan University, Shanghai, China.
| | - Hui Guan
- Department of Nursing, West Anhui Health Vocational College, Anhui, China
| | - Yan Yang
- Nursing Department Office, Anqing Municipal Hospital, Anhui, China
| | - Chaojin Da
- Department of Nursing, School of Clinical Nursing, Gansu Health Vocational College, Gansu, China
| | - Qing Pan
- School of Nursing, WanNan Medical College, Anhui, China
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Qian M, Zhu P, Wu Q, Wang W, Shi G, Ding Y, Zhang H, Gu X, Xu T, Zhang Q. Experience of verbal violence among Chinese nursing students in clinical practice: a qualitative study. BMC MEDICAL EDUCATION 2023; 23:768. [PMID: 37845649 PMCID: PMC10577944 DOI: 10.1186/s12909-023-04741-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 09/30/2023] [Indexed: 10/18/2023]
Abstract
BACKGROUND Workplace violence is prevalent in the nursing profession, and as a relatively junior link of the professional hierarchy, nursing students are not immune to it. Among these, verbal violence may have more serious consequences for the victims than physical violence, but the literature on verbal violence among nursing students in Chinese clinical settings is limited. AIMS To explore the verbal violence experience among Chinese nursing students in clinical practice, and the strategies used by nursing students to cope with violence. DESIGN A descriptive qualitative study. METHODS From January 2022 to June 2022, semi-structured interviews were conducted with 21 nursing students in clinical practice by purposive snowball sampling. Nvivo12 software and inductive content analysis were used for data analysis. This paper followed the COREQ (Consolidated criteria for Reporting Qualitative Research) guidance. RESULTS Through data analysis, three themes were defined:(1) Multiform verbal violence; (2) Hurting and impacting and (3) Struggling or Coping. The findings indicated that nursing students were subjected to multiple forms of verbal violence in clinical practice, not only from patients and caregivers, but also from peers such as clinical tutors and doctors, which not only harmed students' personal health and well-being, but may also contribute to the nursing industry's future loss of human resources. Seeking emotional support from others and forcing themselves to grow up were the most commonly used coping strategies. CONCLUSION Nursing educators and nursing managers need to pay attention to verbal violence in the clinical environment, and actively develop the ability of nursing students to deal with uncivilized behavior. Establishing relevant courses and training such as communication, resilience, and violence prevention, establishing a stricter clinical mentor appointment system, and teaching assessment system may be strategies to help nursing students better perform clinical practice.
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Affiliation(s)
- Meiyan Qian
- School of Nursing, School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
| | - Pingting Zhu
- School of Nursing, School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China.
- Jiangsu Key Laboratory of Zoonosis, Yangzhou, China.
| | - Qiwei Wu
- School of Nursing, School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
| | - Wen Wang
- School of Nursing, School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
| | - Guanghui Shi
- School of Nursing, School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
| | - Yinwen Ding
- School of Nursing, School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
| | - Hui Zhang
- School of Nursing, School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
| | - Xinyue Gu
- School of Nursing, School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
| | - Ting Xu
- School of Nursing, School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
| | - QianQian Zhang
- School of Nursing, School of Public Health, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
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Xu W, Feng L, Huang H, Liu S, Ye M, Tang F, Chuang YC, Cai F. Evaluation and improvement of workplace vertical violence of nursing interns based on the Importance-Performance Analysis method. Front Med (Lausanne) 2023; 10:1210872. [PMID: 37841020 PMCID: PMC10569029 DOI: 10.3389/fmed.2023.1210872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 09/12/2023] [Indexed: 10/17/2023] Open
Abstract
Purpose To analyze the key factors related to workplace vertical violence among nursing interns in China and to propose strategies to improve the nursing practice environment. Methods A cross-sectional study was conducted using the Importance-Performance Analysis (IPA) method to analyze the key factors and significance of workplace vertical violence for nursing interns. The data were obtained by administering a workplace vertical violence survey, designed specifically for this study, to 120 nursing interns at a tertiary general hospital in Zhejiang Province, China. Results The results demonstrated that the variables "I was ordered to do something beyond my ability and lacked guidance (C3)," "Errors in work have been repeatedly emphasized, spread, or exaggerated (C8)," "I was unjustly criticized (C9)," "I was withheld or blocked information purposefully (C1)," and "I was belittled at work (C2)" were the most crucial variables for determining the presence of workplace vertical violence of nursing interns. Moreover, they are priority improvement variables. Conclusion Managers must prioritize the use of relevant resources during internships to minimize false reinforcement and unfair criticism. Efforts should focus on improving information sharing, emphasizing the role of nursing interns in clinical work, providing better guidance when arranging for nursing interns to do work that exceeds their capacity, reducing workplace vertical violence, and improving nursing intern practice environments.
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Affiliation(s)
- Weifang Xu
- College of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
- Department of Orthopedics, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, China
| | - Lili Feng
- College of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
- Department of Nursing, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, China
| | - Haohao Huang
- College of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
- Department of Burn Wound Repair, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Siqi Liu
- Department of Intensive Care Unit, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, China
| | - Mao Ye
- Department of Intensive Care Unit, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, China
| | - Fuqin Tang
- Department of Nursing, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, China
| | - Yen-Ching Chuang
- Institute of Public Health and Emergency Management, Taizhou University, Taizhou, Zhejiang, China
- Business College, Taizhou University, Taizhou, Zhejiang, China
- Key Laboratory of Evidence-Based Radiology of Taizhou, Linhai, Zhejiang, China
| | - Fuman Cai
- College of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
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Dafny HA, McCloud C, Pearson V, Brown S, Phillips C, Waheed N, Freeling M, Parry YK, Champion S. Nursing students' experience of workplace violence in clinical practice: A qualitative systematic review. J Clin Nurs 2023; 32:6136-6164. [PMID: 37166364 DOI: 10.1111/jocn.16746] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 04/06/2023] [Accepted: 04/20/2023] [Indexed: 05/12/2023]
Abstract
AIMS To systematically identify, appraise and synthesise qualitative studies investigating Registered Nurse students' (RNS) experiences of workplace violence (WPV) while on clinical placement. It is expected that the literature review findings will guide the development of targeted programs and policies to address WPV against RNS. BACKGROUND WPV affects RNS during clinical placements as they are vulnerable to violence due to their limited experience and skills to challenge abusive behaviour. In this review, RNS are students enrolled in a Bachelor of Nursing program to become registered nurses and exclude students who are enrolled in nursing program that does not lead to registration as a registered nurse. For example, enrolled in nursing programs and postgraduate nursing programs. RNS are chosen for their scope of practice and the training requirements. RNS reported experiencing WPV mainly from colleagues, staff, teachers, doctors and supervisors, which resulted in leaving nursing practice, impacting students' progression and healthcare systems. This review examines all types of violence RNS face irrespective of the abuser. METHODS A qualitative systematic review of existing literature was conducted through a comprehensive database search of eight databases MEDLINE, CINAHL, Web of Science, Scopus, Embase, Cochrane Central and ProQuest. Furthermore, reference lists of included studies were searched to identify further research. English language qualitative primary studies of any study design were searched from inception to 6th June 2022 and included if they met the inclusion criteria. Double review process utilised from screening until data synthesis reported according to PRISMA. JBI critical appraisal tools were used to assess the studies, and data extraction utilised JBI QARI tool and screened for credibility and confidence in findings. RESULTS A total of 18 studies met the inclusion criteria, and the studies were conducted in nine countries. Five main themes relating to RNS experiences of WPV while on clinical placement were identified, including: 'Types of workplace violence', 'Perpetrators', 'Causes', 'Consequences' and 'Management of workplace violence'. CONCLUSIONS This qualitative systematic review provides new and significant knowledge in understanding the phenomenon of WPV experienced by RNS while on clinical placement. RELATIVE TO CLINICAL PRACTICE This review highlights the unwillingness of RNS to reach out to instructors or clinical placement leaders in many situations and identifies avenues of support and awareness that are crucial to empower and enabling students to seek support.
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Affiliation(s)
- Hila Ariela Dafny
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia
- Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia
- Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence, Alice Springs, Northern Territory, Australia
| | - Christine McCloud
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia
| | - Vincent Pearson
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia
| | - Shannon Brown
- Flinders University Library, Adelaide, South Australia, Australia
| | - Craig Phillips
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia
| | - Nasreena Waheed
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia
- Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia
- Charles Darwin University, Darwin, Northern Territory, Australia
| | - Michelle Freeling
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia
- Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia
| | - Yvonne Karen Parry
- College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia
- Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia
| | - Stephanie Champion
- Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia
- College of Nursing and Health Sciences, Flinders University, Tonsley, South Australia, Australia
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Hadavi M, Ghomian Z, Mohammadi F, Sahebi A. Workplace violence against health care workers during the COVID-19 Pandemic: A systematic review and meta-analysis. JOURNAL OF SAFETY RESEARCH 2023; 85:1-7. [PMID: 37330859 DOI: 10.1016/j.jsr.2023.01.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Revised: 09/27/2022] [Accepted: 01/17/2023] [Indexed: 06/19/2023]
Abstract
INTRODUCTION During the COVID-19 pandemic, Health Care Workers (HCWs) have been at the frontline against the disease and have direct contact with patients and their companions, so they are exposed to all sorts of Workplace Violence (WPV). The aim of this study was to investigate the prevalence of WPV against HCWs during the COVID-19 pandemic. METHOD This study was conducted according to the PRISMA guideline, and its protocol was registered at the PROSPERO under the code of CRD42021285558. Articles were obtained from data resources such as Scopus, PubMed, Web of Science, Science Direct, Google Scholar, and Embase. A literature search was conducted from the beginning of 2020 to the end of December 2021. Meta-analysis was conducted using the Random effects model, and the I2 index was used to check the heterogeneity. RESULTS In this study, 1,054 articles were initially obtained during the primary search, of which 13 were finally entered in the meta-analysis. According to the results of the meta-analysis, the prevalence of physical and verbal WPV were 10.75% (95% CI: 8.20-13.30, I2 = 97.8%, P = 0 < 001) and 45.87% (95% CI: 36.8-54.93, I2 = 99.6%, P = 0 < 001), respectively. The overall prevalence of WPV was obtained, 45.80% (95% CI: 34.65-56.94, I2 = 99.8%, P = 0 < 001) were reported. CONCLUSION The results of the present study showed that the prevalence of WPV against HCWs was relatively high during the COVID-19 pandemic; nevertheless, it was lower compared to the area prior to the pandemic. Therefore, HCWs need essential training to reduce stress and increase resilience. Also, considering organizational interventions (including policies to ensure that HCWs report WPV to their supervisors, increasing staffing per patient, and installing systems for HCWs to call for immediate assistance) can increase the resilience HCWs.
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Affiliation(s)
- Marzieh Hadavi
- Department of Endocrinology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran.
| | - Zohreh Ghomian
- Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| | - Farhad Mohammadi
- Non-Communicable Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran.
| | - Ali Sahebi
- Non-Communicable Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran; Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran.
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Hallett N, Gayton A, Dickenson R, Franckel M, Dickens GL. Student nurses' experiences of workplace violence: A mixed methods systematic review and meta-analysis. NURSE EDUCATION TODAY 2023; 128:105845. [PMID: 37300926 DOI: 10.1016/j.nedt.2023.105845] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 03/31/2023] [Accepted: 05/06/2023] [Indexed: 06/12/2023]
Abstract
OBJECTIVES To identify the prevalence of student-directed violence on clinical placement and description of their related experience during clinical placements. DESIGN Mixed methods systematic review and meta-analysis conducted following Joanna Briggs Institute guidelines and reported according to Preferred Reporting of Systematic Reviews and Meta-Analyses (PRISMA) guidelines. DATA SOURCES CINAHL, Embase, Medline, Proquest, PsycINFO and Google Scholar. REVIEW METHODS Included studies were peer reviewed, published primary studies where pre-registration nursing students were surveyed about their experiences of physical, verbal, or sexual aggression, bullying or racism during clinical placement. Studies were quality assessed but not excluded based on the result. A convergent segregated approach to synthesis and integration was undertaken. Prevalence data were extracted and pooled using both random and quality effects models; separate analyses were conducted by violence type, source, and region. Qualitative data were thematically analysed. RESULTS 14,894 student nurses from 42 studies were included across the meta-analyses. There was substantial heterogeneity in the included data. Pooled prevalence rates ranged from racism 12.2 % to bullying 58.2 %. Bullying (38.8 %) and physical aggression (10.2 %) were most perpetrated by nurses whereas sexual aggression was perpetrated mostly by patients (64.2 %) and physicians (18.6 %). Qualitative findings identified students' descriptions of reasons for, effects of, strategies for dealing with and higher education establishments' responsibilities with regards to workplace violence. CONCLUSIONS Student nurses commonly experience violence during their clinical placements. Given the potential debilitating physical and psychological sequelae of all forms of violence then this study further emphasises the need to use multiple strategies to prevent violence and to better equip student nurses to manage potentially violent incidents, their responses to violence, and to whistle blow or report when they are subject to violence.
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Affiliation(s)
- Nutmeg Hallett
- School of Nursing and Midwifery, Institute of Clinical Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom of Great Britain and Northern Ireland.
| | - Alison Gayton
- School of Nursing and Midwifery, Institute of Clinical Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom of Great Britain and Northern Ireland.
| | - Rachel Dickenson
- Birmingham and Solihull Mental Health NHS Foundation Trust, Saffron - BSMHFT, 100 Showell Green Lane, Birmingham B11 4HL, United Kingdom of Great Britain and Northern Ireland.
| | - Maria Franckel
- Midland Partnership Foundation Trust, 7 Trent Valley Road, David Parry Suite, Lichfield WS13 6EE, United Kingdom of Great Britain and Northern Ireland.
| | - Geoffrey L Dickens
- Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne NE7 7YT, United Kingdom of Great Britain and Northern Ireland.
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Yang Q, Yang L, Yang C, Chen Y, Wu X, Li L. Negative association between workplace violence and patient safety behaviour in male, but not female, nursing interns: A cross-section study. Nurs Open 2023. [PMID: 37115109 DOI: 10.1002/nop2.1780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 02/17/2023] [Accepted: 04/16/2023] [Indexed: 04/29/2023] Open
Abstract
AIM The aim of the study was to compare the associations between workplace violence and patient safety behaviour between male and female nursing interns. DESIGN A cross-sectional survey. METHODS A cross-sectional survey was carried out at three general hospitals in Shandong Province in China to collect data from 466 nursing interns. We evaluated the associations between workplace violence and patient safety behaviours in men and women using multiple linear regressions. RESULTS Sex moderated the association between workplace violence and patient safety behaviour (B = 1.046, [SE = 0.477]; p = 0.029). Among male nursing interns, there was a significant association between workplace violence and patient safety (B = -1.353, 95% CI [-2.556, -0.151]; p = 0.028). In male nursing interns, verbal violence and sexual violence were significantly negatively associated with patient safety (B = -1.569, SE = 0.492, p = 0.002; B = -45.663, SE = 5.554, p < 0.001). No significant association was found in female nursing interns. PATIENT OR PUBLIC CONTRIBUTION This study did not have a patient or public contribution.
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Affiliation(s)
- Qianqian Yang
- Medical School, Liaocheng University, Liaocheng, China
| | - Linlin Yang
- Nursing Department of Liaocheng People's Hospital, Liaocheng, China
| | - Chunling Yang
- Nursing Department of Liaocheng People's Hospital, Liaocheng, China
| | - Yue Chen
- Nursing Department of Taian City Central Hospital, Taian, China
| | - Xia Wu
- Nursing Department of Taian City Central Hospital, Taian, China
| | - Liu Li
- Nursing Department of Liaocheng Yundong Hospital, Liaocheng, China
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Noor N, Rehman S, Ahmed Y, Sarmad M, Mehmood R. Discriminatory practices and poor job performance: A study of person-related hostility among nursing staff. Heliyon 2023; 9:e14351. [PMID: 36938443 PMCID: PMC10020078 DOI: 10.1016/j.heliyon.2023.e14351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 02/28/2023] [Accepted: 03/02/2023] [Indexed: 03/09/2023] Open
Abstract
This study highlights the organisational-level factors that become the reason for propagating hostile behaviours among female nurses. Freire's theory of oppression has been used as an underpinning theory for developing the conceptual framework. This study empirically verifies the conceptual framework of the study that gender discrimination and lack of administrative support are the antecedents of person-related hostility, which is the reason for poor job performance in the healthcare sector. We applied a quantitative research approach, using questionnaires to collect data. Total of 707 survey forms were collected from female nurses working in public sector hospitals in four main cities of Pakistan. The software SPSS 20 and SmartPLS 3 were used for the final data analysis. All hypotheses regarding the direct and indirect relationship of variables were accepted. Gender discrimination and lack of administrative support were positively associated with person-related hostility. Moreover, person-related hostility also mediated the relationship between independent variables (gender discrimination, lack of administrative support) and dependent variable (poor job performance). Future research is directed to study person-related hostility among nursing staff of semi-urban areas and small towns with low literacy rates, considering other dependent variables like burnout, mental well-being, and mental health. HR strategies and policies for fair performance evaluation and timely promotions of nursing professionals are proposed in the study for building an overall healthy environment.
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Affiliation(s)
- Nadia Noor
- Department of Management Sciences, Lahore College for Women University, Pakistan
| | - Saqib Rehman
- Department of Management Sciences, Lahore College for Women University, Pakistan
- Corresponding author.
| | - Yasmeen Ahmed
- Department of Architecture, Lahore College for Women University, Pakistan
| | - Muhammad Sarmad
- Riphah School of Leadership, Riphah International University, Islamabad, Pakistan
| | - Rashid Mehmood
- Division of Management and Administrative Science, UE Business School, University of Education, Lahore, Pakistan
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Al Omari O, Al Yahyaei A, Wynaden D, Damra J, Aljezawi M, Al Qaderi M, Al Ruqaishi H, Abu Shahrour L, ALBashtawy M. Correlates of resilience among university students in Oman: a cross-sectional study. BMC Psychol 2023; 11:2. [PMID: 36604764 PMCID: PMC9817347 DOI: 10.1186/s40359-022-01035-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 12/28/2022] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Resilience has a paramount role in dealing with different life stressors and has a great impact on mental health. AIM To assess the level of resilience among university students and explore the relation between resilience and a number of variables including psychological well-being, self-esteem and physical health. METHODS A cross-sectional design was utilized. Data was collected from 676 university students. Students were required to complete a demographic sheet, Brief Resilience Scale, World Health Organization Well-Being Index, Rosenberg Self-Esteem Scale and a physical health survey. RESULTS Overall, less than half of the participants have reported low levels of resilience (45.3%; n = 306). Regular sleep, perceived stress, WHO well-being index, self-esteem, and having a cumulative GPA of more than two, were factors that significantly predicted positive resilience in multivariate analysis. CONCLUSION Resilience is a necessary skill among university students that requires more academic attention. Factors predicting positive resilience should be considered when implementing mental health promotion programs.
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Affiliation(s)
- Omar Al Omari
- grid.412846.d0000 0001 0726 9430College of Nursing, Sultan Qaboos University, P.O. Box 66, Al-Khoudh, 123 Muscat, Oman
| | - Asma Al Yahyaei
- grid.412846.d0000 0001 0726 9430College of Nursing, Sultan Qaboos University, P.O. Box 66, Al-Khoudh, 123 Muscat, Oman
| | - Dianne Wynaden
- grid.1032.00000 0004 0375 4078School of Nursing, Curtin University, Perth, WA Australia
| | - Jalal Damra
- grid.33801.390000 0004 0528 1681Educational Psychology and Counseling Department, Hashemite University, Zarqa, Jordan ,grid.412846.d0000 0001 0726 9430Psychology Department, Sultan Qaboos University, Muscat, Oman
| | - Maen Aljezawi
- grid.412846.d0000 0001 0726 9430College of Nursing, Sultan Qaboos University, P.O. Box 66, Al-Khoudh, 123 Muscat, Oman ,grid.411300.70000 0001 0679 2502Princess Salma Faculty of Nursing, AL al-Bayt University, Mafraq, Jordan
| | - Mohammad Al Qaderi
- grid.412846.d0000 0001 0726 9430College of Nursing, Sultan Qaboos University, P.O. Box 66, Al-Khoudh, 123 Muscat, Oman ,grid.411300.70000 0001 0679 2502Princess Salma Faculty of Nursing, AL al-Bayt University, Mafraq, Jordan
| | | | - Loai Abu Shahrour
- grid.444463.50000 0004 1796 4519Nursing Department, Higher Colleges of Technology, Ras Al Khaimah, UAE
| | - Mohammed ALBashtawy
- grid.411300.70000 0001 0679 2502Princess Salma Faculty of Nursing, AL al-Bayt University, Mafraq, Jordan
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21
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Yu Z, Kong D, Li Y, Zhang J, Guo A, Xie Q, Gao F, Luan X, Zhuang X, Du C, Liu J. Psychological workplace violence and its influence on professional commitment among nursing interns in China: A multicenter cross-sectional study. Front Public Health 2023; 11:1148105. [PMID: 36923047 PMCID: PMC10008851 DOI: 10.3389/fpubh.2023.1148105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 02/08/2023] [Indexed: 03/02/2023] Open
Abstract
Background Psychological workplace violence (WPV) is the primary form of workplace violence suffered by nursing interns. Psychological WPV not only damages the physical and mental health of nursing interns, but also has a negative impact on their work quality and career choice. Aim To investigate the characteristics and types of psychological WPV suffered by nursing interns in China, analyze the influencing factors of psychological WPV among nursing interns, and explore the influence of psychological WPV on the professional commitment of nursing interns. Methods The subjects were 1,095 nursing interns from 14 medical colleges in Shandong Province. The data were collected electronically using the psychological WPV against nursing interns questionnaire and the professional commitment scale of nursing. The frequency and component ratio were used to describe the incidence and characteristics of psychological WPV. Binary logistic regression was used to analyze the influencing factors of psychological WPV, and linear regression investigated the influence of psychological WPV on the professional commitment of nursing interns. Results In the study, 45.0% (n = 493) of nursing interns suffered at least one incidence of psychological WPV during clinical practice, mainly discrimination and verbal abuse. Patients and their relatives were the main perpetrators of psychological WPV. Discrimination and lack of trust were the two main reasons behind psychological WPV. Furthermore, 75.9% of psychological WPV incidents were not effectively reported. Logistic regression showed that clinical internship duration, place of family residence, and hospital level were the influencing factors of psychological WPV among nursing interns. Linear regression results showed that psychological WPV had a negative effect on nursing interns' professional commitment. Conclusion Psychological WPV against nursing interns is highly prevalent in China, negatively impacting their professional commitment. It is suggested that colleges should introduce courses for nursing interns to understand and cope with psychological WPV before entering clinical practice, and hospitals should establish a mechanism to prevent, cope with, report, and deal with psychological WPV to effectively reduce the incidence of psychological WPV against nursing interns, improve their ability to cope with psychological WPV, and enhance their professional commitment.
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Affiliation(s)
- Zixu Yu
- Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Dong Kong
- Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Yaqin Li
- Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Jie Zhang
- Nursing Department, Shandong Medical College, Jinan, China
| | - Aiwen Guo
- Department of Education and Science, Third People's Hospital, Jinan, China
| | - Qi Xie
- School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Feng Gao
- School of Medicine and Nursing, Dezhou University, Dezhou, China
| | - Xiaoli Luan
- Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Xin Zhuang
- Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Chunling Du
- Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Jin Liu
- Department of Neonatology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
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Xu H, Xue M, Takashi E, Kitayama A, Zhu P, Liu Y. Exploring the relationship between lateral violence and nursing professionalism through the mediating effect of professional identity: A cross‐sectional questionnaire study. Nurs Open 2022; 10:3113-3121. [PMID: 36572647 PMCID: PMC10077382 DOI: 10.1002/nop2.1561] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 10/25/2022] [Accepted: 12/10/2022] [Indexed: 12/28/2022] Open
Abstract
AIM This study aimed to investigate the prevalence of lateral violence (LV) experienced by nursing students during their internship, explore the difference between professional identity and professionalism among nursing students who had or had not experienced LV and analyse the mediating effect of professional identity on the relationship between LV and professionalism. DESIGN A cross-sectional survey was used. METHODS An online anonymous survey was distributed to nursing students (N = 298) in Jiangsu province, China from June to July 2021. The questionnaire consisted of sections on lateral violence, professional identity and nursing professionalism. RESULTS Approximately 49.7% of the nursing students experienced LV behaviour during the internship period. Students who experienced LV had lower professional identity and professionalism than those who did not. Among the students, LV was negatively correlated with professional identity (r = -0.333, p < 0.001) and professionalism (r = -0.418, p < 0.001). The relationship effect of LV on nursing professionalism was partly mediated by professional identity. CONCLUSION Nearly half of the nursing students suffered from LV in the workplace, and this condition remarkably influenced nursing professionalism through professional identity. Both quantitative and qualitative studies are needed to investigate the factors that influence LV development in detail.
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Affiliation(s)
- Huiwen Xu
- School of Nursing & Public Health Yangzhou University Yangzhou China
- Faculty of Nursing Nagano College of Nursing Nagano Japan
| | - Mengxin Xue
- School of Nursing & Public Health Yangzhou University Yangzhou China
| | - En Takashi
- Faculty of Nursing Nagano College of Nursing Nagano Japan
| | - Akio Kitayama
- Faculty of Nursing Nagano College of Nursing Nagano Japan
| | - Pingting Zhu
- School of Nursing & Public Health Yangzhou University Yangzhou China
| | - Yongbing Liu
- School of Nursing & Public Health Yangzhou University Yangzhou China
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23
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Wang L, Li H, Chen Q, Fang C, Cao L, Zhu L. Mediating effect of workplace violence on the relationship between empathy and professional identity among nursing students. Front Psychol 2022; 13:964952. [PMID: 36578675 PMCID: PMC9791219 DOI: 10.3389/fpsyg.2022.964952] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 11/22/2022] [Indexed: 12/14/2022] Open
Abstract
Background Studies have reported that empathy had a positive effect on professional identity (PI) in nursing students. However, little was known about the mechanism underlying this relationship between empathy and professional identity in nursing students. Objective The purpose of this study was to analyze in depth the mediating effect of workplace violence (WVP) between empathy and professional identity in nursing students. Methods A total of 405 nursing students participated and were investigated using the Chinese version of the Jefferson Scale of Empathy-Health Professional (JSE-HP), the scale of professional identity about nursing students, and the workplace violence Incident Survey in this study. Hierarchical regression was used to analyze the mediating effect of workplace violence on the relationship between empathy and professional identity among nursing students. Results The score of nursing students' professional identity was 103.69 ± 17.79. Workplace violence had a significant negative correlation with empathy (r = -0.449, P < 0.001) and professional identity (r = -0.330, P < 0.001). Workplace violence accounted for 14.59% of the total mediating effect on the relationship between empathy and professional identity for nursing students. Conclusions In this study, the level of professional identity of nursing students was low. Workplace violence had a partially significantly mediating effect on the relationship between empathy and professional identity. Maybe, it was suggested that nursing students' professional identity might be improved and driven by a decrease in workplace violence. Targeted interventions at reducing nursing students' workplace violence should be developed and implemented. In addition, nursing managers and educators should be aware of the importance of empathy and improve professional identity in nursing students.
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Affiliation(s)
- Liping Wang
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, China,Department of Kidney Transplantation, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Haiyang Li
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Qiongni Chen
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Chunhua Fang
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, China,Department of Kidney Transplantation, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Lifang Cao
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, China,Department of Cardiology, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Li Zhu
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, China,Department of Cardiology, The Second Xiangya Hospital of Central South University, Changsha, China,*Correspondence: Li Zhu
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Shen Hsiao ST, Ma SC, Guo SL, Kao CC, Tsai JC, Chung MH, Huang HC. The role of workplace bullying in the relationship between occupational burnout and turnover intentions of clinical nurses. Appl Nurs Res 2022; 68:151483. [PMID: 34629280 DOI: 10.1016/j.apnr.2021.151483] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 05/14/2021] [Accepted: 08/03/2021] [Indexed: 12/16/2022]
Abstract
AIM To identify the effect of workplace bullying on the relationship between occupational burnout and turnover intentions among clinical nurses. BACKGROUND Recent evidence showed that a sense of burnout may cause workplace bullying; nevertheless; few studies have explored the effects of occupational burnout on workplace bullying. Furthermore, whether the experience of workplace bullying can aggregate the effect of occupational burnout on turnover intentions remains unclear. METHODS A cross-sectional study was conducted to recruit nursing staff from two general hospitals in Taiwan. Data measurements comprised demographic characteristics, workplace bullying (Negative Acts Questionnaire-Revised), occupational burnout (occupational burnout inventory), and turnover intentions (employee turnover intentions and job destination choice). A hierarchical linear regression model and indirect effect test were conducted to examine the effect of workplace bullying on the relationship between occupational burnout and turnover intentions. RESULTS An indirect effect test confirmed that workplace bullying can exacerbate the effect of occupational burnout on turnover intentions. Nearly one in ten nurses with occupational burnout may have experienced bullying at work, which increased their turnover intentions. CONCLUSIONS Reducing workplace bullying should be considered an important strategy for lowering turnover rates in nursing environments. Nursing mangers should develop appropriate strategies and establish mandatory regulations to create a respectful work environment. Moreover, continuous education and training to empower nursing staff to confront and eliminate workplace bullying are required in healthcare institutions.
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Affiliation(s)
- Shu-Tai Shen Hsiao
- Department of Nursing, Taipei Medical University Hospital, Taiwan; Department of Quality Management, Taipei Medical University Hospital, Taiwan; School of Nursing, College of Nursing, Taipei Medical University, Taiwan.
| | - Shu-Ching Ma
- Department of Nursing, Chi Mei Medical Center, Tainan, Taiwan; College of Humanities and Social Science, Southern Taiwan University of Science and Technology, Tainan, Taiwan.
| | - Shu-Liu Guo
- Department of Nursing, Taipei Medical University Hospital, Taiwan; School of Nursing, College of Nursing, Taipei Medical University, Taiwan.
| | - Ching-Chiu Kao
- School of Nursing, College of Nursing, Taipei Medical University, Taiwan; Department of Nursing, Wanfang Hospital, Taipei Medical University, Taiwan.
| | - Jui-Chen Tsai
- School of Nursing, College of Nursing, Taipei Medical University, Taiwan; Department of Nursing, Shuang Ho Hospital, Taipei Medical University, Taiwan.
| | - Min-Huey Chung
- School of Nursing, College of Nursing, Taipei Medical University, Taiwan.
| | - Hui-Chuan Huang
- School of Nursing, College of Nursing, Taipei Medical University, Taiwan.
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25
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Dafny HA, Champion S, Pearson V, Brown S. Nursing students' experiences of workplace violence in clinical practice: a qualitative systematic review protocol. JBI Evid Synth 2022; 21:1058-1063. [PMID: 36440851 DOI: 10.11124/jbies-22-00207] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The objective of this review is to investigate the experience of workplace violence against nursing students on clinical placement. INTRODUCTION Workplace violence affects nursing students during clinical placements in hospitals and other health care settings. Nursing students are uniquely vulnerable to workplace violence due to their limited experience and skills in challenging abusive behavior. Up to half of nursing students have reported experiencing horizontal or lateral physical or verbal violence during clinical placement, both from colleagues and patients. As a result of workplace violence, many students consider leaving nursing practice within their first year. This has implications for individual students' progression and for health care systems that rely on nursing graduates to deliver health care services. INCLUSION CRITERIA Only qualitative primary studies will be included. The population is registered nurse students, the phenomenon of interest is the experience of workplace violence, and the context is clinical placement. METHODS A comprehensive database search of MEDLINE, CINAHL, Web of Science Core collection, Scopus, Embase, Cochrane Central Register of Controlled Trials, ERIC, ProQuest Central, ProQuest Social Science Premium Collection, and ProQuest Dissertations and Theses. Databases will be searched from inception to present for English-language qualitative literature of any study design that meets the inclusion criteria. A search of unpublished and gray literature will also be conducted. The JBI critical appraisal checklist for qualitative research will be used to assess the studies. Findings and illustrations will be extracted and assigned a level of credibility. Meta-aggregation of findings will be performed, and a ConQual Summary of Findings will be presented. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42022337674.
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Affiliation(s)
- Hila Ariela Dafny
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park SA, Australia.,Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence: Alice Springs, NT, Australia
| | - Stephanie Champion
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park SA, Australia.,Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence: Alice Springs, NT, Australia
| | - Vincent Pearson
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park SA, Australia
| | - Shannon Brown
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park SA, Australia
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Khanagar SB, Aldawas I, Almutairi A, Alamro M, Altammami N, Aldakhil S, Hodan S. Dental Students' Experience, Impact, and Response to Patient Aggression in Saudi Arabia: A Nationwide Study. Healthcare (Basel) 2022; 10:2239. [PMID: 36360580 PMCID: PMC9690685 DOI: 10.3390/healthcare10112239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 11/04/2022] [Accepted: 11/05/2022] [Indexed: 08/30/2023] Open
Abstract
Patient aggression and violence comprise a wide range of behaviors and actions that may include verbal aggression and physical aggression. The aim of this study is to report dental students' experience with, impact from, and response to patient aggression in Saudi Arabia. A cross-sectional analytical study was conducted among dental students from various health universities representing each region of Saudi Arabia. Data were collected using a self-administered, structured and validated questionnaire. A total of 375 participants responded to the questionnaire and 121 (32.3%) study participants reported experiencing patient aggression. Out of those, 91 (75.21%) experienced patients displaying anger or raising their voice toward them, 37 (30.58%) reported being insulted by a patient, 22 (18.18%) reported being threatened, 12 (6.2%) had experienced sexual harassment, and 65 (50.41%) had experienced verbal harassment. Furthermore, 91 (75.21%) participants reported being abandoned by patients because they were students. A total of 55 (45.45%) participants stated that aggressive patient behavior had an impact on their clinical performance, and 44 (36.36%) considered themselves stressed out. A total of 24 (19.83%) participants took time off due to incidents and 22 (18.18%) thought about quitting dentistry. Prevalence of patient aggression was significant among dental students in Saudi Arabia. These episodes of patient aggression negatively impacted students' academic performance and wellbeing, necessitating urgent attention. Educational institutions should conduct periodic workshops for students in order to address these issues. Policymakers should develop better policies in order to reduce violence and aggression against health care providers.
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Affiliation(s)
- Sanjeev B. Khanagar
- Preventive Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
- King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh 11481, Saudi Arabia
- College of Public Health, Texila American University, Georgetown 413741, Guyana
| | - Ibrahim Aldawas
- College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
| | - Abdullah Almutairi
- College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
| | - Mohammed Alamro
- College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
| | - Naif Altammami
- College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
| | - Sultan Aldakhil
- College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
| | - Suliman Hodan
- College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
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Karabey T, Karagozoglu S, Gültürk E. Violence management proficiency scale in application areas for nursing students: A Turkish validity and reliability study. Perspect Psychiatr Care 2022; 58:2345-2352. [PMID: 35289952 DOI: 10.1111/ppc.13066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 03/02/2022] [Accepted: 03/03/2022] [Indexed: 11/29/2022] Open
Abstract
AIM The aim of this study is to perform the validity and reliability study of the Turkish version of the Management of Workplace Violence Competence Scale (MWVCS) for Nursing Students. METHOD The methodological and cross-sectional study design was used in the method of the study. The research was carried out with 300 nursing students in Turkey. Data were collected using the personal information form and MWVCS. RESULTS Explanatory factor analysis and confirmatory factor analysis results confirmed the four-factor structure of the scale. Cronbach's α, item-total correlation, test-retest analysis, and equivalent form analysis showed high reliability. The MWVCS consists of 28 items on a five-point Likert-type scale. Four factors explained 88.729 of the total variance explained. The content validity index of the scale is 0.99. Cronbach's α of the scale was 0.880 and test-retest correlations were found as 0.76. CONCLUSION The Turkish version of the MWVCS is a valid and reliable tool for assessing students' workplace violence.
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Affiliation(s)
- Tuba Karabey
- Division of Nursing, Gaziosmanpasa University Faculty of Health Science, Tokat, Turkey
| | - Serife Karagozoglu
- Department of Fundamentals of Nursing, Division of Nursing, Cumhuriyet University Faculty of Health Science, Sivas, Turkey
| | - Esra Gültürk
- Department of Basic Medical Sciences Department of Biostatistics, Cumhuriyet University Faculty of Medical Science, Sivas, Turkey
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Yellon T, Yellon D. Touching male patients - The challenge of orthodox Jewish female nursing students: A phenomenological study. NURSE EDUCATION TODAY 2022; 117:105463. [PMID: 35842970 DOI: 10.1016/j.nedt.2022.105463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 06/10/2022] [Accepted: 06/30/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Individuals from minority populations represent a growing percentage of the nursing workforce. Orthodox Jewish nurses are part of the Israeli nursing workforce, but scarce data and little research is available regarding the influence of nurses'; religious and cultural backgrounds on their interactions with patients. Research regarding touch between the sexes in a professional context refers mainly to male nurses touching female patients. The cultural context of touching patients has also been poorly investigated. OBJECTIVES Understanding orthodox Jewish female nursing student's experience of touching male patients. DESIGN Qualitative study. SETTINGS Four academic nursing programs in Israel. PARTICIPANTS Forty orthodox Jewish female nursing students, academic year 3-4. METHOD Descriptive phenomenological approach. Forty in depth semi-structured interviews were undertaken and analyzed according to themes. RESULTS Eight categories were identified. From these, three main themes emerged: Supervisor-student relationship (bullying/abuse), negative personal feelings (loneliness/helplines, lack of support, fears, cognitive dissonance) and coping strategies (being tested by God, improving one's self character, positive personal reflection). CONCLUSION These students presented with unique challenges facing male patients - which clinical instructors were unaware of. They used their cultural background as a source of power. Findings may be of global relevance for other nursing schools and health services where nurses come from religious backgrounds.
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Affiliation(s)
- Tamar Yellon
- Jerusalem College of Technology, Israel; Hadassah Medical Center, Israel.
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29
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Zhu L, Dongyan L, Luo Z, Mengqi X, Sun L, Sanlian H. Characteristics of workplace violence, responses and their relationship with the professional identity among nursing students in China: a multicenter cross-sectional study. BMC Nurs 2022; 21:262. [PMID: 36163042 PMCID: PMC9511771 DOI: 10.1186/s12912-022-01037-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 09/08/2022] [Indexed: 11/23/2022] Open
Abstract
Background Nursing students are one of the most vulnerable groups suffering from workplace violence. This study aimed to investigate the workplace violence incidence of Chinese nursing students during clinical practice, to describe the characteristics of violence and students’ responses and to analyse the relationship between the experience of workplace violence and professional identity. Methods A cross-sectional study was conducted among 954 nursing students in ten universities in China through convenience sampling. Workplace violence was surveyed through Hospital Workplace Violence Questionnaire for Nursing Students. Students’ professional identity was measured by Professional Identity Questionnaire for Nursing Students. Statistical methods included descriptive statistics, chi-square test, independent-samples t-test, analysis of variance and linear regression analysis. Results It was found that the incidence of workplace violence among nursing students was 42.98%. The violent incidents ranking from high to low were: verbal abuse, threat, physical attack, sexual harassment, and gathering disturbance. The majority of the nursing students chose to avoid the conflict during the incident. 86.34% of the students didn’t report the incidents. More than half of the victims developed post-traumatic stress disorder after the incidents. Regression analysis results showed that workplace violence experience (β = − 0.076, P < 0.05) was a significantly negative predictor of professional identity. Conclusions Chinese nursing students were exposed to physical and psychological violence during clinical practice with insufficient coping solutions and psychological adjustment. The professional identity of the nursing students was significantly associated with the experience of workplace violence.
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Affiliation(s)
- Lingyan Zhu
- Department of Nursing, Shanghai JiaoTong University Affiliated Sixth People's Hospital, Shanghai, China
| | - Lu Dongyan
- School of Nursing, Huzhou University, Huzhou, China
| | - Zhenlan Luo
- School of Nursing, Shanghai JiaoTong University School of Medicine, Shanghai, China
| | - Xu Mengqi
- School of Nursing, Shanghai JiaoTong University School of Medicine, Shanghai, China
| | - Linfang Sun
- Department of Nursing, Shanghai JiaoTong University Affiliated Sixth People's Hospital, Shanghai, China
| | - Hu Sanlian
- Department of Nursing, Shanghai JiaoTong University Affiliated Sixth People's Hospital, Shanghai, China.
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Chowdhury SR, Kabir H, Mazumder S, Akter N, Chowdhury MR, Hossain A. Workplace violence, bullying, burnout, job satisfaction and their correlation with depression among Bangladeshi nurses: A cross-sectional survey during the COVID-19 pandemic. PLoS One 2022; 17:e0274965. [PMID: 36137141 PMCID: PMC9499253 DOI: 10.1371/journal.pone.0274965] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 09/07/2022] [Indexed: 11/18/2022] Open
Abstract
Background Depression is one of the most serious yet understudied issues among Bangladeshi nurses, bringing health dangers to this workforce. This study aimed to investigate how workplace violence (WPV), bullying, burnout, and job satisfaction are correlated with depression and identify the factors associated with depression among Bangladeshi nurses. Methods For this cross-sectional study, data were collected between February 26, 2021, and July 10, 2021 from the Bangladeshi registered nurses. The Workplace Violence Scale (WPVS), the Short Negative Acts Questionnaire [S-NAQ], the Burnout Measure-Short version (BMS), the Short Index of Job Satisfaction (SIJS-5), and the Patient Health Questionnaire (PHQ-9) were used to measure WPV, bullying, burnout, job satisfaction, and depression, respectively. Inferential statistics include Pearson’s correlation test, t-test, one-way ANOVA test, multiple linear regression, and multiple hierarchal regression analyses were performed. Results The study investigated 1,264 nurses (70.02% female) with an average age of 28.41 years (SD = 5.54). Depression was positively correlated with WPV, bullying, and burnout and negatively correlated with job satisfaction (p <0.001). According to the multiple linear regression model, depression was significantly lower among nurses with diploma degrees (β = -1.323, 95% CI = -2.149 to -0.497) and bachelor’s degrees (β = -1.327, 95% CI = -2.131 to– 0.523) compared to the nurses with master’s degree. The nurses who worked extended hours (>48 hours) had a significantly higher depression score (β = 1.490, 95% CI = 0.511 to 2.470) than those who worked ≤ 36 hours. Depression was found to be significantly higher among those who did not receive a timely salary (β = 2.136, 95% CI = 1.138 to 3.134), rewards for good works (β = 1.862, 95% CI = 1.117 to 2.607), and who had no training on WPV (β = 0.895, 95% CI = 0.092 to 1.698). Conclusions Controlling burnout, bullying, and workplace violence, as well as improving the work environment for nurses and increasing job satisfaction, are the essential indicators of reducing depression. This can be accomplished with integrative support from hospital executives, policymakers, and government officials.
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Affiliation(s)
- Saifur Rahman Chowdhury
- Department of Public Health, North South University, Dhaka, Bangladesh
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada
- * E-mail: (HK); (SRC)
| | - Humayun Kabir
- Department of Public Health, North South University, Dhaka, Bangladesh
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada
- * E-mail: (HK); (SRC)
| | - Sinthia Mazumder
- Department of Public Health, North South University, Dhaka, Bangladesh
| | - Nahida Akter
- Penn State Ross and Carol Nese College of Nursing, Penn State University, University Park, PA, United States of America
| | - Mahmudur Rahman Chowdhury
- Begum Rabeya Khatun Chowdhury Nursing College, Sylhet, Bangladesh
- School of Medical Sciences, Shahjalal University of Science and Technology, Sylhet, Bangladesh
| | - Ahmed Hossain
- Department of Public Health, North South University, Dhaka, Bangladesh
- Health Services Administration, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
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Pagnucci N, Ottonello G, Capponi D, Catania G, Zanini M, Aleo G, Timmins F, Sasso L, Bagnasco A. Predictors of events of violence or aggression against nurses in the workplace: A scoping review. J Nurs Manag 2022; 30:1724-1749. [PMID: 35420236 PMCID: PMC9796891 DOI: 10.1111/jonm.13635] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Revised: 03/27/2022] [Accepted: 04/12/2022] [Indexed: 02/03/2023]
Abstract
AIM To identify predictors and consequences of violence or aggression events against nurses and nursing students in different work contexts. BACKGROUND Workplace violence against nurses and nursing students is a very common and widespread phenomenon. Actions to manage or prevent violent events could be implemented knowing the risk factors and consequences. However, there is a lack of systematic reviews that summarize knowledge on the predictors and consequences of workplace violence. EVALUATION A scoping review was conducted using electronic databases including APA PsycInfo, CINAHL, Cochrane, Ovid Medline, PubMed and Scopus. KEY ISSUES After full text analysis, 87 papers were included in the current scoping review. Risk factors of horizontal violence were grouped into 'personal' and 'Environmental and organizational', and for violence perpetrated by patients into 'personal', 'Environmental and organizational' and 'Characteristics of the perpetrators'. CONCLUSIONS The results of this scoping review uncover problems that often remain unaddressed, especially where these episodes are very frequent. Workplace violence prevention and management programmes are essential to counter it. IMPLICATIONS FOR NURSING MANAGEMENT The predictors and the consequents identified constitute the body of knowledge necessary for nurse managers to develop and implement policy and system actions to effectively manage or prevent violent events.
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Affiliation(s)
| | | | | | | | - Milko Zanini
- Department of Health SciencesUniversity of GenoaGenoa
| | - Giuseppe Aleo
- Department of Health SciencesUniversity of GenoaGenoa
| | - Fiona Timmins
- School of Nursing, Midwifery & Health SystemsUniversity College DublinDublinIreland
| | - Loredana Sasso
- School of Nursing, Midwifery & Health SystemsUniversity College DublinDublinIreland
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Karabey T, Karagozoglu S, Boy Y. Reflection of nursing students violence tendencies on care behaviors. Perspect Psychiatr Care 2022; 58:946-953. [PMID: 34085280 DOI: 10.1111/ppc.12881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 05/16/2021] [Accepted: 05/19/2021] [Indexed: 11/30/2022] Open
Abstract
PURPOSE Although violence is a preventable phenomenon, whose negative effects may be reduced, it should be analyzed with a holistic approach to determine its possible effects on caring behaviors, which constitute the basis of the profession of nursing. This study aims to reveal the reflections of the tendency to violence among the nursing students on their caring behavior. MATERIALS AND METHODS A survey was conducted within a convenient sample of 292 nursing students. Personal Information Form, Tendency to Violence Scale, and the Caring Behaviors Inventory (CBI-24) were used for data collection. FINDINGS There was a negative and moderate relationship between the tendency to violence and the scores obtained from the CBI-24 and its subscales. Simple linear regression analysis revealed that tendency to violence explained 10% and had a significant effect on caring behaviors (β = -0.328, p < .001). PRACTICAL IMPLICATIONS Tendency to violence among the nursing students might be determined before their graduation and the students with such tendencies might be closely monitored and supported to reduce these tendencies.
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Affiliation(s)
- Tuba Karabey
- Division of Nursing, Department of Fundamentals of Nursing, Gaziosmanpasa University Faculty of Health Science, Tokat, Turkey
| | - Serife Karagozoglu
- Division of Nursing, Department of Fundamentals of Nursing, Cumhuriyet University Faculty of Health Science, Sivas, Turkey
| | - Yasemin Boy
- Division of Nursing, Gaziosmanpasa University Faculty of Health Science, Tokat, Turkey
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Oludare TR, Kotronoulas G. Determinants and consequences of workplace violence against hospital-based nurses: a rapid review and synthesis of international evidence. Nurs Manag (Harrow) 2022; 29:e2056. [PMID: 35770448 DOI: 10.7748/nm.2022.e2056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2022] [Indexed: 06/15/2023]
Abstract
Workplace violence against nurses is an international public health issue with likely detrimental consequences for individuals, systems and societies. To effectively address workplace violence against nurses, its root causes must be understood and its effect on nurse outcomes quantified. In line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the authors rapidly reviewed the international literature to identify determinants of workplace violence against hospital-based nurses and the effects of workplace violence on nurse outcomes. Twenty-one studies (22 articles) formed the final sample - 16 quantitative, three qualitative and two mixed-methods studies. Supervisors, other nurses and physicians were the major perpetrators of workplace violence against nurses. Perpetrators of workplace violence were other nurses or physicians, the workplace, patients, and organisational management. Workplace violence was linked to deficits in nurses' health, job satisfaction and intention to stay in their role. To address workplace violence, evidence-based zero-tolerance policies, preventive interventions and appropriate disciplinary actions must be implemented at organisational and national level.
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Ata EE, Yilmaz EB. Nursing students' experiences and perceptions of aggression: a sample from Turkey. CENTRAL EUROPEAN JOURNAL OF NURSING AND MIDWIFERY 2022. [DOI: 10.15452/cejnm.2021.12.0036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Moroney T, Gerdtz M, Brockenshire N, Maude P, Weller-Newton J, Hatcher D, Molloy L, Williamson M, Woodward-Kron R, Molloy E. Exploring the contribution of clinical placement to student learning: A sequential mixed methods study. NURSE EDUCATION TODAY 2022; 113:105379. [PMID: 35489330 DOI: 10.1016/j.nedt.2022.105379] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2021] [Revised: 04/06/2022] [Accepted: 04/12/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Increasing demand and limited supply of clinical placements in nursing underscore the need to better understand the role of clinical placements in students' learning. Identifying pedagogically rich activities that support work place learning alongside factors that influence educational outcomes has the potential to optimise professional placement experiences. OBJECTIVE To explore student nurses perceptions of the value of nursing clinical placements to their learning. DESIGN AND METHODS A descriptive research design was employed using a sequential mixed method approach. A cross-sectional student survey captured students' perceptions of work integrated learning based on the perceived contribution of a pre-determined list of activities undertaken on clinical placement. SETTING AND PARTICIPANTS Four Australian universities took part. Participants included students undertaking entry to practice programs. RESULTS Four hundred and sixty-nine students completed the survey. Thirty-eight students participated in 12 focus groups. Participants rated PRA including interacting and time with patients and performing assessments as the most useful activities. Less useful, were activities that took them away from the patient. CONCLUSIONS To maximise workplace learning, consideration must be given to ensuring students are presented with goal directed activities that support learning and are focused on an expanding scope of practice with opportunities to discuss and engage with staff.
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Affiliation(s)
- Tracey Moroney
- Curtin School of Nursisng, Curtin University Perth 6102 Australia.
| | - Marie Gerdtz
- Department of Nursing, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, 161 Barry Street, The University of Melbourne, Victoria 3010, Australia.
| | - Naomi Brockenshire
- Department of Nursing, Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Victoria 3010, Australia.
| | - Phil Maude
- La Trobe University, Rural Health School/Violet Vines Marshman Centre for Rural Health Research, Edwards Road, Flora Hill, Victoria 3550, Australia.
| | - Jennifer Weller-Newton
- Department of Rural Health, Faculty of Medicine, Dentistry and Health Sciences, 49 Graham St, Shepparton, Victoria 3630, Australia.
| | - Deborah Hatcher
- School of Nursing and Midwifery, Western Sydney University, New South Wales 1797, Australia.
| | - Luke Molloy
- School of Nursing, University of Wollongong, New South Wales 2522, Australia.
| | - Moira Williamson
- School of Nursing, Midwifery & Social Sciences, CQUniversity, Australia.
| | - Robyn Woodward-Kron
- Department of Medical Education, The University of Melbourne, Victoria 3010, Australia.
| | - Elizabeth Molloy
- Work Integrated Learning, Department of Medical Education, The University of Melbourne, Victoria 3010, Australia.
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Wang S, Zhao H, Sun Z. Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China. BMC MEDICAL EDUCATION 2022; 22:351. [PMID: 35534819 PMCID: PMC9088100 DOI: 10.1186/s12909-022-03428-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Accepted: 05/03/2022] [Indexed: 06/10/2023]
Abstract
BACKGROUND In order to curb healthcare workplace violence (WPV) and better allocate healthcare resources, China launched the descending resources reform in 2013 and tightened the anti-violence legal environment simultaneously. Medical students are expected to reconsider their working intentions of entering the medical market (inter-market effect) and choosing high- or low-level hospitals (intra-market effect) in response to the evolving WPV. The goal of this study was to explore the link between the perceived WPV incidence and medical students' willingness to practice medicine in the context of China's descending resources reform. METHOD Medical students were selected with cluster sampling from 8 medical colleges in Zhejiang Province, China, and 1497 valid questionnaires were collected by using a five-point unbalanced scale, to perform cross-sectional empirical research using the ordered logit model (OLM). RESULTS The perceived WPV incidence negatively correlate with the willingness of medical students to practice medicine but positively correlate with their willingness to practice in low-level hospitals, indicating the existence of inter- and intra-market effects. The anti-violence legal environment has no direct link with working intention but contributes to the perceived decline in the incidence of violence. Descending resources reform has simultaneous opposite effects on medical students, with the coexistence of prudent motives driven by reform costs and optimistic expectations of sharing external benefits. CONCLUSIONS Safety needs and risk aversion motive play an important role in medical students' career choice when facing severe WPV. Tightening of the anti-violence legal environment and the descending resources reform could drive medical students to low-level hospitals.
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Affiliation(s)
- Shuhong Wang
- Department of Stomatology, Songjiang Hospital Affiliated to Shanghai Jiaotong University School of Medicine (Preparatory Stage), Shanghai, China
| | - Hongjun Zhao
- School of Finance and Business, Shanghai Normal University, No. 100, Guilin Road, Xuhui District, Shanghai, 200234 China
| | - Zesheng Sun
- School of Finance and Business, Shanghai Normal University, No. 100, Guilin Road, Xuhui District, Shanghai, 200234 China
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Abdelaziz EM, Abu-Snieneh HM. The impact of bullying on the mental health and academic achievement of nursing students. Perspect Psychiatr Care 2022; 58:623-634. [PMID: 33949687 DOI: 10.1111/ppc.12826] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 04/05/2021] [Accepted: 04/09/2021] [Indexed: 01/06/2023] Open
Abstract
PURPOSE This study aimed to determine the prevalence of bullying and identify the perpetrators of bullying among nursing students. Further, the impact of bullying on their mental health and academic achievement was also examined. DESIGN AND METHODS A cross-sectional correlational design was adopted. A total of 180 undergraduate nursing students completed an electronic questionnaire. RESULTS Approximately half of the participants had experienced at least one or more bullying behaviors on a daily or weekly basis during nursing education. Classmates were the most frequently reported perpetrators of bullying behaviors. Bullying experience was associated with poor psychological health and perceived stress. A lower grade point average emerged as a significant predictor of exposure to bullying behaviors. PRACTICE IMPLICATIONS There is a need to create policies that delineate the legal implications of bullying to protect students. Faculty members and clinical service providers should work together to reduce the prevalence and impact of negative acts against students.
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Affiliation(s)
- Enas M Abdelaziz
- Nursing Department, College of Applied Medical Sciences, Jouf University, Sakakah, Al-Jawf, Saudi Arabia.,Department of Psychiatric Mental Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt
| | - Hana M Abu-Snieneh
- Nursing Department, College of Applied Medical Sciences, Jouf University, Sakakah, Al-Jawf, Saudi Arabia
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Hunter EJ, Eades CE, Evans JMM. Violence experienced by undergraduate nursing students during clinical placements: An online survey at a Scottish University. Nurse Educ Pract 2022; 61:103323. [DOI: 10.1016/j.nepr.2022.103323] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 02/16/2022] [Accepted: 02/28/2022] [Indexed: 11/26/2022]
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MacDonald CM, Hancock PD, Kennedy DM, MacDonald SA, Watkins KE, Baldwin DD. Incivility in practice - incidence and experiences of nursing students in eastern Canada: A descriptive quantitative study. NURSE EDUCATION TODAY 2022; 110:105263. [PMID: 35114439 DOI: 10.1016/j.nedt.2021.105263] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 12/15/2021] [Accepted: 12/28/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Incivility within nursing is professionally unacceptable. Little research exists regarding student nurses' experiences with incivility from healthcare professionals and others within the clinical environment and particularly within a Canadian context. AIM To describe the incidence and perceptions of incivility experienced by undergraduate nursing students from healthcare professionals and others within clinical practice. METHOD This descriptive study used an electronic survey and was conducted at an eastern Canadian university. Descriptive statistics were applied. RESULTS Of 650 nursing students invited to participate in the study, 260 surveys were fully completed. Of these, 70% of respondents indicated experiencing incivility, mostly in acute care settings. Registered nurses and licensed practical nurses were the major offenders. Discourteous gestures and condescending remarks were the most frequently experienced uncivil acts, resulting in feelings of high anxiety and inadequacy. Participants coped by avoiding communication with the perpetrator. Incivility was rarely reported because of a belief it would be fruitless to do so, lack of awareness of policies and fear of retaliation. CONCLUSIONS Nursing students experience incivility frequently in clinical practice with serious consequences. Recommendations arising from this study encourage educators and healthcare leaders to collaborate to review, implement and evaluate curricula, policies and processes to address incivility.
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Affiliation(s)
| | - Peggy D Hancock
- Western Regional School of Nursing, 1 Brookfield Ave, Corner Brook, NL A2H 6J7, Canada.
| | - Daphne M Kennedy
- Red Deer Polytechnic, 100 College Blvd, Red Deer, Alberta T4N 5H5, Canada.
| | - Sandra A MacDonald
- Memorial University of Newfoundland, 300 Prince Phillip Drive, St John's, NL A1B 3V6, Canada.
| | - Kathy E Watkins
- Centre for Nursing Studies, 100 Forest Road, St. John's, NL A1A 1E5, Canada.
| | - Daisy D Baldwin
- Memorial University of Newfoundland, 300 Prince Phillip Drive, St John's, NL A1B 3V6, Canada.
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Stress Levels and Coping Strategies Among Undergraduate Nursing Students in Greece During Economic Recession. Nurse Educ Pract 2022; 60:103299. [DOI: 10.1016/j.nepr.2022.103299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Revised: 01/10/2022] [Accepted: 01/12/2022] [Indexed: 11/18/2022]
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Jia C, Han Y, Lu W, Li R, Liu W, Jiang J. Prevalence, characteristics, and consequences of verbal and physical violence against healthcare staff in Chinese hospitals during 2010-2020. J Occup Health 2022; 64:e12341. [PMID: 35781909 PMCID: PMC9262320 DOI: 10.1002/1348-9585.12341] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Revised: 05/24/2022] [Accepted: 05/26/2022] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES This study investigated the characteristics of workplace violence (WPV) against Chinese healthcare staff and their casualties after severe physical violence (PV). METHODS We scrutinized medical WPV incidents reported online and analyzed information on timing, location, violence, criminal incentives, and casualties following severe PV in China from 2010 to 2020. RESULTS WPVs were mostly committed by young and middle-aged male family members of the patients, especially in the emergency department (49.1%), and mostly associated with dissatisfaction with treatment effect (28.9%) in general. High medical costs (62.5%) were the leading cause of verbal violence (VV), whereas men predominantly committed PV (OR = 4.217, 95% CI: 1.439-12.359) owing to dissatisfaction with the healthcare staff's attitude (P < 0.001). The victims were security personnel in most cases (81.1%). Nurses were generally more likely to experience PV (P < 0.05), while doctors were more likely to experience lethal PV (OR = 4.732, 95% CI: 1.42-15.772), which mostly happened in oncology (P < 0.05) and committed by visitors (P < 0.001). Slight injuries and mortality were more likely to be inflicted by being rejected for unreasonable demands and disappointed with the treatment effect (P < 0.05). CONCLUSIONS Medical WPV has numerous reasons, locations, and diverse victims and offenders. Some severe WPVs have serious consequences. Therefore, it is recommended for the concerned authorities to adopt effective steps for appropriate legislative, security, and conflict-resolution measures.
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Affiliation(s)
- Chen Jia
- Medical School of Chinese PLA, Beijing, China.,Faculty of Hepato-Pancreato-Biliary Surgery, the First Medical Center, Chinese PLA General Hospital, Beijing, China
| | - Yijing Han
- Management School of Jinan University, Guangzhou, China
| | - Wenping Lu
- Faculty of Hepato-Pancreato-Biliary Surgery, the First Medical Center, Chinese PLA General Hospital, Beijing, China
| | - Ruofan Li
- Medical School of Chinese PLA, Beijing, China.,Faculty of Hepato-Pancreato-Biliary Surgery, the First Medical Center, Chinese PLA General Hospital, Beijing, China
| | - Weizheng Liu
- Medical School of Chinese PLA, Beijing, China.,Faculty of Hepato-Pancreato-Biliary Surgery, the First Medical Center, Chinese PLA General Hospital, Beijing, China
| | - Jianan Jiang
- Medical School of Chinese PLA, Beijing, China.,Faculty of Hepato-Pancreato-Biliary Surgery, the First Medical Center, Chinese PLA General Hospital, Beijing, China
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Castillo-Parra S, Bacigalupo-Araya JF, García-Vallejos G, Ramírez-Lazcano C, Collado-Quezada C, Lorca-Nachar A. TEACHERS' VOICES SEEKING HUMANIZED TEACHING IN NURSING: VIRTUAL EXPERIENCES DURING THE PANDEMIC. TEXTO & CONTEXTO ENFERMAGEM 2022. [DOI: 10.1590/1980-265x-tce-2021-0207] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objective: to describe the experience of implementing the online training entitled “Humanization of the training processes in Nursing, care for all”, targeted at Nursing teachers from a Chilean university, as well as to analyze their interventions in the virtual forum. Method: a qualitative research study, of the case study type, through content analysis based on the forum interventions of 12 training participants who gave their consent. The online training delivered to professors from a Chilean Nursing school carried out from May to November 2020 is described, and the categories obtained by means of content analysis are presented. Results: for the participants, humanized care has a personal dimension and a public-political dimension. In turn, humanized teaching in Nursing implies that teachers recognize their students as whole individuals in their generational and social contexts, but that they also recognize themselves as people with self-knowledge needs and aware of their possibilities and limitations when practicing their profession. Reflective teaching is an opportunity to humanize Nursing training. Conclusion: this virtual training during the pandemic and the participants' reflections allowed us to understand conceptual and experiential elements about humanization of care and of training. The participants disclose the aspects in which they can exert an influence for a more humanized culture, such as self-recognition and acknowledgment of their students as individuals in a context. The remaining challenge is to investigate influential strategies at the institutional and political levels to attain more humanized care and education.
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Rusticus SA, Wilson D, Jarus T, O’Flynn-Magee K, Albon S. Exploring student perceptions of the learning environment in four health professions education programs. LEARNING ENVIRONMENTS RESEARCH 2022; 25:59-73. [PMID: 33519295 PMCID: PMC7822397 DOI: 10.1007/s10984-021-09349-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Accepted: 01/13/2021] [Indexed: 05/22/2023]
Abstract
The desire to support student learning and professional development, in combination with accreditation requirements, necessitates the need to evaluate the learning environment of educational programs. The Health Education Learning Environment Survey (HELES) is a recently-developed global measure of the learning environment for health professions programs. This paper provides evidence of the applicability of the HELES for evaluating the learning environment across four health professions programs: medicine, nursing, occupational therapy and pharmaceutical sciences. Two consecutive years of HELES data were collected from each program at a single university (year 1 = 552 students; year 2 = 745 students) using an anonymous online survey. Reliability analyses across programs and administration years supported the reliability of the tool. Two-way factorial ANOVAs with program and administration year as the independent variables indicated statistically- and practically-significant differences across programs for four of the seven scales. Overall, these results support the use of the HELES to evaluate student perceptions of the learning environment multiple of health professions programs.
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Affiliation(s)
- Shayna A. Rusticus
- University of British Columbia, Vancouver, Canada
- Psychology Department, Kwantlen Polytechnic University, Surrey, Canada
| | - Derek Wilson
- University of British Columbia, Vancouver, Canada
| | - Tal Jarus
- University of British Columbia, Vancouver, Canada
| | | | - Simon Albon
- University of British Columbia, Vancouver, Canada
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Warshawski S. Workplace violence directed at nursing and medical students - What can students tell us about it? J Prof Nurs 2021; 37:1110-1118. [PMID: 34887029 DOI: 10.1016/j.profnurs.2021.09.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Workplace violence (WPV) directed at healthcare teams is a widespread growing phenomenon that affects students as well. The negative consequences of WPV may impede patient care and future retention rates. PURPOSE To explore (a) the incidence and type of WPV experienced by nursing and medical students during their clinical rotations; (b) the associations between the emotional consequences of WPV events for students and their perceived professional performance; (c) students' preparedness and current training on WPV. METHOD One hundred and fifty-one Israeli nursing and medical students completed an online questionnaire that included closed and open-ended questions. Quantitative data and qualitative data were analyzed separately, before their integration. RESULTS More than half the students reported having experienced verbal violence during their clinical rotations. Experiencing WPV caused some students (14.6%) to consider leaving the profession and about one third (27.8%) reported that it had affected patients' care. The vast majority of students did not report experiencing incidents of physical violence. CONCLUSIONS There is an essential need to promote and implement multidisciplinary programs aimed at eliminating WPV, beginning at the students' level. Students need preparation and practical tools for coping with WPV. At the same time, health organizations must act to examine how cases of WPV against students are handled.
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Affiliation(s)
- Sigalit Warshawski
- Nursing Department, School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
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Bahadır-Yılmaz E. Relationship between nursing students' exposure to colleague violence and stress levels in nursing education. CENTRAL EUROPEAN JOURNAL OF NURSING AND MIDWIFERY 2021. [DOI: 10.15452/cejnm.2021.12.0025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Hallett N, Wagstaff C, Barlow T. Nursing students' experiences of violence and aggression: A mixed-methods study. NURSE EDUCATION TODAY 2021; 105:105024. [PMID: 34217030 DOI: 10.1016/j.nedt.2021.105024] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Revised: 05/21/2021] [Accepted: 06/15/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Violence and aggression cause significant problems for nursing staff and students working across healthcare. OBJECTIVES To identify the prevalence of aggression experienced by nursing students whilst on clinical placement in one UK city, and rates and experiences of reporting of aggression. DESIGN A convergent mixed method design, with mixing occurring at the objective and inference stages. PARTICIPANTS Preregistration nursing students who had completed at least one clinical placement. METHODS A cross-sectional survey and concurrent focus groups were conducted between May and December 2018. Students completed the 'Students' Experiences of Violence and Aggression Survey' (SEVAS) and were separately invited to participate in focus groups. RESULTS There were 129 responses to the survey and 36 students participated in five focus groups. Only about a third of non-physical aggression was reported and around half of the physical aggression and sexual harassment. Very few incidents were reported to the university. Themes from the focus groups encompassed ideas of the ubiquity of violence, that students did not know what they were doing, and issues of racism, bullying, and compassion. CONCLUSIONS Universities have a responsibility to students; this includes preparing them adequately to manage aggression, and ensuring reporting is easy to do and adequately dealt with. A majority of students who responded to the survey had experienced non-physical aggression in the past year (81%), over half had experienced physical aggression (56%) and more than one in three had experienced sexual harassment (40%).
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Affiliation(s)
- Nutmeg Hallett
- School of Nursing, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom of Great Britain and Northern Ireland.
| | - Chris Wagstaff
- School of Nursing, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom of Great Britain and Northern Ireland.
| | - Tony Barlow
- School of Nursing and Midwifery, Birmingham City University, Bevan House, Edgbaston, Birmingham B15 3TN, United Kingdom of Great Britain and Northern Ireland.
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Choi SY, Kim H, Park KH. Experience of Violence and Factors Influencing Response to Violence Among Emergency Nurses in South Korea: Perspectives on Stress-Coping Theory. J Emerg Nurs 2021; 48:74-87. [PMID: 34538520 DOI: 10.1016/j.jen.2021.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2021] [Revised: 07/17/2021] [Accepted: 07/23/2021] [Indexed: 10/20/2022]
Abstract
INTRODUCTION This cross-sectional study aimed to explore the experiences of workplace violence involving emergency nurses and to identify the factors influencing the response to violence on the basis of the stress-coping theory formulated by Lazarus and Folkman. METHODS Using a cross-sectional design, a structured questionnaire was administered to measure the experience of violence, perceived stress, coping actions after violence, resilience (Connor-Davidson Resilience Scale), and responses to violence. The participants were 131 nurses who were working in the emergency departments in 9 of 11 general hospitals in 2 cities in South Korea. The collected data were analyzed using descriptive statistics, t tests, analyses of variance, Pearson correlations, and hierarchical multiple regression analyses. RESULTS The most frequent type of violence was verbal violence, and the main offender involved in all types of violence was the patient. The methods for coping with violence were mainly passive, and emotional responses were the most frequently reported response to violence. In the final model (explanatory power = 41.5%), with response to violence as the dependent variable, the effects of the experience of violence disappeared, and only the effects of perceived stress and resilience remained. DISCUSSION The results of this study suggest that internal factors such as perceived stress and resilience have a more meaningful effect on the response to violence than the experience of violence itself. The findings are expected to serve as assessment data for preparing interventions and policies around prevention of, and effective coping regarding, workplace violence toward emergency nurses.
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Fernández-Gutiérrez L, Mosteiro-Díaz MP. Bullying in nursing students: A integrative literature review. Int J Ment Health Nurs 2021; 30:821-833. [PMID: 33848043 DOI: 10.1111/inm.12854] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 01/26/2021] [Accepted: 02/03/2021] [Indexed: 11/29/2022]
Abstract
The purpose of this integrative review was to analyse the current situation of bullying in nursing students through an exhaustive review of the last 10 years. As the sources of information, we used electronic databases, such as Medline, CINAHL, PubMed, Cochrane, and SciELO, using bullying, nursing students, and clinical environment as search terms. We based the methodology of the study in PRISMA checklist. Articles were selected for their relevance and suitability for the purpose, and they were constructed into a table. A critical appraisal was done using MMAT TOOL and AACOODS checklist. Papers were analysed using a constant comparison and a concept mapping. Finally, 30 articles were included. We analysed: prevalence, profile of the victim and perpetrator, type of violence, and bullying consequences. Bullying prevalence varied from 9-96% according to the author. Differences about the influence of sociodemographic variables were detected, there is no consensus about age, gender, or educational level. Bullying in nursing students is an important problem that affects all spheres of their life. Harassment also has consequences for the patient and for the health organization, so it is really important to take action regarding bullying and to act to victims, perpetrators, and health organizations. Regarding to implications for nursing practice, we found that some interventions were useful to reduce bullying, so it is important to participate in intervention programmes to eventually stop this problem. This study has revealed that more research on the efficacy of psychological intervention programmes to help students cope with bullying situations is essential.
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Liu X, Yang H, Hu Y, Zhou Y, Wang J, Dong L, Zhang M, Liang T. Incidence of workplace violence against nurses among Chinese hospitals: A meta-analysis. J Nurs Manag 2021; 30:1490-1501. [PMID: 34291858 DOI: 10.1111/jonm.13427] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 07/15/2021] [Accepted: 07/17/2021] [Indexed: 11/30/2022]
Abstract
AIMS To explore the incidence of workplace violence against nurses in Chinese hospitals. BACKGROUND Previous systematic reviews on the incidence of workplace violence against Chinese health care workers did not include many articles published in Chinese. Although several studies have investigated cases of violence against health care providers in China, no meta-analysis has been conducted to assess the incidence of violence against Chinese nurses. EVALUATION In this study, relevant data were retrieved from studies published up to July 2020. A meta-analysis was conducted using R software (Version 4.0). KEY FINDINGS The 12-month incidence of workplace violence among Chinese nurses was 71% (95% CI 67%-75%), and verbal violence was the most common sub-type of violence (63%, 95% CI 58%-67%). CONCLUSION Chinese nurses are at a high risk of violence at workplace. Hospital managers should explore ways to reduce violence against their employees, especially the younger nurses who work in secondary hospitals. IMPLICATIONS FOR NURSING MANAGEMENT The findings of this study highlight the need to enhance the legal system in terms of laws meant to effectively mitigate violence against nurses in Chinese hospitals. Measures should be particularly taken to protect younger nurses who work in secondary hospitals.
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Affiliation(s)
- Xin Liu
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Haojie Yang
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yule Hu
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yanjun Zhou
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Jiahong Wang
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Lili Dong
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Min Zhang
- Department of Occupational Health, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Tao Liang
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
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Maffissoni AL, Sanes MDS, Bresolin P, Martini JG, Schneider DG, Lino MM. Self-reported violence by nursing students in the context of undergraduate studies. Rev Bras Enferm 2021; 74:e20201179. [PMID: 34287563 DOI: 10.1590/0034-7167-2020-1179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Accepted: 11/21/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to identify the characteristics of violence in the context of the teaching and learning of the undergraduate Nursing course, from the perspective of students. METHODS quantitative, cross-sectional study, developed with 208 undergraduate students in Nursing. The data was obtained through the application of a survey questionnaire and processed by descriptive and bivariate statistics. RESULTS of the participants, 69.2% (n = 144) have experienced some kind of violence. Violent acts of a psychological nature were the most frequent, but there were also reports of physical, sexual violence and deprivation or abandonment. Violence was practiced in a theoretical and practical learning environment. Teachers and classmates were the most frequent perpetrators. Most students had no reaction, told friends, family, and colleagues, or pretended that nothing happened in the face of the violent acts. CONCLUSIONS violence is present at various moments in the undergraduate Nursing course and can negatively impact the quality of training in the area.
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Affiliation(s)
| | | | - Paula Bresolin
- Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil
| | - Jussara Gue Martini
- Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil
| | | | - Monica Motta Lino
- Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil
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