工作场所暴力与护士心理健康中心理弹性与应对策略的调节中介模型

Aims

This study aimed to investigate whether the impact of workplace violence (WPV) on nurses’ mental health varies with mental resilience and coping strategies.

Background

Workplace violence is a serious threat to nurses’ mental health, and its impact on nurses’ mental health is influenced by many factors.

Method

A cross-sectional study involving 349 participants was conducted over 12 months. The data were analyzed using SPSS 25.0 and SPSS PROCESS macro.

Results

In total, 82.52% of nurses were exposed to WPV. WPV not only affects mental health directly but also indirectly through mental resilience. Coping strategies had a moderating effect among WPV, mental resilience and mental health. When nurses coped with psychological violence with intolerance, WPV had a stronger negative effect on their mental health. When nurses coped with psychological violence with tolerance but coped with physical violence with intolerance, mental resilience had a stronger positive effect on their mental health.

Conclusions

Good mental resilience and coping with psychological violence with tolerance while coping with physical violence with intolerance can help buffer WPV and promote mental health.

Clinical relevance

Employers who have a “zero tolerance” policy regarding WPV need to re-examine how they currently operate.

摘要翻译（仅供参考）

宗旨

本研究旨在调查工作场所暴力 (WPV) 对护士心理健康的影响是否因心理弹性和应对策略而异。

背景

职场暴力是护士心理健康的严重威胁，其对护士心理健康的影响受多种因素的影响。

方法

一项涉及 349 名参与者的横断面研究在 12 个月内进行。使用SPSS 25.0和SPSS PROCESS宏对数据进行分析。

结果

总共有 82.52% 的护士接触过 WPV。WPV 不仅直接影响心理健康，还通过心理弹性间接影响心理健康。应对策略在 WPV、心理弹性和心理健康之间具有调节作用。当护士以不容忍态度应对心理暴力时，WPV 对他们的心理健康产生了更大的负面影响。当护士用宽容应对心理暴力，用不宽容应对身体暴力时，心理弹性对她们的心理健康有更强的积极影响。

结论

良好的心理应变能力，以宽容应对心理暴力，以不宽容应对身体暴力，有助于缓冲 WPV，促进心理健康。

临床相关性

对 WPV 采取“零容忍”政策的雇主需要重新审视他们目前的运营方式。

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