Associations Between Workplace Violence and Work Performance Among Nurses: A Longitudinal Study Based on Affective Events Theory
This study aims to examine the chain-mediating effects of affective reactions and burnout on the relationship between workplace violence and work performance among nurses while distinguishing between physical and psychological violence. A longitudinal study was conducted between October 2020 and Oct...
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| Published in | Journal of clinical nursing |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
10.07.2025
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0962-1067 1365-2702 1365-2702 |
| DOI | 10.1111/jocn.70040 |
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| Abstract | This study aims to examine the chain-mediating effects of affective reactions and burnout on the relationship between workplace violence and work performance among nurses while distinguishing between physical and psychological violence.
A longitudinal study was conducted between October 2020 and October 2022. The study took place in four tertiary hospitals of Shandong Province, China. A total of 1086 nurses were recruited.
Workplace psychological violence, workplace physical violence, work performance, affective reactions (including anxiety and depressive symptoms) and burnout were assessed using self-report questionnaires. Data were analysed using multiple linear regressions and structural equation modelling on SPSS and AMOS.
The STROBE checklist was used for this study.
Workplace psychological violence, but not physical violence, was associated with nurses' work performance. Burnout mediates the relationship between workplace psychological violence and work performance. Affective reactions and burnout play serial intermediary roles in the relationship between workplace psychological violence and work performance.
Interventions aimed at reducing anxiety, depressive symptoms, and burnout among nurses who have experienced psychological violence may enhance their work performance.
Hospital administrators should prioritise the development of strategies to prevent psychological violence (e.g., anti-bullying training and counselling support) and enhance nurse performance through burnout screening and targeted interventions.
This study was conducted in Shandong Province, China, and relied on self-reported data, which may be subject to social desirability bias.
No patient or public contribution. |
|---|---|
| AbstractList | This study aims to examine the chain-mediating effects of affective reactions and burnout on the relationship between workplace violence and work performance among nurses while distinguishing between physical and psychological violence.
A longitudinal study was conducted between October 2020 and October 2022. The study took place in four tertiary hospitals of Shandong Province, China. A total of 1086 nurses were recruited.
Workplace psychological violence, workplace physical violence, work performance, affective reactions (including anxiety and depressive symptoms) and burnout were assessed using self-report questionnaires. Data were analysed using multiple linear regressions and structural equation modelling on SPSS and AMOS.
The STROBE checklist was used for this study.
Workplace psychological violence, but not physical violence, was associated with nurses' work performance. Burnout mediates the relationship between workplace psychological violence and work performance. Affective reactions and burnout play serial intermediary roles in the relationship between workplace psychological violence and work performance.
Interventions aimed at reducing anxiety, depressive symptoms, and burnout among nurses who have experienced psychological violence may enhance their work performance.
Hospital administrators should prioritise the development of strategies to prevent psychological violence (e.g., anti-bullying training and counselling support) and enhance nurse performance through burnout screening and targeted interventions.
This study was conducted in Shandong Province, China, and relied on self-reported data, which may be subject to social desirability bias.
No patient or public contribution. This study aims to examine the chain-mediating effects of affective reactions and burnout on the relationship between workplace violence and work performance among nurses while distinguishing between physical and psychological violence.AIMThis study aims to examine the chain-mediating effects of affective reactions and burnout on the relationship between workplace violence and work performance among nurses while distinguishing between physical and psychological violence.A longitudinal study was conducted between October 2020 and October 2022. The study took place in four tertiary hospitals of Shandong Province, China. A total of 1086 nurses were recruited.DESIGNA longitudinal study was conducted between October 2020 and October 2022. The study took place in four tertiary hospitals of Shandong Province, China. A total of 1086 nurses were recruited.Workplace psychological violence, workplace physical violence, work performance, affective reactions (including anxiety and depressive symptoms) and burnout were assessed using self-report questionnaires. Data were analysed using multiple linear regressions and structural equation modelling on SPSS and AMOS.METHODSWorkplace psychological violence, workplace physical violence, work performance, affective reactions (including anxiety and depressive symptoms) and burnout were assessed using self-report questionnaires. Data were analysed using multiple linear regressions and structural equation modelling on SPSS and AMOS.The STROBE checklist was used for this study.REPORTING METHODThe STROBE checklist was used for this study.Workplace psychological violence, but not physical violence, was associated with nurses' work performance. Burnout mediates the relationship between workplace psychological violence and work performance. Affective reactions and burnout play serial intermediary roles in the relationship between workplace psychological violence and work performance.RESULTSWorkplace psychological violence, but not physical violence, was associated with nurses' work performance. Burnout mediates the relationship between workplace psychological violence and work performance. Affective reactions and burnout play serial intermediary roles in the relationship between workplace psychological violence and work performance.Interventions aimed at reducing anxiety, depressive symptoms, and burnout among nurses who have experienced psychological violence may enhance their work performance.CONCLUSIONSInterventions aimed at reducing anxiety, depressive symptoms, and burnout among nurses who have experienced psychological violence may enhance their work performance.Hospital administrators should prioritise the development of strategies to prevent psychological violence (e.g., anti-bullying training and counselling support) and enhance nurse performance through burnout screening and targeted interventions.PRACTICAL IMPLICATIONSHospital administrators should prioritise the development of strategies to prevent psychological violence (e.g., anti-bullying training and counselling support) and enhance nurse performance through burnout screening and targeted interventions.This study was conducted in Shandong Province, China, and relied on self-reported data, which may be subject to social desirability bias.LIMITATIONSThis study was conducted in Shandong Province, China, and relied on self-reported data, which may be subject to social desirability bias.No patient or public contribution.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution. |
| Author | Pei, Yifei Xiao, Yiping Sun, Meng Zhang, Xuan Cao, Fenglin Lu, Yan'e Lyu, Ran |
| Author_xml | – sequence: 1 givenname: Yifei surname: Pei fullname: Pei, Yifei organization: School of Nursing and Rehabilitation Shandong University Jinan Shandong Province China – sequence: 2 givenname: Yiping surname: Xiao fullname: Xiao, Yiping organization: Shandong Provincial Hospital Affiliated to Shandong First Medical University Jinan Shandong Province China – sequence: 3 givenname: Xuan surname: Zhang fullname: Zhang, Xuan organization: School of Nursing and Rehabilitation Shandong University Jinan Shandong Province China – sequence: 4 givenname: Yan'e surname: Lu fullname: Lu, Yan'e organization: School of Nursing Peking University Beijing China – sequence: 5 givenname: Meng surname: Sun fullname: Sun, Meng organization: Department of Emergency Qilu Hospital of Shandong University Jinan Shandong Province China – sequence: 6 givenname: Ran surname: Lyu fullname: Lyu, Ran organization: School and Hospital of Stomatology Shandong University Jinan Shandong Province China – sequence: 7 givenname: Fenglin orcidid: 0000-0002-6292-6840 surname: Cao fullname: Cao, Fenglin organization: School of Nursing and Rehabilitation Shandong University Jinan Shandong Province China |
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