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

• Published in: BMC public health 2024-09, Vol.24 (1), p.2437-12, Article 2437
• Main Authors: Chen, Miao, Xie, Hao, Liao, Xiaoli, Ni, Juan
• Format: Article
• Language: English
• Subjects: Adult; Aggression; Analysis; Burnout; China; China - epidemiology; Chinese nurses; Compassion; Compassion fatigue; Compassion Fatigue - epidemiology; Compassion Fatigue - psychology; Correlation analysis; Cross-Sectional Studies; East Asian People; Employee turnover; Fatigue; Female; Health aspects; Hospitals; Humans; Intention; Male; Mediation; Medical personnel; Middle Aged; Nurses; Nursing; Nursing Staff, Hospital - psychology; Nursing Staff, Hospital - statistics & numerical data; Occupational hazards; Organizational aspects; Patient safety; Personnel Turnover - statistics & numerical data; Psychological resilience; Public health; Questionnaires; Registered nurses; Resilience; Resilience, Psychological; Secondary traumatic stress; Sexual harassment; Statistical analysis; Surveys and Questionnaires; Turnover intention; Violence; Working conditions; Workplace violence; Workplace Violence - psychology; Workplace Violence - statistics & numerical data; Young Adult
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-024-19964-y

Workplace violence is a global public health issue and a major occupational hazard cross borders and environments. Nurses are the primary victims of workplace violence due to their frontline roles and continuous interactions. The present study aimed to investigate the status of workplace violence, turnover intention, compassion fatigue, and psychological resilience among Chinese nurses, and explore the mediating role of compassion fatigue and the moderating role of psychological resilience on relationship between workplace violence and turnover intention among Chinese nurses. A cross-sectional study was conducted among a convenience sample of clinical registered nurses from public hospitals in Changsha, Hunan, China. Data was collected through an online questionnaire, which included a demographic information form, the Workplace Violence Scale (WVS), the Turnover Intention Questionnaire (TIQ), the Compassion Fatigue Scale (CF-CN), and the Connor-Davidson Resilience Scale (CD-RISC). Descriptive statistics and correlation analysis were employed to examine the relationships among the main variables. A moderated mediation analysis was further conducted using the PROCESS macro for SPSS (Model 4 and Model 8) to examine the mediating role of compassion fatigue and the moderating role of psychological resilience. The present survey recruited a convenience sample of 1,141 clinical registered nurses, who reported experiencing multiple types of workplace violence during the past year. Correlation analysis revealed significant positive correlations between workplace violence and turnover intention (r = 0.466, P