Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (5): 118-124.doi: 10.6040/j.issn.1671-7554.0.2021.1023

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Latent class analysis of workplace psychological violence experienced by nurses and its association with job burnout

LU Yane1, WANG Juan1, ZHANG Xuan1, MAO Fangxiang1, SUN Meng2, CAO Fenglin1   

  1. 1. Department of Health Psychology, School of Nursing and Rehabilitation, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Emergency, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2022-06-01

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Abstract: Objective To identify different patterns of workplace psychological violence experienced by nurses from colleagues and to explore the association between different patterns of psychological violence and job burnout. Methods A total of 1,954 nurses in Shandong Province were surveyed with a self-compiled general information questionnaire, Workplace Psychologically Violent Behaviors Instrument, and Maslach Burnout Inventory. Results The workplace psychological violence could be classified into three patterns: isolation from work/attack on the professional status type(C1, 24.7%), suffering from high psychological violence type(C2, 23.1%), and suffering from low psychological violence type(C3, 52.2%). The risk of job burnout was highest among nurses suffering from high psychological violence(OR=1.91, P<0.001), followed by nurses suffering from isolation from work/attack on the professional status(OR=4.64, P<0.001). Conclusion Three patterns of workplace psychological violence could be identified among nurses, including isolation from work/attack on professional status type, suffering from high psychological violence type, and suffering from low psychological violence type. The risk of job burnout is high among those who suffer from isolation from work/attack on professional status and high psychological violence. These nurses are the high-risk group for early screening and intervention in clinical practice.

Key words: Nurse, Workplace psychological violence among colleagues, Job burnout, Latent class analysis

CLC Number: 

  • R192.6
[1] Woo T, Ho R, Tang A, et al. Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis [J]. J Psychiatr Res, 2020, 123: 9-20. doi: 10.1016/j.jpsychires.2019.12.015.
[2] 聂世俊, 李颂. 哈尔滨市护士职业倦怠现状及其影响因素调查研究[J]. 中国医院管理, 2019, 39(7): 69-71. NIE Shijun, LI Song. Analysis of the status and influecing factors of occupation burnout of nurses in harbin city [J]. Chinese Hospital Management, 2019, 39(7): 69-71.
[3] 朱以芳, 刘悦, 赵芳, 等. 陕西省10所综合三级甲等医院护士职业倦怠现状与应对方式调查[J]. 临床医学研究与实践, 2019, 4(26): 17-19. ZHU Yifang, LIU Yue, ZHAO Fang, et al. Survey of job burnout and coping styles a mong nurses in 10 comprehensive grade-three class-A hospitals in Shaanxi Province [J]. Clinical Research and Practice, 2019, 4(26): 17-19.
[4] 叶志弘, 骆宏, 姜安丽. 杭州地区护士群体职业倦怠常模与诊断标准的研究[J]. 中华护理杂志, 2008(3): 207-209. YE Zhihong, LUO Hong, JIANG Anli. Diagnostic standard and norms of Maslach Burnout Inventory for nurses in Hangzhou [J]. Chinese Journal of Nursing, 2008(3): 207-209.
[5] 符静, 钟影. 海口市三级甲等综合医院护士职业倦怠现状及影响因素[J]. 职业与健康, 2019, 35(23): 3172-3175. FU Jing, ZHONG Ying. Current situation and influencing factors of job burnout among nurses in grade-A tertiary general hospitals of Haikou City [J]. Occupation and Health, 2019, 35(23): 3172-3175.
[6] Blackstock S, Salami B, Cummings GG. Organisational antecedents, policy and horizontal violence among nurses: an integrative review [J]. J Nurs Manage, 2018, 26(8): 972-991.
[7] 陈欢欢, 徐云云, 徐小, 等. 三甲医院临床护士工作场所心理暴力与应对方式的相关性研究[J]. 中华全科医学, 2020, 18(10): 1770-1773. CHEN Huanhuan, XU Yunyun, XU Xiao, et al. A study on the correlation between psychological violence and coping style in the workplace of clinical nurses in Grade-A Tertiary hospitals [J]. Chinese Journal of General Practice, 2020, 18(10): 1770-1773.
[8] 许妹仔, 陈瑜, 曾丽娟, 等. 护士同事间心理暴力的现状及其影响因素研究[J]. 中华护理杂志, 2018, 53(12): 1439-1443. XU Meizai, CHEN Yu, ZENG Lijuan. The characteristics and influencing factors of workplace psychological violence from working partners among nurses [J]. Chinese Journal of Nursing, 2018, 53(12): 1439-1443.
[9] 宗菲, 刘颖青, 李秀军. 北京市三甲医院护士同事间心理暴力现况及影响因素分析[J]. 护理学杂志, 2020, 35(2): 69-72. ZONG Fei, LIU Yingqing, LI Xiujun. Workplace psychological violence from working partners and its influencing factors among nurses from grade three hospitals in Beijing [J]. Journal of Nursing Science, 2020, 35(2): 69-72.
[10] Pien L, Cheng Y, Cheng W. Internal workplace violence from colleagues is more strongly associated with poor health outcomes in nurses than violence from patients and families [J]. J Adv Nurs, 2019, 75(4): 793-800.
[11] Bambi S, Foà C, De Felippis C, et al. Workplace incivility, lateral violence and bullying among nurses. A review about their prevalence and related factors [J]. Acta Biomed, 2018, 89(6-S): 51-79.
[12] Purpora C, Cooper A, Sharifi C, et al. Workplace bullying and risk of burnout in nurses: a systematic review protocol [J]. JBI Database System Rev Implement Rep, 2019, 17(12): 2532-2540.
[13] Kim Y, Lee E, Lee H. Association between workplace bullying and burnout, professional quality of life, and turnover intention among clinical nurses [J]. PLoS One, 2019, 14(12): e226506. doi: 10.1371/journal.pone.0226506.
[14] Mori M, Krumholz H M, Allore H G. Using latent class analysis to identify hidden clinical phenotypes [J]. JAMA, 2020, 324(7): 700.
[15] 卞二松, 付华, 刘志刚. 山东省综合城市化水平区域差异分析[J]. 首都师范大学学报(自然科学版), 2009, 30(2): 52-55. BIAN Ersong, FU Hua, LIU Zhigang. Regional difference analysis of the urbanization level in Shandong Province [J]. Journal of Capital Normal University(Natural Sciences Edition), 2009, 30(2): 52-55.
[16] Dilek Y, Aytolan Y. Development and psychometric evaluation of workplace psychologically violent behaviours instrument [J]. J Clin Nurs, 2008, 17(10): 1361-1370.
[17] 许妹仔. 护士遭受工作场所心理暴力的现状及其影响因素研究[D]. 广州: 南方医科大学, 2018.
[18] Maslach C, Jackson SE. The measurement of experienced burnout [J]. J Organ Behav, 1981, 2(2): 99-113.
[19] 冯莺, 骆宏, 叶志弘. MBI量表在护士工作倦怠研究中的测试[J]. 中国心理卫生杂志, 2004(7): 477-479. FENG Ying, LUO Hong, YE Zhihong. Job burnout of nurses [J]. Chinese Mental Health Journal, 2004(7): 477-479.
[20] 林少炜, 李煌元, 赵璧, 等. 医护人员工作场所暴力模式的潜类别分析[J]. 中国卫生统计, 2017,34(06):884-886.
[21] Tong C, Cui C, Li Y, et al. The effect of workplace violence on depressive symptoms and the mediating role of psychological capital in Chinese township general practitioners and nurses: a cross-sectional study [J]. Psychiat Invest, 2019, 16(12): 896-903.
[22] Moayed F A, Daraiseh N, Shell R, et al. Workplace bullying: a systematic review of risk factors and outcomes [J]. Theor Iss Ergon Sci, 2006, 7(3): 311-327.
[23] 郎永华. 护理管理过程中如何处理小团体问题[J]. 健康必读(下旬刊), 2012, 2021(4): 351. LANG Yonghua. How to deal with small groups in nursing management[J]. JiankangBidu, 2012,2021(4):351.
[24] Daiski I. Changing nurses dis-empowering relationship patterns [J]. J Adv Nurs, 2004, 48(1): 43-50.
[25] Chirico F. Job stress models for predicting burnout syndrome: a review[J]. Ann Ist Super Sanita, 2016,52(3):443-456.
[26] Youssef-Morgan CM, Luthans F. Psychological capital and well-being[J]. Stress & Health, 2015, 31(3):180-188.
[27] Roy I. Burnout syndrome: definition, typology and management[J]. Soins Psychiatrie, 2018, 39(318):12-19.
[28] Bozgeyikli H. Big Five Personality Traits as the Predictor of Teachers Organizational Psychological Capital [J]. JEP, 2017, 8(18): 125-135.
[29] Ríos Rísquez MI, Sánchez Meca J, Godoy Fernández C. Hardy personality, self-efficacy, and general health in nursing professionals of intensive and emergency services [J]. Psicothema, 2010, 22(4): 600-605.
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