Korean J Adult Nurs.  2018 Feb;30(1):41-48. 10.7475/kjan.2018.30.1.41.

Mediating Effect of Resilience on the Association between Violence Experience and Violence Response among Nurses

• Jeong C
• Lee EN

• KMID: 2405697
• DOI: http://doi.org/10.7475/kjan.2018.30.1.41

Abstract

PURPOSE
The purpose of this study was to investigate resiliency and its mediating effect on the association between violence experience and violence response among nurses in intensive care units (ICU) and emergency departments (ED).
METHODS
Nurses working in ICU and ED were recruited from five hospitals in Busan city. Data were collected from 1st July to 31st August 2016 using structured questionnaires about violence experiences of nurses in the last three months and nurses' resilience including Korean Version of the Assault Response Questionnaire (ARQ-K). Data from 195 nurses were analyzed using the SPSS/WIN 21.0 program. Baron & Kenny's 3-step hierarchical regression analysis was used to test the mediating effect of resilience on the relationship between violence experience and violence response.
RESULTS
A positive correlational relationship between nurses' violence experience and violence response was significant (r=.37, p < .001). Negative correlational relationships were found between nurses' violence experience and resilience (r=−.19, p=.008) and between resilence and violence response (r=−.38, p < .001). This study found a partial mediating effect of resilience on the association between violence experience and violence response (z=2.49, p=.013).
CONCLUSION
There is a need to develop a variety of intervention programs that can improve resilience in reducing violence response of nurses.

MeSH Terms

Busan
Emergency Service, Hospital
Intensive Care Units
Negotiating*
Violence*

Reference

1.Gates DM., Gillespie GL., Succop P. Violence against nurses and its impact on stress and productivity. Nursing Economics. 2011. 29(2):59–66.

2.Taylor JL., Rew L. A systematic review of the literature: workplace violence in the emergency department. Journal of Clinical Nursing. 2011. 20(7-8):1072–85. https://doi.org/10.1111/j.1365-2702.2010.03342.x.

3.Hong MJ. A study on nurses' experiences of violence [master's thesis]. Daejeon: Eulji University;. 2009.

4.Hahn S., Müller M., Needham I., Dassen T., Kok G. Factors asso-ciated with patient and visitor violence experienced by nurses in general hospitals in Switzerland: a cross-sectional survey. Journal of Clinical Nursing. 2010. 19(23-24):3535–46. https://doi.org/10.1111/j.1365-2702.2010.03361.x.

5.Early MR., Williams RA. Emergency nurses' experience with violence: does it affect nursing care of battered women? Journal of Emergency Nursing. 2002. 28(3):199–204. https://doi.org/10.1067/men.2002.124991.

6.Hwang YY., Park YR., Park SH. Experience of workplace violence among intensive care unit nurses. Korean Journal of Adult Nursing. 2015. 27(5):548–58. https://doi.org/10.7475/kjan.2015.27.5.548.

7.Park EY., Lee EN. Predictors of violent behavior by patient or caregiver of patient in the emergency department. Korean Journal of Adult Nursing. 2014. 26(5):500–11. https://doi.org/10.7475/kjan.2014.26.5.500.

8.Lenssen MM., McCreery S. Workplace violence in the health-care setting. Nursing Publications. 2012. 225:1–15.

9.Polk LV. Toward a middle-range theory of resilience. Advances in Nursing Science. 1997. 19(3):1–13.

10.Tusaie K., Dyer J. Resilience: a historical review of the construct. Holistic Nursing Practice. 2004. 18(1):3–10.

11.Hsieh HF., Hung YT., Wang HH., Ma SC., Chang SC. Factor of resilience in emergency department nurses who have experienced workplace violence in Taiwan. Journal of Nursing Scholar-ship. 2016. 48(1):23–30. https://doi.org/10.1111/jnu.12177.

12.Zou G., Shen X., Tian X., Liu C., Li G., Kong L, et al. Correlates of psychological distress, burnout, and resilience among Chinese female nurses. Industrial Health. 2016. 54(5):389–95. https://doi.org/10.2486/indhealth.2015-0103.

13.Yun JS. A study of violence experience from patients and their families and job satisfaction of emergency department nurses [master's thesis]. Ulsan: University of Ulsan;. 2004.

14.Shin MY. Violence, burnout and turnover intention of the nurses' in a general hospital. [master's thesis]. Seoul: Hanyang University;. 2011.

15.Lanza ML. Assault response questionnaire. Issues in Mental Health Nursing. 1988. 9(1):17–29. https://doi.org/10.3109/01612848809140907.

16.Jang MJ., Lee EN. Validity and reliability of ARQ-K(Korean Version of the Assault Response Questionnaire) for emergency department nurses in Korea. Journal of Korean Academy of Nursing. 2015. 45(4):544–53. https://doi.org/10.4040/jkan.2015.45.4.544.

17.Park MM., Park JW. Development of resilience scale for nurses. Journal of Korean Academy of Fundamentals of Nursing. 2016. 23(1):32–41. https://doi.org/10.7739/jkafn.2016.23.1.32.

18.Baron RM., Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986. 51(6):1173–82.

19.Chapman R., Perry L., Styles I., Combs S. Consequences of work-place violence directed at nurses. British Journal of Nursing. 2009. 17(20):1256–61. https://doi.org/10.12968/bjon.2008.17.20.45121.

20.Inoue M., Tsukano K., Muraoka M., Kaneko F., Okamura H. Psychological impact of verbal abuse and violence by patients on nurses working in psychiatric departments. Psychiatry and Clinical Neurosciences. 2006. 60(1):29–36. https://doi.org/10.1111/j.1440-1819.2006.01457.x.

21.Park HJ., Kang HS., Kim KH., Kwon HJ. Exposure to workplace violence and coping in intensive care unit nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2011. 20(3):291–301. https://doi.org/10.12934/jkpmhn.2011.20.3.291.

22.Sung MH. Relationship of the experience of violence to burnout and job satisfaction in emergency department nurses. Journal of Korean Clinical Nursing Research. 2008. 14(2):83–92.

23.Son YJ., Gong HH., You MA., Kong SS. Relationships between workplace violence experience and posttraumatic stress symptoms, resilience in clinical nurses. Journal of the Korean Data Analysis Society. 2015. 17(1):515–30.

24.Mealer M., Jones J., Moss M. A qualitative study of resilience and posttraumatic stress disorder in United States ICU nurses. Intensive Care Medicine. 2012. 38(9):1445–51.

25.McDonald G., Jackson D., Wilkes L., Vickers MH. A work-based educational intervention to support the development of per-sonal resilience in nurses and midwives. Nurse Education Today. 2012. 32(4):378–84. https://doi.org/10.1016/j.nedt.2011.04.012.

26.Choi M., Kim M. Development and effects of a resilience training program for nurses. Journal of Korean Academy of Nursing Administration. 2016. 22(4):373–83. https://doi.org/10.11111/jkana.2016.22.4.373.

27.Kamchuchat C., Chongsuvivatwong V., Oncheunjit S., Yip TW., Sangthong R. Workplace violence directed at nursing staff at a general hospital in southern Thailand. Journal of Occupatio-nal Health. 2008. 50(2):201–7. https://doi.org/10.1539/joh.O7001.

28.Choi WJ., Cho SH., Cho NS., Kim GS. Effect of an education program on violence in the emergency department. Journal of the Korean Society of Emergency Medicine. 2005. 16(2):221–8. .S.