J Korean Acad Nurs.  2017 Jun;47(3):332-344. 10.4040/jkan.2017.47.3.332.

The Effects of Violence Coping Program Based on Middle-Range Theory of Resilience on Emergency Room Nurses' Resilience, Violence Coping, Nursing Competency and Burnout

• Lee SM
• Sung KM

• KMID: 2426463
• DOI: http://doi.org/10.4040/jkan.2017.47.3.332

Abstract

PURPOSE
The purpose of this study was to examine the effects of a violence coping program (VCP) based on Polk's middle-range theory of resilience on nursing competency, resilience, burnout, and the ability to cope with violence in nurses working in emergency rooms.
METHODS
A quasi-experimental study, with a nonequivalent control group and a pretest-posttest design, was conducted. Participants were 36 nurses who worked in emergency rooms and had experienced violence; 18 nurses from D hospital and 18 nurses from C hospital were assigned to the experimental and control groups, respectively. The experimental group received the VCP twice per week for 8 weeks.
RESULTS
Levels of resilience, F=59.41, p<.001, active coping behavior, χ²=33.09, p<.001, and nursing competency, F=59.41 p<.001, increased significantly and levels of passive coping behavior, χ²=22.92, p<.001, and burnout, F=52.74, p<.001, decreased significantly in the experimental group.
CONCLUSION
The results suggest that the VCP could be an effective strategy for reducing burnout and improving resilience, active coping behavior, and nursing competency. Therefore, it would be a useful intervention for improving the quality of nursing care provided in emergency rooms.

Keyword

Psychological resilience; Violence; Psychological adaptation; Clinical competence; Professional burnout

MeSH Terms

*Adaptation, Psychological
Adult
*Burnout, Professional
Clinical Competence
Emergency Service, Hospital
Female
Humans
Middle Aged
Nursing Staff, Hospital/*psychology
*Program Evaluation
*Resilience, Psychological
*Violence
Young Adult