Workplace Violence and Its Effects on Burnout and Secondary Traumatic Stress Among Mental Healthcare Nurses in Japan

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2020 Apr 23

PMID 32316142

Citations 35

Authors

Yudai Kobayashi

Misari Oe

Tetsuya Ishida

Michiko Matsuoka

Hiromi Chiba

Naohisa Uchimura

Affiliations

Soon will be listed here.

Abstract

Workplace violence (WPV) in healthcare settings has drawn attention for over 20 years, yet few studies have investigated the association between WPV and psychological consequences. Here, we used a cross-sectional design to investigate (1) the 12-month prevalence of workplace violence (WPV), (2) the characteristics of WPV, and (3) the relationship between WPV and burnout/secondary traumatic stress among 599 mental healthcare nurses (including assistant nurses) from eight hospitals. Over 40% of the respondents had experienced WPV within the past 12 months. A multivariate logistic regression analysis indicated that occupation and burnout were each significantly related to WPV. Secondary traumatic stress was not related to WPV. Our results suggest that WPV may be a long-lasting and/or cumulative stressor rather than a brief, extreme horror experience and may reflect specific characteristics of psychological effects in psychiatric wards. A longitudinal study measuring the severity and frequency of WPV, work- and non-work-related stressors, risk factors, and protective factors is needed, as is the development of a program that helps reduce the psychological burden of mental healthcare nurses due to WPV.

Citing Articles

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References

Liu W, Zhao S, Shi L, Zhang Z, Liu X, Li L . Workplace violence, job satisfaction, burnout, perceived organisational support and their effects on turnover intention among Chinese nurses in tertiary hospitals: a cross-sectional study. BMJ Open. 2018; 8(6):e019525. PMC: 6009508. DOI: 10.1136/bmjopen-2017-019525. View

Martinez A . Managing Workplace Violence With Evidence-Based Interventions: A Literature Review. J Psychosoc Nurs Ment Health Serv. 2016; 54(9):31-6. DOI: 10.3928/02793695-20160817-05. View

Wu Y, Wang J, Liu J, Zheng J, Liu K, Baggs J . The impact of work environment on workplace violence, burnout and work attitudes for hospital nurses: A structural equation modelling analysis. J Nurs Manag. 2020; 28(3):495-503. DOI: 10.1111/jonm.12947. View

DEttorre G, Pellicani V . Workplace Violence Toward Mental Healthcare Workers Employed in Psychiatric Wards. Saf Health Work. 2017; 8(4):337-342. PMC: 5715456. DOI: 10.1016/j.shaw.2017.01.004. View

Chen W, Hwu H, Kung S, Chiu H, Wang J . Prevalence and determinants of workplace violence of health care workers in a psychiatric hospital in Taiwan. J Occup Health. 2008; 50(3):288-93. DOI: 10.1539/joh.l7132. View

de Looff P, Didden R, Embregts P, Nijman H . Burnout symptoms in forensic mental health nurses: Results from a longitudinal study. Int J Ment Health Nurs. 2018; 28(1):306-317. DOI: 10.1111/inm.12536. View

Nachreiner N, Hansen H, Okano A, Gerberich S, Ryan A, McGovern P . Difference in work-related violence by nurse license type. J Prof Nurs. 2007; 23(5):290-300. DOI: 10.1016/j.profnurs.2007.01.015. View

Edward K, Stephenson J, Ousey K, Lui S, Warelow P, Giandinoto J . A systematic review and meta-analysis of factors that relate to aggression perpetrated against nurses by patients/relatives or staff. J Clin Nurs. 2015; 25(3-4):289-99. DOI: 10.1111/jocn.13019. View

Kawada T, Inagaki H, Kuratomi Y . The alcohol use disorders identification test: reliability study of the Japanese version. Alcohol. 2010; 45(3):205-7. DOI: 10.1016/j.alcohol.2010.08.012. View

10.

Firenze A, Santangelo O, Gianfredi V, Alagna E, Cedrone F, Provenzano S . Violence on doctors. An observational study in Northern Italy. Med Lav. 2020; 111(1):46-53. PMC: 7809960. DOI: 10.23749/mdl.v111i1.8795. View

11.

Cheung T, Yip P . Workplace violence towards nurses in Hong Kong: prevalence and correlates. BMC Public Health. 2017; 17(1):196. PMC: 5310001. DOI: 10.1186/s12889-017-4112-3. View

12.

Sato K, Wakabayashi T, Kiyoshi-Teo H, Fukahori H . Factors associated with nurses' reporting of patients' aggressive behavior: a cross-sectional survey. Int J Nurs Stud. 2013; 50(10):1368-76. DOI: 10.1016/j.ijnurstu.2012.12.011. View

13.

DEttorre G, Pellicani V, Mazzotta M, Vullo A . Preventing and managing workplace violence against healthcare workers in Emergency Departments. Acta Biomed. 2018; 89(4-S):28-36. PMC: 6357631. DOI: 10.23750/abm.v89i4-S.7113. View

14.

Topp C, Ostergaard S, Sondergaard S, Bech P . The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015; 84(3):167-76. DOI: 10.1159/000376585. View

15.

Fujita S, Ito S, Seto K, Kitazawa T, Matsumoto K, Hasegawa T . Risk factors of workplace violence at hospitals in Japan. J Hosp Med. 2011; 7(2):79-84. DOI: 10.1002/jhm.976. View

16.

Shi L, Li G, Hao J, Wang W, Chen W, Liu S . Psychological depletion in physicians and nurses exposed to workplace violence: A cross-sectional study using propensity score analysis. Int J Nurs Stud. 2019; 103:103493. DOI: 10.1016/j.ijnurstu.2019.103493. View

17.

Choi S, Lee H . Workplace violence against nurses in Korea and its impact on professional quality of life and turnover intention. J Nurs Manag. 2017; 25(7):508-518. DOI: 10.1111/jonm.12488. View

18.

Liu J, Gan Y, Jiang H, Li L, Dwyer R, Lu K . Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis. Occup Environ Med. 2019; 76(12):927-937. DOI: 10.1136/oemed-2019-105849. View

19.

de Looff P, Nijman H, Didden R, Embregts P . Burnout symptoms in forensic psychiatric nurses and their associations with personality, emotional intelligence and client aggression: A cross-sectional study. J Psychiatr Ment Health Nurs. 2018; 25(8):506-516. DOI: 10.1111/jpm.12496. View

20.

Furukawa T, Kawakami N, Saitoh M, Ono Y, Nakane Y, Nakamura Y . The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan. Int J Methods Psychiatr Res. 2008; 17(3):152-8. PMC: 6878390. DOI: 10.1002/mpr.257. View