The impact of work environment on workplace violence, burnout and work attitudes for hospital nurses: A structural equation modelling analysis

Yan Wu, Jun Wang, Jiali Liu, Jing Zheng, Ke Liu, Judith G. Baggs, Xu Liu, Liming You

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Aim: We aimed to test a model examining the direct and indirect effects of the work environment on workplace violence, nurse burnout and work attitudes of Chinese hospital nurses. Background: Work environment is a key factor related to nurses' work attitudes. There has been limited information about how the work environment influences nurses' work attitudes. Method: This was a cross-sectional study that included 1,517 hospital nurses in 111 medical/surgical units in 23 hospitals from Guangdong province, China. Structural equation modelling was used to test a hypothesized model that supposed work environment has both direct and indirect effects on work attitudes (e.g. job satisfaction and intention to leave) through workplace violence and nurse burnout. Results: Better work environment was related to higher job satisfaction and lower intention to leave both directly and indirectly through two mediators: workplace violence and burnout. Burnout mediated the association of workplace violence with job satisfaction and intention to leave. Conclusions: Improving work environment would promote nurse safety and subsequently contribute to stabilize the nurse workforce. Implications for Nursing Management: To help nurses achieve safety and improved work attitudes, nurse managers should build a positive work environment and help nurses who have experienced workplace violence relieve their burnout.

Original languageEnglish (US)
JournalJournal of Nursing Management
DOIs
StateAccepted/In press - 2019
Externally publishedYes

Keywords

  • China
  • burnout
  • intention to leave
  • job satisfaction
  • nurse
  • work environment
  • workplace violence

ASJC Scopus subject areas

  • Leadership and Management

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