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

    4 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

    Keywords

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

    ASJC Scopus subject areas

    • Leadership and Management

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