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Workplace violence, work‐related exhaustion, and workplace cognitive failure among nurses: A cross‐sectional study
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-05-07 , DOI: 10.1111/jan.16217
Judith E. Arnetz 1 , Nathan Baker 2 , Eamonn Arble 3 , Bengt B. Arnetz 1
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AimTo examine the relationships between nurses' exposure to workplace violence and self‐reports of workplace cognitive failure.DesignA cross‐sectional study.MethodsAn online questionnaire was administered in April 2023 to nurses in Michigan, US. Structural equation modelling was used to examine effects of physical and non‐physical workplace violence (occupational stressors) and work efficiency and competence development (occupational protective factors) on workplace cognitive failure.ResultsPhysical violence was a significant predictor of the action subscale of cognitive failure. There were no direct effects of non‐physical violence, workplace efficiency, or competence development on any of the workplace cognitive failure dimensions. Both types of violence and efficiency had significant indirect effects on workplace cognitive failure via work‐related exhaustion. Work‐related exhaustion predicted significantly higher scores for workplace cognitive failure.ConclusionWorkplace violence and work efficiency exhibited primarily indirect effects on workplace cognitive failure among nurses via work‐related exhaustion.Implications for the Profession and/or Patient CareNurses experiencing workplace violence may be at increased risk for workplace cognitive failure, especially if they are also experiencing work‐related exhaustion. Workplaces that nurses perceive as more efficient can help to mitigate the effects of violence on nurses' cognitive failure.ImpactThis study addressed the possible effects of workplace violence as well as work efficiency and competence development on nurses' cognitive failure at work. Analyses revealed primarily indirect effects of workplace violence, and indirect protective effects of work efficiency, on nurses' cognitive failure via work‐related exhaustion. This research has implications for healthcare organizations and suggests that efforts made by healthcare workplaces to prevent violence and work‐related exhaustion, and to enhance work efficiency, may help to mitigate workplace cognitive failure among nurses.Reporting MethodWe have followed the STROBE checklist in reporting this study.Patient or Public ContributionNo Patient or public contribution.

中文翻译:

护士的工作场所暴力、与工作相关的疲惫和工作场所认知失败:一项横断面研究

目的 研究护士接触工作场所暴力与工作场所认知失败自我报告之间的关系。设计一项横断面研究。方法于 2023 年 4 月对美国密歇根州的护士进行了在线调查问卷。使用结构方程模型来研究身体和非身体工作场所暴力(职业压力源)以及工作效率和能力发展(职业保护因素)对工作场所认知失败的影响。结果身体暴力是认知失败行动量表的重要预测因子。非身体暴力、工作场所效率或能力发展对任何工作场所认知失败维度都没有直接影响。两种类型的暴力和效率都会通过与工作相关的疲惫而对工作场所认知失败产生显着的间接影响。工作相关的疲惫预示着工作场所认知失败的得分显着更高。结论工作场所暴力和工作效率主要通过工作相关的疲惫对护士的工作场所认知失败产生间接影响。对职业和/或患者护理的影响经历工作场所暴力的护士可能会增加工作场所认知障碍的风险,尤其是当他们也经历与工作相关的疲惫时。护士认为效率更高的工作场所有助于减轻暴力对护士认知失败的影响。影响这项研究探讨了工作场所暴力以及工作效率和能力发展对护士认知失败的可能影响。分析主要揭示了工作场所暴力的间接影响和工作效率的间接保护作用,对护士因工作相关的疲惫而导致的认知障碍。这项研究对医疗保健组织具有重要意义,并表明医疗保健工作场所为防止暴力和与工作相关的疲劳以及提高工作效率而做出的努力可能有助于减轻护士的工作场所认知障碍。 报告方法我们遵循 STROBE 检查表来报告这一情况研究。患者或公众贡献没有患者或公众贡献。
更新日期:2024-05-07
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