Perceived organizational support, self-efficacy and cognitive reappraisal on resilience in emergency nurses who sustained workplace violence: A mediation analysis.
Perceived organizational support, self-efficacy and cognitive reappraisal on resilience in emergency nurses who sustained workplace violence: A mediation analysis.
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DOI：
10.1111/jan.16006
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发表时间：
2023-12
影响因子：
3.8
通讯作者：
Hanjun Huang;Ya Su;Liwen Liao;Rui Li;Lin Wang
中科院分区：
文献类型：
--
作者：
Hanjun Huang;Ya Su;Liwen Liao;Rui Li;Lin Wang
目的 本研究的目的如下： (a) 检验感知的组织支持与复原力之间的关系； (b) 调查一般自我效能和认知重新评估在经历过工作场所暴力的急诊护士中的潜在中介作用； (c) 探索坎普弗的复原力框架在急诊科护士中的应用。设计横断面研究。方法 2021年2月17日至2021年3月8日，对上海市三级医院急诊科的825名急诊护士完成在线调查。通过问卷收集有关复原力、组织支持、认知重新评估和一般自我效能的数据。采用Spearman分析考察变量之间的关系，采用AMOS 23.0统计软件进行中介分析。结果 一项涉及 825 名自称经历过工作场所暴力的急诊护士的研究结果表明，感知到的组织支持与复原力之间存在正相关关系。此外，据观察，这两个因素之间的关系是由认知重评和一般自我效能感介导的。此外，认知重评的中介作用在这种关系中更为显着。结论 坎普弗的复原力框架适用于急诊护士。感知的组织支持是一种环境因素，它直接、积极地影响复原力。此外，认知重评和一般自我效能感等个体因素也介导了这一影响路径。这些发现表明环境和个人因素之间的相互作用决定了急诊护士的适应能力。影响 这些发现对于为遭受职业暴力的急诊护士制定复原力干预策略具有重要意义。提高一般自我效能和认知重新评估等个人特质与加强外部组织支持环境对于提高护士的适应力同样重要。患者或公众的贡献 急诊护士参与了我们问卷调查的试点，并对问卷设计发表了意见。摘要陈述 关于该主题已有哪些已知信息？在急诊室，工作场所暴力现象普遍存在，严重危害护士的身心健康。增强复原力可以提高护士在经历暴力后的自我调节能力。然而，经历过工作场所暴力的急诊护士的恢复力的驱动因素和机制仍不清楚。这篇论文增加了什么？这项研究证实了坎普弗的复原力框架对于经历过工作场所暴力的急诊护士的适用性。护士的自我效能感和认知重新评估调节了感知到的组织支持与暴露于工作场所暴力后的复原力之间的关系。急诊护士的复原力过程涉及个人和环境因素的相互作用。对实践/政策的影响。管理者和研究人员在为遭受工作场所暴力的急诊护士制定复原力干预策略时，应考虑个人与环境因素之间的相互作用。从环境和个人的双重维度支持急诊护士至关重要。支持性的组织环境和个人积极的调整策略对于提高护士的适应能力同样重要。
AIMS The aims of this study were as follows: (a) to examine the relationship between perceived organizational support and resilience; (b) to investigate the potential mediating role of general self-efficacy and cognitive reappraisal among emergency nurses who have experienced workplace violence; and (c) to explore the application of Kumpfer's resilience framework to emergency department nurses. DESIGN A cross-sectional study. METHODS From February 17, 2021, to March 8, 2021, 825 emergency nurses working in the emergency departments of tertiary hospitals in Shanghai, China, completed an online survey. Data on resilience, organizational support, cognitive reappraisal and general self-efficacy were collected through questionnaires. The Spearman analysis was employed to investigate the relationship between variables, while the mediation analysis was conducted using AMOS 23.0 statistical software. RESULTS The findings of a study involving 825 emergency nurses who reported experiencing workplace violence reveal a positive correlation between perceived organizational support and resilience. Additionally, it has been observed that the relationship between these two factors is mediated by both cognitive reappraisal and general self-efficacy. Furthermore, the mediating effect of cognitive reappraisal is more significant in this relationship. CONCLUSION Kumpfer's resilience framework is found to apply to emergency nurses. Perceived organizational support, an environmental factor, affects resilience directly and positively. In addition, cognitive reappraisal and general self-efficacy, which are individual factors, mediate this influence path. These findings suggest an interaction between environmental and individual factors in determining the resilience of emergency nurses. IMPACT These findings have implications for developing resilience intervention strategies for emergency nurses exposed to occupational violence. Enhancing personal attributes such as general self-efficacy and cognitive reappraisal is as significant as strengthening external organizational support environments for enhancing nurses' resilience. PATIENT OR PUBLIC CONTRIBUTION Emergency nurses participated in the pilot test of our questionnaire survey and gave their opinions on the questionnaire design. SUMMARY STATEMENT What is already known about the topic? In emergency rooms, workplace violence is prevalent, and it seriously endangers nurses' physical and mental health. Enhancing resilience can improve nurses' ability to self-regulate after experiencing violence. However, the drivers and mechanisms of resilience among emergency nurses who have experienced workplace violence remain unidentified. What this paper adds? This study confirms the applicability of Kumpfer's resilience framework to emergency nurses who have experienced workplace violence. Nurses' self-efficacy and cognitive reappraisal mediate the relationship between perceived organizational support and resilience after exposure to workplace violence. The resilience process for emergency nurses involves the interaction of individual and environmental factors. Implications for practice/policy. Managers and researchers should consider the interaction between individual and environmental factors when developing resilience intervention strategies for emergency nurses who have suffered workplace violence. It is essential to support emergency nurses from the dyadic dimensions of the environment and the individual. A supportive organizational environment and individual positive adjustment strategies are equally important in promoting resilience among nurses.