Can high workplace social capital buffer the negative effect of high workload on patient-initiated violence? Prospective cohort study

被引：13

作者：

Pihl-Thingvad, Jesper ^{[1
,2
,3
]}

Andersen, Lars Peter Soenderbo ^{[4
]}

Pihl-Thingvad, Signe ^{[5
]}

Elklit, Ask ^{[2
]}

Brandt, Lars Peter Andreas ^{[1
,6
]}

Andersen, Lars Louis ^{[7
,8
]}

机构：

[1] Odense Univ Hosp, OUH, Dept Occupat & Environm Med, Klovervaenget 3,Indgang 138 Stuen, DK-5000 Odense C, Denmark

[2] Univ Southern Denmark, Dept Psychol, Natl Ctr Psychotraumatol, Campusvej 55, DK-5230 Odense M, Denmark

[3] Univ Southern Denmark, Dept Clin Res, OPEN Odense Patient Explorat Network, WP 9,JB Winslows Vej 9a, DK-5000 Odense, Denmark

[4] Reg Hosp West Jutland, Univ Res Clin, Dept Occupat Med, Danish Ramazzini Ctr, Gl Landevej 53 M,Postadresse 61, DK-7400 Herning, Denmark

[5] Univ Southern Denmark, Dept Polit Sci & Publ Management, Campusvej 55, DK-5230 Odense M, Denmark

[6] Univ Southern Denmark, Dept Clin Res, JB Winslows Vej 19-3, DK-5000 Odense C, Denmark

[7] Natl Res Ctr Working Environm, Lerso Parkalle 105, Copenhagen, Denmark

[8] Aalborg Univ, Dept Hlth Sci & Technol, Sport Sci, Fredrik Bajers Vej 7D2, DK-9220 Aalborg OST, Denmark

来源：

INTERNATIONAL JOURNAL OF NURSING STUDIES | 2021年 / 120卷

关键词：

Workplace violence; Workload; Social capital; Prevention; Occupational health; COPENHAGEN PSYCHOSOCIAL QUESTIONNAIRE; HEALTH-CARE WORKERS; RISK-FACTORS; 2ND VERSION; NURSES; STRESS; BURNOUT; ENGAGEMENT; THREATS; ABSENCE;

D O I：

10.1016/j.ijnurstu.2021.103971

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: High workload seems to increase the risk of patient-initiated workplace violence (patientinitiated violence). However, the temporal association between workload and violence remains uncertain. Understanding the interplay of factors in the psychosocial working environment and patient-initiated violence is important to future preventive initiatives. Aim: To assess whether a high workload increases the risk of patient-initiated violence, and whether intraorganizational relationships based on trust, reciprocity, justice and collaboration, known as workplace social capital, moderate this risk. Method: Baseline survey data on 1823 social educators was collected followed by 12 monthly surveys on patient-initiated violence exposure. Poisson regressions, in mixed models, were conducted to assess the risk of violence at four levels of workload. Further, moderation analyses were conducted to assess the moderating effects of three sub-types of workplace social capital. Results: High and very high workload increased the risk of patient-initiated violence: RR = 1.5 [1.4-1.6], p <.001 and RR = 1.4 [1.3-1.4], p <.001. All three levels of workplace social capital had a moderating effect on the workload-violence association: Workload* Workplace social capital ((co-worker)) : F (3, 16,712) = 3.4, p =.017, Workload* Workplace social capital ((local management)) : F (3, 16,748) = 11.9, p <.001, Workload* Workplace social capital ((general management)): F (3, 16,556) = 5.5, p<.001. Only high Workplace social capital ((co-workers)) reduced the risk of violence at all levels of workload. Workplace social capital ((general management)) reduced the risk of violence at high, medium and low workload, and Workplace social capital ((local management)) reduced the risk of violence at medium and low workload. Conclusion: High workload clearly increases the risk of patient-initiated violence. A high workplace social capital appears to be a viable protective factor and should be investigated further in studies of patientinitiated violence prevention. (C) 2021ElsevierLtd. Allrightsreserved.

引用

页数：12

共 109 条

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