Mental Health

Workplace Violence Against Nurses and Its Association With Mental Health and Turnover Intention: A National Cross-Sectional Study.

TL;DR

Workplace violence experienced by 26.6% of nurses in a national Chinese sample was significantly associated with depressive symptoms, stress, anxiety, burnout, and turnover intention after controlling for sociodemographic and work-related variables.

Key Findings

A substantial proportion of nurses experienced workplace violence in the year prior to the survey.

  • 30,987 nurses (26.6%) experienced workplace violence in the prior year
  • 27,225 nurses (23.4%) encountered low-level violence
  • 3,519 nurses (3%) experienced moderate violence
  • 243 nurses (0.2%) experienced high-level violence
  • Sample comprised 116,345 nurses from 67 tertiary hospitals across 31 provinces in China

Workplace violence was significantly associated with depressive symptoms among nurses after controlling for sociodemographic and work-related variables.

  • Association was statistically significant at p < 0.001
  • Multilevel regression models were used for analysis
  • Data were collected between October and December 2023
  • Analysis controlled for sociodemographic and work-related variables

Workplace violence was significantly associated with stress symptoms among nurses.

  • Association was statistically significant at p < 0.001
  • Finding held after controlling for sociodemographic and work-related variables
  • Multilevel regression models were employed
  • Study assessed varying levels of workplace violence (low, moderate, and high)

Workplace violence was significantly associated with anxiety symptoms among nurses.

  • Association was statistically significant at p < 0.001
  • Finding held after controlling for sociodemographic and work-related variables
  • Study drew on a large dataset of 116,345 nurses from 67 tertiary hospitals
  • Hospitals were distributed across 31 provinces in China

Workplace violence was significantly associated with burnout among nurses.

  • Association was statistically significant at p < 0.001
  • Finding held after controlling for sociodemographic and work-related variables
  • Multilevel regression models were used for analysis
  • Study assessed mental health outcomes across varying levels of workplace violence severity

Workplace violence was significantly associated with turnover intention among nurses.

  • Association was statistically significant at p < 0.001
  • Finding held after controlling for sociodemographic and work-related variables
  • The study assessed both mental health outcomes and turnover intention in relation to workplace violence
  • Multilevel regression models were used to analyze the national cross-sectional dataset

Previous research on the associations between workplace violence, mental health, and turnover intention among nurses yielded inconsistent results due to smaller sample sizes.

  • Prior studies were characterized by smaller sample sizes
  • Results from prior studies were described as inconsistent
  • The current study used a sample of 116,345 nurses to address this limitation
  • The large sample was drawn from 67 tertiary hospitals across 31 provinces in China

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Citation

He J, Yang J, Yuan J, Yu Q, E Stephano E, Zhang W, et al.. (2026). Workplace Violence Against Nurses and Its Association With Mental Health and Turnover Intention: A National Cross-Sectional Study.. Journal of nursing management. https://doi.org/10.1155/jonm/2818047