Evidence map›Paper›PMID 38712618›Full record

ArticleJournal of advanced nursing2025

Workplace violence, work-related exhaustion, and workplace cognitive failure among nurses: A cross-sectional study.

Judith E Arnetz, Nathan Baker, Eamonn Arble, Bengt B Arnetz

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. The decent work level of nurses in China: A systematic review and meta-analysis.International journal of nursing studies advances · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Violence in Healthcare Workers Is Associated with Disordered Eating.International journal of environmental research and public health · 2025
    Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Judith E ArnetzDepartment of Family Medicine, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA.ORCID https://orcid.org/0000-0002-0471-8701
Nathan BakerDepartment of Psychology, Michigan State University, East Lansing, Michigan, USA.
Eamonn ArbleDepartment of Psychology, Eastern Michigan University, Ypsilanti, Michigan, USA.
Bengt B ArnetzDepartment of Family Medicine, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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 CARE: Nurses 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. IMPACT: This 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 CONTRIBUTION: No Patient or public contribution.

Indexed as

Workplace ViolenceAdultBurnout, ProfessionalCross-Sectional StudiesFemaleHumansMaleMichiganMiddle AgedNursing Staff, HospitalOccupational StressSurveys and QuestionnairesWorkplacenursingstructural equation modellingworkplace cognitive failureworkplace efficiencyworkplace violence

Identifiers

PMID38712618
PMCPMC11638507

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.