ArticleBMC psychiatry2024
Workplace violence and depressive symptoms: the mediating role of fear of future workplace violence and burnout among Chinese nurses.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Article
- Protecting Nurses During Pregnancy: Cross-Sectional Study of Workplace Exposures and Modifications.Journal of advanced nursing · 2026Article
- Workplace Violence Against Nurses and Its Association With Mental Health and Turnover Intention: A National Cross-Sectional Study.Journal of nursing management · 2026Article
- The moderating role of job satisfaction in the relationship between workplace violence and depression among accountants.Frontiers in public health · 2026Article
- Development and External Validation of a Machine Learning Model for Risk Stratification of Presenteeism in Clinical Nurses: A Multicenter Cross-Sectional Study.Journal of nursing management · 2026Article
- Experience of workplace violence among clinical faculty members of Isfahan University of Medical Sciences: A qualitative study.Journal of education and health promotion · 2026Article
- Workplace violence predicts depression and anxiety in nurses: a multi-center longitudinal study in China.BMC psychiatry · 2025Article
- Relationship between workplace violence and depressive symptoms among emergency department physicians in China: the mediating role of occupational burnout.Journal of global health · 2025Article
- The impact of night shift workload on nurses' depressive symptoms: a chain mediation analysis of sleep disturbances, social avoidance and fear of missing out.Frontiers in public health · 2025Article
- Latent profiles and associated factors of workplace violence among nurses in tertiary hospitals: a cross-sectional study.Frontiers in psychiatry · 2025Article
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Abstract
backgroundThe mechanisms underlying the relationship between workplace violence (WPV) and depressive symptoms in nurses have been less studied. This study aims to examine the mediating role of fear of future workplace violence (FFWV) and burnout in the association between WPV and depressive symptoms.
methodsWe conducted a cross-sectional web survey at 12 tertiary hospitals in Shandong province, China, in 2020. The Center for Epidemiologic Studies Depression Scale (CESD-10), the Chinese version of the Maslach Burnout Inventory-General Survey and the Fear of Future Violence at Work Scale were used to collect data. Descriptive statistics, independent sample t-test, one-way analysis of variance, Pearson's correlation coefficient, and ordinary least squares regression with bootstrap resampling were used to analyze the data.
resultsThe prevalence of depressive symptoms was 45.9% among nurses. The regression model showed that FFWV and burnout mediated the relationship between WPV and depressive symptoms. The total effects of WPV on depressive symptoms (3.109, 95% bootstrap CI:2.324 - 3.713) could be decomposed into direct (2.250, 95% bootstrap CI:1.583 - 2.917) and indirect effects (0.769, 95% bootstrap CI:0.543 - 1.012). Indirect effects mediated by FFWV and burnout were 0.203 (95% bootstrap CI:0.090 - 0.348) and 0.443 (95% bootstrap CI:0.262 - 0.642), respectively. Furthermore, serial multiple mediation analyses indicated that the indirect effect mediated by FFWV and burnout in a sequential manner was 0.123 (95% bootstrap CI:0.070 - 0.189).
conclusionThe prevalence of depressive symptoms among Chinese nurses was high. The WPV was an important risk factor for depressive symptoms and its negative effect was mediated by FFWV and burnout. The importance of decreasing WPV exposure and level of FFWV and burnout was emphasized to prevent depressive symptoms among nurses. The findings implied that hospital managers and health policy makers should not only develop targeted interventions to reduce exposure to WPV in daily work among all nurses, but also provide psychological support to nurses with WPV experience to reduce FFWV and burnout.
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