Evidence map›Paper›PMID 40678941›Full record

ArticleInternational nursing review2025

The Complex Dynamics of Violence and Burnout in Healthcare: A Closer Look at Physicians and Nurses.

Orhan Çakır, İrfan Akkoç, Korhan Arun, Ebru Dığrak, Hasibe Serap Uluırmak Ünlüeroğlugil

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Article in International nursing review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

5 authors.

Orhan ÇakırIzmir Tinaztepe University, Izmir, Türkiye.ORCID https://orcid.org/0000-0002-4231-3561
İrfan AkkoçIzmir Tinaztepe University, Izmir, Türkiye.ORCID https://orcid.org/0000-0002-5653-0508
Korhan ArunTekirdag Namik Kemal University, Tekirdag, Türkiye.ORCID https://orcid.org/0000-0001-7494-9591
Ebru DığrakDepartment of Nursing, Faculty of Health Sciences, Izmir University of Economics, Izmir, Türkiye.ORCID https://orcid.org/0000-0001-7406-4769
Hasibe Serap Uluırmak ÜnlüeroğlugilIzmir Tinaztepe University, Izmir, Türkiye.ORCID https://orcid.org/0009-0008-2191-5396

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

objectivesThis study aims to examine the mediating role of fear of future violence in the relationship between exposure to violent events at work and burnout among physicians and nurses.

backgroundWorkplace violence is an escalating concern within healthcare institutions in Türkiye. Increasing exposure to violent events among healthcare professionals contributes to heightened fear of future violence, which may in turn exacerbate burnout.

methodsA cross-sectional research design was utilized, collecting data via an online survey distributed to 387 physicians and nurses. The hypothesized model was analyzed using structural equation modeling techniques implemented in AMOS and SmartPLS software.

resultsThe analysis revealed that exposure to workplace violence significantly elevated the depersonalization and emotional exhaustion dimensions of burnout. Conversely, it was associated with a paradoxical decrease in the personal accomplishment dimension. Notably, no statistically significant relationship was found between exposure to violence and fear of future violence. These findings underscore the complex interplay between various burnout dimensions and the impact of workplace violence on physicians and nurses. DISCUSSION AND

conclusionWorkplace violence emerges as a significant contributor to burnout among physicians and nurses, affecting emotional exhaustion, depersonalization, and personal accomplishment in multifaceted ways. However, the anticipated relationship between exposure to violence and fear of future violence was not supported by the data, indicating a need for further research in this area. IMPLICATIONS FOR NURSING POLICY: The findings of this study indicate that health policies in Türkiye should prioritize strategies aimed at preventing and managing violence against physicians and nurses. Measures such as violence management training, strengthening organizational support systems, and implementing clear protocols for reporting and responding to violent incidents can help mitigate burnout among physicians and nurses.

Indexed as

Burnout, ProfessionalNursing Staff, HospitalPhysiciansWorkplace ViolenceAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesBurnoutfear of future violencenursephysicianviolent events at work

Identifiers

PMID40678941
PMCPMC12272327

What OpenQuestion holds

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Registered trials

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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.