The effects of direct violence and witnessed violence on the future fear of violence and turnover intention: A study of health employees
Workplace violence in healthcare organizations is a growing problem in Turkey. The aim of this study is to determine the effects of violence and witnessed violence on the fear of future violence and turnover intention in health care workers and mediating role of fear of violence in the effect of direct violence and witnessed violence on turnover intention. The population of the study was 299 health care workers. Validity and reliability analyses of the scales were carried out and it was found that each scale was valid and reliable. The data was analyzed using descriptive statistical methods and Structural Equation Modelling (SEM). The results showed that Direct Violence at Work and Witnessed Violence at Work have a significant effect on Fear of Future Violent Events at Work and Turnover Intention. The effect of Direct Violence at Work and Witnessed Violence at Work on Turnover Intention is further increased when the Fear of Future Violent Events at Work is used as a mediating variable. Violence affects those witnessing it as well as the direct victims. This affects both the fear of violence and the turnover intention. Serious precautions should be taken to prevent violence against health workers in order to protect and improve the health of society. It should not be forgotten that healthy societies are possible with healthy health human resources.
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References
- Acquadro Maran, D., Varetto, A., Zedda, M., & Magnavita, N. (2018). Workplace violence toward hospital staff and volunteers: A survey of an Italian sample. Journal of Aggression, Maltreatment & Trauma, 27(1), 76–95. https://doi.org/10.1080/10926771.2017.1405314. ArticleGoogle Scholar
- Akca, N., Yilmaz, A., & Isik, O. (2014). Violence applied to health employees: An example of a private medical center. Journal of Ankara Health Services, 13, 1–11. https://doi.org/10.1501/ashd.v13i1.2074. ArticleGoogle Scholar
- Al, B., Zengin, S., Deryal, Y., Gökçen, C., Arı Yılmaz, D., & Yıldırım, C. (2012). Increased violence towards health care staff. Journal of Academic Emergency Medicine, 11, 115–124. https://doi.org/10.5152/jaem.2012.033. ArticleGoogle Scholar
- Al, B., Sarcan, E., Zengi, S., Yildirim, C., Dogan, M., & Kabul, S. (2015). The public's view of increasing violence toward healthcare staff. Journal of Academic Emergency Medicine, 14(1), 19–25. https://doi.org/10.5152/jaem.2015.57855. ArticleGoogle Scholar
- Aydin, M. (2008). Isparta-Burdur health workers' violence and perception of violence. Isparta-Burdur Medical Chamber Presidency: Turkish Medical Association. Google Scholar
- Aytac, S., Dursun, S., & Akalp, G. (2016). Workplace violence and effects on turnover intention and job commitment: A pilot study among healthcare employee in Turkey. European Scientific Journal, ESJ, 12, 458–465. Google Scholar
- Berlanda, S., Pedrazza, M., Fraizzoli, M., & de Cordova, F. (2019). Addressing risks of violence against healthcare staff in emergency departments: The effects of job satisfaction and attachment style. BioMed Research International, 2019, 1–12. https://doi.org/10.1155/2019/5430870. ArticleGoogle Scholar
- Byrne, B. M. (2009). Structural equation modeling with AMOS: Basic concepts, application, and programming (2nd ed.). New York: Routledge. Google Scholar
- Cammann, C., Jenkins, D. G., & Nadler, D. A. (1979). The Michigan organizational assessment questionnaire. Progress report II; University of Michigan, Ann Arbor.
- Chang, H. E., & Cho, S. H. (2016). Workplace violence and job outcomes of newly licensed nurses. Asian Nursing Research, 10, 271–276. https://doi.org/10.1016/j.anr.2016.09.001. ArticlePubMedGoogle Scholar
- Ching, G. S., Lien, W. C., & Chao, P. C. (2014). Developing a scale to measure the situational changes in short-term study abroad programs. International Journal of Research Studies in Education, 3(5), 53–71. https://doi.org/10.5861/ijrse.2014.771. ArticleGoogle Scholar
- Demiroglu, T., Kilinc, E., & Atay, E. (2015). Violence towards health professionals: The case of Kilis City. Journal of Health Sciences, 24, 49–55. Google Scholar
- Dursun, S. (2012). The effect of workplace violence on health care workers’ level burnout: An application on health sector. Journal of Labour Relations, 3(2), 105–115. Google Scholar
- Fujishiro, K., Gee, G. C., & De Castro, A. B. (2011). Associations of workplace aggression with work-related well-being among nurses in the Philippines. American Journal of Public Health, 101(5), 861–867. https://doi.org/10.2105/AJPH.2009.188144. ArticlePubMedPubMed CentralGoogle Scholar
- Gunaydin, N., & Kutlu, Y. (2012). Experience of workplace violence among nurses in health-care settings. Journal of Psychiatric Nursing, 3(1), 1–5. https://doi.org/10.5505/phd.2012.32042. ArticleGoogle Scholar
- Hahn, S., Hantikainen, V., Needham, I., Kok, G., Dassen, T., & Halfens, R. J. (2012). Patient and visitor violence in the general hospital, occurrence, staff interventions and consequences: A cross-sectional survey. Journal of Advanced Nursing, 68(12), 2685–2699. https://doi.org/10.1111/j.1365-2648.2012.05967.x. ArticlePubMedGoogle Scholar
- Health Statistics Yearbook (2017). Human resources for health. Retrieved from https://dosyasb.saglik.gov.tr/Eklenti/13160,sy2016enpdf.pdf?0. Accessed 24 Dec 2018.
- Heponiemi, T., Kouvonen, A., Virtanen, M., Vänskä, J., & Elovainio, M. (2014). The prospective effects of workplace violence on physicians’ job satisfaction and turnover intentions: the buffering effect of job control. BMC Health Services Research, 14: 1–8. https://doi.org/10.1186/1472-6963-14-19. http://www.who.int/violence_injury_prevention/violence/world_report/en/ Accessed 24 Apr 2017.
- ILO, I., & WHO, P. (2002). Framework guidelines for addressing workplace violence in the health sector. Joint program on workplace violence in the health sector. International Labour Office, Geneva.
- International Council of Nurses (ICN). (2007). Guidelines on coping with violence in the work place. Geneva: Author. Google Scholar
- Jafree, S. R. (2017). Workplace violence against women nurses working in two public sector hospitals of Lahore, Pakistan. Nursing Outlook., 65(4), 420–427. https://doi.org/10.1016/j.outlook.2017.01.008. ArticlePubMedGoogle Scholar
- Jawaid, S. A. (2015). Patient satisfaction, patient safety and increasing violence against healthcare professionals. Pakistan Journal of Medical Sciences, 31(1), 1–3. https://doi.org/10.12669/pjms.311.6965. ArticlePubMedPubMed CentralGoogle Scholar
- Jiao, M., Ning, N., Li, Y., Gao, L., Cui, Y., Sun, H., et al. (2015). Workplace violence against nurses in Chinese hospitals: A cross-sectional survey. BMJ Open, 5(3), 1–9. https://doi.org/10.1136/bmjopen-2014-006719. ArticleGoogle Scholar
- Johnson, A., Nguyen, H., Groth, M., & White, L. (2018). Workplace aggression and organizational effectiveness: The mediating role of employee engagement. Australian Journal of Management, 43(4), 614–631. https://doi.org/10.1177/0312896218768378. ArticleGoogle Scholar
- Kahriman, I. (2014). Determination of the situation of exposed to verbal and physical violence of nurses. Journal of Psychiatric Nursing, 5(2), 77–83. https://doi.org/10.5505/phd.2014.98698. ArticleGoogle Scholar
- Khawaja, A., & Irfan, H. (2011). Violence against doctors in government hospitals and the role of media. Journal of Pakistan Medical Association., 61, 1163. Google Scholar
- Krug, E.G., Dahlberg, L.L., Mercy, J.A., Zwi, A.B. & Lozano, R. (2002). World report on violence and health. http://www.who.int/violence_injury_prevention/violence/world_report/en/. Accessed 24 Apr 2017.
- Lanctôt, N., & Guay, S. (2014). The aftermath of workplace violence among healthcare employee: A systematic literature review of the consequences. Aggression and Violent Behavior, 19(5), 492–501. https://doi.org/10.1016/j.avb.2014.07.010. ArticleGoogle Scholar
- Lin, W. Q., Wu, J., Yuan, L. X., Zhang, S. C., Jing, M. J., Zhang, H. S., Luo, J. L., Lei, Y. X., & Wang, P. X. (2015). Workplace violence and job performance among community healthcare employee in China: The mediator role of quality of life. International Journal of Environmental Research and Public Health, 12, 14872–14886. https://doi.org/10.3390/ijerph121114872. ArticlePubMedPubMed CentralGoogle Scholar
- Milet, M., & Yanik, A. (2017). Workplace violence against health workers. International Journal of Health Management and Strategies Research, 3, 25–36. Google Scholar
- Nart, S. (2014). The relation between workplace violence burnout and job satisfaction: A study on health workres. Journal of Management and Economics Research, 23, 248–268. ArticleGoogle Scholar
- Phillips, J. P. (2016). Workplace violence against health Care Workers in the United States. New England Journal of Medicine, 374(17), 1661–1669. https://doi.org/10.1056/NEJMral15011998. ArticleGoogle Scholar
- Pich, J., Hazelton, M., Sundin, D., & Kable, A. (2010). Patient-related violence against emergency department nurses. Nursing & Health Sciences., 12(2), 268–274. https://doi.org/10.1111/j.1442-2018.2010.00525.x. ArticleGoogle Scholar
- Ramacciati, N., Ceccagnoli, A., & Addey, B. (2015). Violence against nurses in the triage area: An Italian qualitative study. International Emergency Nursing, 23(4), 274–280. https://doi.org/10.1016/j.ienj.2015.02.004. ArticlePubMedGoogle Scholar
- Report of the Parliamentary Research Commission, No: 454 (2013). "Report of the Parliamentary Investigation Commission for the determination of the measures to be taken by investigating the increasing violence incidents for health staff.".
- Rogers, A. K. (1994). Violence at work: Personal and organizational outcomes (Master’s thesis). Ontario: The University of Guelph. Google Scholar
- Sağ-Sen (Health and Social Service Workers’ Union) (2013) Health Employees Violence Research http://www.sagliksen.org.tr/cdn/uploads/gallery/pdf/fbda8576fd0d6d6de70f52f76b914672.pdf. Accessed 01 Jan 2019.
- Saines, J. C. (1999). Violence and aggression in a&E: Recommendations for action. Accident and Emergency Nursing, 7(1), 8–12. https://doi.org/10.1016/S0965-2302(99)80094-0. ArticlePubMedGoogle Scholar
- Shahzad, A., & Malik, R. K. (2014). Workplace violence: An extensive issue for nurses in Pakistan-a qualitative investigation. Journal of Interpersonal Violence, 29(11), 2021–2034. https://doi.org/10.1177/0886260513516005. ArticlePubMedGoogle Scholar
- Shea, T., Sheehan, C., Donohue, R., Cooper, B., & De Cieri, H. (2017). Occupational violence and aggression experienced by nursing and caring professionals. Journal of Nursing Scholarship, 49(2), 236–243. https://doi.org/10.1111/jnu.12272. ArticlePubMedGoogle Scholar
- Spector, P. E., Zhou, Z. E., & Che, X. X. (2014). Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies, 51(1), 72–84. https://doi.org/10.1016/j.ijnurstu.2013.01.010. ArticlePubMedGoogle Scholar
- Van de Mortel, T. F. (2008). Faking it: Social desirability response bias in self-report research. Australian Journal of Advanced Nursing, 25(4), 40. Google Scholar
- Vieira, A. L. (2011). Interactive LISREL in practice: Getting started with a SIMPLIS approach. Heidelberg Dordrecht London, New York: Springer. BookGoogle Scholar
- Woodrow, C., & Guest, D. E. (2012). Public violence, staff harassment and the wellbeing of nursing staff: An analysis of national survey data. Health Services Management Research, 25, 24–30. ArticleGoogle Scholar
- Yu, H., Hu, Z., Zhang, X., Li, B., & Zhou, S. (2015). How to overcome violence against healthcare professionals, reduce medical disputes and ensure patient safety. Pakistan Journal of Medical Sciences, 31(1), 4. https://doi.org/10.12669/pjms.311.6446. ArticlePubMedPubMed CentralGoogle Scholar
- Zafar, W., Siddiqui, E., Ejaz, K., Shehzad, M. U., Khan, U. R., Jamali, S., & Razzak, J. A. (2013). Health care personnel and workplace violence in the emergency departments of a volatile metropolis: Results from Karachi, Pakistan. The Journal of Emergency Medicine, 45(5), 761–772. ArticleGoogle Scholar
- Zafar, W., Khan, U. R., Siddiqui, S. A., Jamali, S., & Razzak, J. A. (2016). Workplace violence and self-reported psychological health: Coping with post-traumatic stress, mental distress, and burnout among physicians working in the emergency departments compared to other specialties in Pakistan. The Journal of Emergency Medicine, 50(1), 167–177. https://doi.org/10.1016/j.jemermed.2015.02.049. ArticlePubMedGoogle Scholar
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Authors and Affiliations
- Department of Healthcare Management, Business Faculty, Sakarya University, Sakarya, Turkey Mahmut Akbolat, Cemal Sezer, Özgün Ünal, Mustafa Amarat & Ayhan Durmuş
- Mahmut Akbolat