Work-related factors and violence among nursing staff in the European NEXT Study: A longitudinal cohort study

Donatella Camerino, Madeleine Estryn-Béhar, Paul Maurice Conway, Beatrice van der Heijden, Hans Martin Hasselhorn

    Research output: Contribution to journalArticleAcademicpeer-review

    189 Citations (Scopus)

    Abstract

    Background: The occurrence of workplace violence is rather frequent within the nursing profession, with well-known consequences on the psychological health of victims. - Objectives: This study is aimed at assessing the relationships between relevant individual, organizational, and psychosocial factors, and the frequency of several types of workplace violence; the direct as well as the interactive impact of violence and psychosocial factors on organizational commitment and perceived health. - Design: Questionnaire-based cross-sectional and longitudinal survey designs were employed for the two study objectives, respectively. - Setting: Five hundred and sixty-five healthcare institutions from eight European countries participated in the Nurses’ Early Exit Study. - Participants: The 34,107 participants were nursing staff holding different qualifications. The response rate was 55.1% in the cross-sectional part and 40.5% in the follow-up phase. At baseline, the respondents were mostly female (89.3%), in the age group 30–44 years (52.9%), registered or specialized nurses (67.0%), working mainly in medico-surgical wards (36.3%), and employed full-time (72.8%). - Methods: In the cross-sectional analysis, the relationship between the predictor variables and frequency of violence was assessed by means of a hierarchical multiple linear regression. In the longitudinal analysis, main direct and interactive effects of violence and psychosocial factors on perceived health and organizational commitment were assessed by means of hierarchical multiple linear regression analyses with interaction terms. - Results: Higher levels of adverse work-related factors were significantly associated with higher frequency of the distinguished types of violence. Significant interactions were found between psychosocial factors and violence only in predicting organizational commitment, even if effect sizes were very low. No interactions were observed for perceived health. The prevalence of the distinguished types of violence varied across the participating countries according to the presence of adverse work- and non-work-related factors. - Conclusions: These findings suggest the necessity of interventions both over working conditions conducive to violence and violent behaviours themselves.
    Original languageUndefined
    Pages (from-to)35-50
    Number of pages16
    JournalInternational journal of nursing studies
    Volume45
    Issue number1
    DOIs
    Publication statusPublished - 2008

    Keywords

    • Workplace violence
    • Perceived health
    • Organizational commitment
    • Nursing
    • Work-related factors
    • IR-61666
    • Teamwork
    • METIS-248271

    Cite this

    Camerino, Donatella ; Estryn-Béhar, Madeleine ; Conway, Paul Maurice ; van der Heijden, Beatrice ; Hasselhorn, Hans Martin. / Work-related factors and violence among nursing staff in the European NEXT Study: A longitudinal cohort study. In: International journal of nursing studies. 2008 ; Vol. 45, No. 1. pp. 35-50.
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    title = "Work-related factors and violence among nursing staff in the European NEXT Study: A longitudinal cohort study",
    abstract = "Background: The occurrence of workplace violence is rather frequent within the nursing profession, with well-known consequences on the psychological health of victims. - Objectives: This study is aimed at assessing the relationships between relevant individual, organizational, and psychosocial factors, and the frequency of several types of workplace violence; the direct as well as the interactive impact of violence and psychosocial factors on organizational commitment and perceived health. - Design: Questionnaire-based cross-sectional and longitudinal survey designs were employed for the two study objectives, respectively. - Setting: Five hundred and sixty-five healthcare institutions from eight European countries participated in the Nurses’ Early Exit Study. - Participants: The 34,107 participants were nursing staff holding different qualifications. The response rate was 55.1{\%} in the cross-sectional part and 40.5{\%} in the follow-up phase. At baseline, the respondents were mostly female (89.3{\%}), in the age group 30–44 years (52.9{\%}), registered or specialized nurses (67.0{\%}), working mainly in medico-surgical wards (36.3{\%}), and employed full-time (72.8{\%}). - Methods: In the cross-sectional analysis, the relationship between the predictor variables and frequency of violence was assessed by means of a hierarchical multiple linear regression. In the longitudinal analysis, main direct and interactive effects of violence and psychosocial factors on perceived health and organizational commitment were assessed by means of hierarchical multiple linear regression analyses with interaction terms. - Results: Higher levels of adverse work-related factors were significantly associated with higher frequency of the distinguished types of violence. Significant interactions were found between psychosocial factors and violence only in predicting organizational commitment, even if effect sizes were very low. No interactions were observed for perceived health. The prevalence of the distinguished types of violence varied across the participating countries according to the presence of adverse work- and non-work-related factors. - Conclusions: These findings suggest the necessity of interventions both over working conditions conducive to violence and violent behaviours themselves.",
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    author = "Donatella Camerino and Madeleine Estryn-B{\'e}har and Conway, {Paul Maurice} and {van der Heijden}, Beatrice and Hasselhorn, {Hans Martin}",
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    Work-related factors and violence among nursing staff in the European NEXT Study: A longitudinal cohort study. / Camerino, Donatella; Estryn-Béhar, Madeleine; Conway, Paul Maurice; van der Heijden, Beatrice; Hasselhorn, Hans Martin.

    In: International journal of nursing studies, Vol. 45, No. 1, 2008, p. 35-50.

    Research output: Contribution to journalArticleAcademicpeer-review

    TY - JOUR

    T1 - Work-related factors and violence among nursing staff in the European NEXT Study: A longitudinal cohort study

    AU - Camerino, Donatella

    AU - Estryn-Béhar, Madeleine

    AU - Conway, Paul Maurice

    AU - van der Heijden, Beatrice

    AU - Hasselhorn, Hans Martin

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    AB - Background: The occurrence of workplace violence is rather frequent within the nursing profession, with well-known consequences on the psychological health of victims. - Objectives: This study is aimed at assessing the relationships between relevant individual, organizational, and psychosocial factors, and the frequency of several types of workplace violence; the direct as well as the interactive impact of violence and psychosocial factors on organizational commitment and perceived health. - Design: Questionnaire-based cross-sectional and longitudinal survey designs were employed for the two study objectives, respectively. - Setting: Five hundred and sixty-five healthcare institutions from eight European countries participated in the Nurses’ Early Exit Study. - Participants: The 34,107 participants were nursing staff holding different qualifications. The response rate was 55.1% in the cross-sectional part and 40.5% in the follow-up phase. At baseline, the respondents were mostly female (89.3%), in the age group 30–44 years (52.9%), registered or specialized nurses (67.0%), working mainly in medico-surgical wards (36.3%), and employed full-time (72.8%). - Methods: In the cross-sectional analysis, the relationship between the predictor variables and frequency of violence was assessed by means of a hierarchical multiple linear regression. In the longitudinal analysis, main direct and interactive effects of violence and psychosocial factors on perceived health and organizational commitment were assessed by means of hierarchical multiple linear regression analyses with interaction terms. - Results: Higher levels of adverse work-related factors were significantly associated with higher frequency of the distinguished types of violence. Significant interactions were found between psychosocial factors and violence only in predicting organizational commitment, even if effect sizes were very low. No interactions were observed for perceived health. The prevalence of the distinguished types of violence varied across the participating countries according to the presence of adverse work- and non-work-related factors. - Conclusions: These findings suggest the necessity of interventions both over working conditions conducive to violence and violent behaviours themselves.

    KW - Workplace violence

    KW - Perceived health

    KW - Organizational commitment

    KW - Nursing

    KW - Work-related factors

    KW - IR-61666

    KW - Teamwork

    KW - METIS-248271

    U2 - 10.1016/j.ijnurstu.2007.01.013

    DO - 10.1016/j.ijnurstu.2007.01.013

    M3 - Article

    VL - 45

    SP - 35

    EP - 50

    JO - International journal of nursing studies

    JF - International journal of nursing studies

    SN - 0020-7489

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