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AnteayerInternacionales

Workplace Violence Against Nurses and Its Effects on Some Organisational Outcomes: A Cross‐Sectional Survey

ABSTRACT

Aim

The study focuses on the effects of workplace violence on certain organisational outcomes, such as job performance, burnout, turnover, and work alienation.

Design and Methods

The study is a cross-sectional study. The study was conducted with 400 nurses between June 2025 and July 2025 across Turkey.

Results

Verbal violence was the most common form of violence experienced both in the first year of professional experience and throughout the career, with the number of reported incidents increasing over the years. In the first month following the violence, nurses commonly reported experiencing stress, anger, frustration, fear, and headaches; in the last 5 years, they reported experiencing frustration, alarmism, stress, anger, and sleep problems. Nurses reported sharing workplace stress with colleagues, managers, and their families, but received support primarily from colleagues and personal friends. Finally, workplace violence decreased nurse performance and increased work alienation, burnout, and intention to leave.

Conclusions

It provides basic data for the development of preventive and supportive social and managerial plans by determining the workplace violence to which nurses are exposed and its impact on organisational outcomes.

Implications for the Profession and/or Patient Care

Workplace violence against nurses is widespread, and its impacts are not limited to the results of this study. Therefore, legal regulations should be developed to prevent workplace violence, social and administrative support should be provided to nurses who are victims of violence, and the prevalence of workplace violence against nurses and its effects should be evaluated periodically.

Impact

In this study, workplace violence against nurses and its effects on some organisational outcomes were evaluated. The findings provide baseline data for implementing social and managerial interventions to reduce workplace violence to which nurses are exposed and its effects.

Reporting Method

This study adheres to the STROBE guideline of reporting.

Patient or Public Contribution

This study did not include patient or public involvement in its design, conduct, or reporting.

The Effect of Compulsory Citizenship Behaviors on Subjective Vitality Among Nurses

ABSTRACT

Aim

The study aims to assess the extent of compulsory citizenship behaviors (CCBs) and their impact on the nurses' subjective vitality based on self-determination theory.

Background

CCBs are harmful to both nurses and organizations. These behaviors mean employees are expected to perform additional tasks outside their job descriptions. Although CCBs are highlighted within the recent nursing literature, empirical evidence of their effects is lacking.

Methods

This is descriptive cross-sectional research. The study included 244 staff nurses using a convenience sampling method who worked in two hospitals in Istanbul. Data were collected via a survey consisting of a personal information form, the compulsory citizenship scale, and the subjective vitality scale. STROBE guidelines were followed when reporting the study. Descriptive statistical analyses, independent samples t-test, one-way ANOVA test, Pearson's correlation, and hierarchical simple linear regression analyses were used.

Results

The participants' mean scores for compulsory citizenship and subjective vitality were 3.34 out of 5 (SD = 1.05) and 4.15 out of 7 (SD = 1.36), respectively. Nurses' compulsory citizenship scores significantly differed according to their education level, income, and sector. Their subjective vitality scores statistically differed according to their income levels. Regression analysis revealed that CCBs were significant negative predictors of subjective vitality (β = −0.22, p < 0.01).

Conclusion

By examining the CCBs and subjective vitality relationship, the current study extended the existing knowledge by drawing attention to the destructive and harmful effects of CCBs on positive psychological sources of nurses' subjective vitality. CCBs negatively predicted subjective vitality.

Clinical Relevance

Organizational factors such as CCBs, which leads to a lack of autonomy, affect nurses' well-being, thus affecting care quality and patient safety. As the International Council of Nurses mentioned, “Nurses cope with many physical, mental, emotional, and ethical challenges. It is essential that we address these challenges in a way that supports their overall health”. In this regard, managers and policymakers in hospitals should develop preventive cautions for CCBs. However, in-service training activities should be carried out to increase awareness about the harmful effects of CCBs on nurses' psychological well-being.

The holistic nursing competence and transition shock of newly graduated nurses as the determinants of missed nursing care: The mediation analysis

Abstract

Aims and Objective

To investigate the determinants of missed nursing care and to analyse the mediating effect of holistic nursing competence on the relationship between transition shock and missed nursing care.

Background

Transition shock of newly graduated nurses is associated with missed nursing care. Previous studies have shown the determinants of missed nursing care among nurses, but little is known about the relationship between missed nursing care, transition shock and holistic nursing competence.

Design

Descriptive and correlational design.

Methods

The study was conducted among newly graduated nurses (n = 201) working in acute care hospitals for 1–12 months. The MISSCARE survey, Holistic Nursing Competence Scale and Nursing Transition Shock Scale were used for data collection, in addition to a sociodemographic question form. Data were analysed using Pearson correlation, multiple regression and mediation analyses. The study was reported following the STROBE checklist.

Results

The determinants of missed nursing care among newly graduated nurses were sex, unit type, rotating shift work, holding a certificate, holistic nursing competence and transition shock. All these variables explain 35% of the variance in missed nursing care. Holistic nursing competence directly mediated 51.7% of the relationship between transition shock and missed nursing care.

Conclusions

Holistic nursing competence may decrease missed nursing care by reducing the effects of transition shock on newly graduated nurses.

Relevance to Clinical Practice

The study highlighted that newly graduated nurses are an important population regarding missed nursing care. The determinants of missed care should be considered in the nursing care delivery to prevent missed care by newly graduated nurses. Based on the study findings, some recommendations were made for nurse managers and faculty for the orientation program and undergraduate nursing education.

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