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Workplace violence against healthcare workers is a widespread phenomenon with very severe consequences for the individuals affected and their organizations. The role played by psychosocial working conditions in healthcare workers' experiences of violence from patients and their family members has received relatively scant attention. In the present study, we investigated the idea that psychosocial working conditions (workload, job control, supervisor support, and team integration), by affecting the well-being and job performance of healthcare workers, play a critical role in the relationship between patients' demands and the escalation of workplace violence. Specifically, we tested the hypothesis that psychosocial working conditions moderate the relationship between patients' demands and workplace violence. Participants were 681 healthcare workers distributed in 55 work groups of three public healthcare facilities in Italy. Multilevel analysis showed significant interactions between patients' demands and each of the investigated psychosocial factors on workplace violence, which in all the cases were in the expected direction. The results suggest that improving the quality of the psychosocial work environment in which healthcare workers operate may be a critical aspect in the prevention of workplace violence.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10887931 | PMC |
http://dx.doi.org/10.3390/ijerph21020178 | DOI Listing |
West J Nurs Res
September 2025
University of Texas Medical Branch School of Nursing and Graduate School of Biomedical Sciences, Galveston, TX, USA.
Background: The presence of health care workplace violence (WPV) significantly impacts victims, patients, and the organization. Registered nurses' experience of vertical WPV is not well understood, in part because the extant literature uses inconsistent and ambiguous terminology or focuses on bullying or incivility, excluding other violent behaviors.
Objective: This critical ethnography study explored the perceptions and experiences of registered nurses who have been victims of vertical violence in the health care workplace.
Nurs Outlook
September 2025
The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Background: State legislation such as the Pennsylvania Healthcare Worker Violence Prevention Act would mandate hospital reporting of workplace violence (WPV) incidents and require committees that advance safety measures.
Purpose: Since it is unknown what interventions should be prioritized by hospital committees if such legislation were passed, we described strategies that hinder or facilitate the prevention and de-escalation of WPV.
Methods: Qualitative, descriptive study using individual and focus group interviews with emergency department (ED) nurses and physicians (n = 23) at a level I trauma center ED in Pennsylvania between August 2023 and February 2024.
Int J Ment Health Nurs
October 2025
RMIT University, Melbourne, Victoria, Australia.
Mental health nurses (MHNs) face unique occupational challenges, including high emotional demands, frequent exposure to workplace violence, and risk of burnout. Social support is widely recognised as a protective factor that can enhance well-being and job satisfaction in this high-stress profession. In this research, social support is defined as the emotional, informational, and instrumental assistance that MHNs receive from interpersonal relationships in the workplace, such as from colleagues, immediate supervisors, and informal peer networks.
View Article and Find Full Text PDFNurs Health Sci
September 2025
Neuropsychology Department, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Intra-organizational workplace psychological violence has a significant impact on the physical and mental health of nurses. This study aimed to explore Chinese nurses' perceptions of intra-organizational workplace psychological violence and examine their attitudes, coping strategies, and the ramifications of such violent incidents. Semi-structured interviews were conducted with 18 nurses from a tertiary hospital in China, and the data were analyzed using the Colaizzi 7-step analysis method.
View Article and Find Full Text PDFAm J Orthopsychiatry
September 2025
General Adult Psychiatry and Health Systems Division, Centre for Addiction and Mental Health.
Service restrictions involve people experiencing homelessness being banned from an emergency shelter in response to a violation of program policies. Their use can be a pathway into unsheltered homelessness and reliance on other institutional services. However, the prevalence of service restriction use and the perspectives of shelter staff toward the practice are unknown.
View Article and Find Full Text PDF