Patient mistreatment, social sharing of negative events and emotional exhaustion among Chinese nurses: the combined moderating effect of organizational support and trait resilience

作者全名：Yan, Wei; Chen, Xiu; Xiao, Di; Wang, Huan; Du, Xin; Li, Li; Xu, Chunjuan; Song, Caiping

作者地址：[Yan, Wei; Chen, Xiu] Chongqing Univ, Sch Econ & Business Adm, Chongqing, Peoples R China; [Xiao, Di] Hosp Chongqing Univ, Med Insurance Off, Chongqing, Peoples R China; [Wang, Huan] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Med & Hlth Management, Wuhan, Peoples R China; [Wang, Huan] Chongqing Med Univ, Dev & Planning Dept, Chongqing, Peoples R China; [Du, Xin] Army Med Univ, Xinqiao Hosp, Med Ctr Hematol, State Key Lab Trauma Burn & Combined Injury, Chongqing, Peoples R China; [Li, Li] Chongqing Med Univ, Human Resources Dept, Affiliated Hosp 2, Chongqing, Peoples R China; [Xu, Chunjuan] 987 Hosp Joint Logist Support Force PLA, Dept Burn Plast & Microsurg, Baoji, Peoples R China; [Song, Caiping] Army Med Univ, Xinqiao Hosp, 83 Xinqiao Main St, Chongqing, Peoples R China

通信作者：Xu, CJ (通讯作者)，987 Hosp Joint Logist Support Force PLA, Dept Burn Plast & Microsurg, Baoji, Peoples R China.; Song, CP (通讯作者)，Army Med Univ, Xinqiao Hosp, 83 Xinqiao Main St, Chongqing, Peoples R China.

来源：BMC NURSING

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001206317300007

JCR分区：Q1

影响因子：3.1

年份：2024

卷号：23

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Patient mistreatment; Emotional exhaustion; Social sharing of negative events; Organizational support; Resilience trait; Combined effects

摘要：Background As a primary form of work-related violence in the healthcare sector, patient mistreatment negatively impacts nurses' well-being. To date, there has yet reached a definitive conclusion on the mediating mechanism and boundary conditions behind the influence of patient mistreatment on nurses' emotional exhaustion. Methods This study employed a convenience sampling method to recruit a sample of 1672 nurses from public hospitals in Western China. The data were collected through anonymous self-report questionnaires and analyzed using hierarchical regression and conditional processes to investigate a theoretical framework encompassing patient mistreatment, emotional exhaustion, social sharing of negative events, organizational support, and trait resilience. Results Patient mistreatment led to emotional exhaustion among nurses (beta = 0.625, p <.001), and social sharing of negative events mediated this positive relationship (effect = 0.073, SE = 0.013). The combined effects of organizational support and resilience moderated the mediating effect of the social sharing of negative events between patient mistreatment and emotional exhaustion (beta=-0.051, p <.05). Specifically, nurses with a high level of resilience would benefit from organizational support to alleviate emotional exhaustion caused by patient mistreatment. Conclusions This study validated a significant positive association between patient mistreatment and emotional exhaustion, which aligns with previous research findings. Integrating conservation of resources theory and goal progress theory, we addressed previous contradictory findings on the impact of social sharing of negative events on emotional exhaustion. Social sharing of negative events served as a mediator between patient mistreatment and emotional exhaustion. Additionally, the moderating effect of organizational support on the relationship between social sharing of negative events and emotional exhaustion depended on individual trait of resilience.

基金机构：National Social Science Foundation of China

基金资助正文：The authors thank all participants who showed great patience in answering the questionnaire.