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- Original Article
- Relationship of Workplace Violence to Turnover Intention in Hospital Nurses: Resilience as a Mediator
- Hyun-Jung Kang, Jaeyong Shin, Eun-Hyun Lee
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Journal of Korean Academy of Nursing 2020;50(5):728-736.
DOI: https://doi.org/10.4040/jkan.20147
Published online: October 31, 2020
1Graduate School of Public Health, Ajou University, Suwon, Korea 
2Department of Preventive Medicine, Ajou University School of Medicine, Suwon, Korea
2Department of Preventive Medicine, Ajou University School of Medicine, Suwon, Korea
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Abstract
Purpose
This study aimed to identify the relationship between workplace violence and turnover intention, and the mediation effect of resilience on the relationship in hospital nurses.
Methods
This was a cross-sectional study. A total of 237 registered nurses were recruited from three hospitals in South Korea from April to May 2019. Participants were invited to complete self-reported questionnaires that measure workplace violence, turnover intention, resilience, and demographic information. The data obtained were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling).
Results
After controlling demographic covariates, workplace violence significantly accounted for the variance of turnover intention. It was also demonstrated that resilience partially mediated the relationship between workplace violence and turnover intention in hospital nurses. A 73.8% of nurses had experienced workplace violence (such as attack on personality, attack on professional status, isolation from work, or direct attack). Conclusion: Workplace violence directly influences turnover intention of nurses and indirectly influences it through resilience. Therefore, hospital administrators need to develop and provide a workplace violence preventive program and resilience enhancement program to decrease nurses’ turnover intention, and leaving.
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