A latent profile analysis of resilience and the associations with flourishing in emergency nurses exposed to workplace violence in China

IF 2.1 3区医学 Q2 NURSING

Nursing & Health Sciences Pub Date : 2024-01-31 DOI:10.1111/nhs.13085

Zhiling Chen, Ningyuan Guo, Tangyu Chen, Liwen Liao, Sanlian Hu, Lin Wang

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Abstract

Workplace violence (WPV) exposure has been particularly prevalent in emergency nurses, coupled with negative mental health outcomes. Few explored resilience after WPV exposure using the perspective of positive mental health. We aimed to identify latent profiles of resilience and examine associations with flourishing in emergency nurses with WPV exposure. A total of 1241 Chinese emergency nurses were surveyed on the frequency of WPV exposure, resilience, and flourishing. Eight hundred and twenty five participants (90.1% female, 86.6% aged 20–39) reported WPV exposure at least once in the past 3 months. Latent profile analysis identified profiles of resilience as low resilience (15.0%), moderate decision respond and interpersonal link with low rational thought and flexible adaption (18.0%), moderate resilience (31.0%), high decision respond, interpersonal link, and rational thought with moderate flexible adaption (16.0%), and high resilience (20.0%). Higher flourishing was observed in profiles of moderate resilience, high decision respond, interpersonal link, and rational thought with moderate flexible adaption, and high resilience. We differentiated profiles of resilience and the associations with flourishing in emergency nurses with WPV exposure, which informed targeted interventions for promoting positive mental health.

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对遭受工作场所暴力的中国急诊护士的复原力及其与蓬勃发展的关系的潜在特征分析

在急诊护士中，遭受工作场所暴力（WPV）的情况尤为普遍，同时还伴随着负面的心理健康结果。很少有人从积极心理健康的角度探讨遭受 WPV 后的恢复力。我们的目的是识别抗逆力的潜在特征，并研究其与遭受 WPV 的急诊护士的蓬勃发展之间的关联。我们对 1241 名中国急诊护士进行了调查，内容包括接触 WPV 的频率、复原力和蓬勃发展。有 825 名参与者（90.1% 为女性，86.6% 年龄在 20-39 岁之间）表示在过去 3 个月中至少接触过一次 WPV。通过潜特征分析发现，复原力特征为低复原力（15.0%）、中度决策反应和人际联系与低理性思维和灵活适应（18.0%）、中度复原力（31.0%）、高决策反应、人际联系和理性思维与中度灵活适应（16.0%）以及高复原力（20.0%）。在中度抗逆力、高决策反应、人际联系、理性思维与中度灵活适应以及高度抗逆力的人群中，观察到较高的蓬勃发展程度。我们对接触过 WPV 的急诊护士的抗逆力特征及其与蓬勃发展的关联进行了区分，从而为促进积极心理健康的针对性干预措施提供了依据。

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来源期刊

Nursing & Health Sciences 医学-护理

CiteScore

4.80

自引率

3.70%

发文量

审稿时长

6-12 weeks

期刊介绍： NHS has a multidisciplinary focus and broad scope and a particular focus on the translation of research into clinical practice, inter-disciplinary and multidisciplinary work, primary health care, health promotion, health education, management of communicable and non-communicable diseases, implementation of technological innovations and inclusive multicultural approaches to health services and care.