Relationship between workplace violence and occupational health in emergency nurses: The mediating role of dyssomnia

作者：Hao Zhang, Jing Zhou, Li Sheng Zhong, Ling Zhu, Xiaoli Chen · 发表于：Nursing in Critical Care · 年份：2025 · DOI：10.1111/nicc.70008 · 被引用次数：14 · 研究领域：Workplace Violence and Bullying、Healthcare professionals’ stress and burnout、Nursing education and management

BACKGROUND: Violence in the workplace is a common concern within the health care field, particularly in the high-intensity, high-risk and high-stress environment of the emergency and critical care department. Workplace violence poses significant risks to their physical, psychological and sleep quality. Therefore, it is essential to explore the mechanisms through which workplace violence impacts the occupational health of emergency and critical care nurses. AIM: To explore how dyssomnia affects the relationship between workplace violence and emergency and critical care nurses' health, as well as to determine the degree of interaction between workplace violence, dyssomnia and somatic symptoms. STUDY DESIGN: This cross-sectional survey study included 1540 emergency and critical care nurses from 30 tertiary hospitals across 20 provinces and autonomous regions in mainland China, conducted between 26 December 2023 and 18 January 2024. Spearman correlation analysis was employed to evaluate the relationship among workplace violence, sleep disorders and somatic symptoms. A mediated structural equation model analysis was performed utilizing the Latent Moderated Structural Equations (LMS) method. In this manuscript, we adhered to the STROBE checklist. RESULTS: In total, 85.0% (1309) of emergency and critical care nurses had experienced workplace violence in the preceding year, and 59.3% (913) had developed dyssomnia. Significant path coefficients were found for workplace violence on sle...