The relationship between witnessing workplace violence and intention to stay among nursing graduates:the chain mediating effect of anxiety,empathy fatigue and professional identity
Objective To explore the relationship between witnessing workplace violence and intention to stay among nursing graduates based on Affective Events Theory,as well as the mechanisms of anxiety,empathy fatigue,and professional identity in the relationship.Methods From April to June 2021,208 nursing graduates from three nursing colleges in Guangzhou who in the late stage of internship were selected as the research objects by convenient sampling method.Nursing graduates were investigated with the general information question-naire,Witnessing Workplace Violence Scale,Generalized Anxiety Disorder Scale,Professional Quality of Life Scale,Professional Identity Scale and Nurse Retention Intention Scale.Mplus 8.3 was used to construct a structural equation model to verify the relationship among variables.Results Among the 208 nursing graduates,70.67%reported witnessing workplace violence,and 38.94%had different degrees of anxiety.The scores of empathy satisfaction,burnout,empathy fatigue,professional identity,intention to stay were(32.11±7.89),(29.39±5.80),(25.09±6.57),(49.79±11.52)and(18.49±2.60),respectively.Witnessing workplace violence was positively correlated with anxiety and empathy fatigue(P<0.01 or P<0.05),and negatively correlated with professional identity and intention to stay(P<0.01).The single media-ting role of empathy satisfaction,anxiety,professional identity and the chain mediating role of empathy satisfaction-professional identity played a role in the relationship between witnessing workplace violence and intention to stay of nursing graduates.Conclusion The willingness of nursing undergraduate graduates to stay in the job needs to be improved.Anxiety,empathy fatigue,and professional identity are mediating vari-ables in the relationship between witnessing workplace violence and intention to stay among nursing graduates.Nursing managers should im-prove the coping mechanism of nursing graduates after witnessing workplace violence,strengthen psychological counseling,reduce their nega-tive emotions,guide and enhance their professional identity,so as to improve their professional stability.
nursing graduatesundergraduatewitnessing workplace violenceintention to stayanxietyempathy fatigueprofessional identity