{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:53:23Z","timestamp":1791298403132,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to examine the associations between exposure to physical and verbal workplace violence and post\u2010traumatic stress disorder (PTSD) symptoms as well as professional quality of life among midwives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Descriptive and correlational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive and correlational study was conducted with 341 midwives working in public healthcare institutions in Turkey between February and June 2024. Data were collected online using the Personal Information Form, the PTSD Brief Scale, and the Professional Quality of Life Scale. Independent samples t\u2010tests and linear regression analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the participants, 22.9% reported exposure to physical violence and 85.0% to verbal violence in the workplace. Exposure to verbal violence was significantly associated with higher PTSD symptom levels (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004), whereas physical violence was not (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.082). Both physical (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046) and verbal violence (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049) were significantly associated with higher compassion satisfaction. Regression analysis showed that verbal violence explained 2.1% of the variance in PTSD symptoms (Adjusted\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.021), while physical and verbal violence together explained 1.9% of the variance in compassion satisfaction (Adjusted\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.019).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Workplace violence against midwives is highly prevalent and is associated with variations in psychological well\u2010being and professional quality of life. Due to the cross\u2010sectional correlational design, causal relationships cannot be established. Nevertheless, these findings highlight the importance of institutional strategies, respectful workplace policies, and supportive interventions to address workplace violence and promote midwives' mental health and professional well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70639","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:32:23Z","timestamp":1791297143000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Unseen Burden in Midwifery: Associations Between Workplace Violence, PTSD Symptoms, and Professional Quality of Life"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4755-417X","authenticated-orcid":false,"given":"Recep","family":"Y\u00fccel","sequence":"first","affiliation":[{"name":"Department of Business Management, Faculty of Economics and Administrative Sciences K\u0131r\u0131kkale University K\u0131r\u0131kkale Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2135-242X","authenticated-orcid":false,"given":"\u015eebnem","family":"Y\u00fccel","sequence":"additional","affiliation":[{"name":"Department of Healthcare Management, Faculty of Health Sciences Sel\u00e7uk University Konya Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9617-4897","authenticated-orcid":false,"given":"Hacer","family":"Alan Dikmen","sequence":"additional","affiliation":[{"name":"Midwifery Department, Faculty of Health Sciences Selcuk University Konya Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8412-7807","authenticated-orcid":false,"given":"Havva","family":"Tokg\u00f6z Keke\u00e7","sequence":"additional","affiliation":[{"name":"Department of Midwifery of Health Sciences Institute Selcuk University Konya Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/dev.22389"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2022.104360"},{"key":"e_1_2_11_4_1","volume-title":"Code of Practice on Workplace Violence in Services Sectors and Measures to Combat This Phenomenon","author":"ILO\u2010International Labour Organization","year":"2003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2019-105849"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/00469580241297974"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0322023"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/23779608251321365"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/23779608241258029"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.17098\/amj.364161"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2018.09.003"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2020.02.012"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.53490\/egehemsire.1003831"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2017.06.020"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4268-x"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2016.12.001"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13275"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ppc.12978"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13635"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10071-24681"},{"key":"e_1_2_11_21_1","volume-title":"Burnout & Compassion Fatigue\/Secondary Traumatic Stress Scales","author":"Stamm B. H.","year":"2005"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2020.04.002"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/hmr.0000000000000286"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103456"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.3758\/bf03193146"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2014.03.032"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.5455\/bcp.20151205113132"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.4274\/npa.5210"},{"key":"e_1_2_11_29_1","unstructured":"J. F.Hair W. C.Black B. J.Babin andR. E.Anderson Advanced Diagnostics for Multiple Regression a Supplement to Multivariate Data Analysis 2010."},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2020.102819"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/13623699.2018.1540095"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0230793"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.17533\/udea.iee.v39n2e08"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.441"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733012463723"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2017.03.009"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12040415"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70639","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jep.70639","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70639","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:32:26Z","timestamp":1791297146000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70639"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":36,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jep.70639"],"URL":"https:\/\/doi.org\/10.1111\/jep.70639","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2025-10-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70639"}}