{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:35:09Z","timestamp":1792143309513,"version":"4.4.0"},"reference-count":63,"publisher":"BMJ","issue":"4","funder":[{"name":"Innovation Science Research Foundation of Harbin Medical University"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,2,20]]},"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>This study had three objectives: (1) to investigate the impact of workplace incivility on job burn-out of new nursing staff, (2) to verify the partial mediating role of anxiety in the relationship between workplace incivility and job burn-out, (3) to examine the resilience moderating the relations between workplace incivility and job burn-out.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional online survey was conducted in May 2016 in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The survey was conducted in 54 cities across 29 provinces of China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 903 participants were invited. Ultimately, 696 new nurses (&lt;3\u2009service years) completed valid questionnaires. The effective response rate was 77.1%. Entry criteria: voluntary participation, having less than three service years and being a registered nurse. Exclusion criteria: being an irregular nurse, having more than three service years and refusing to participate in this work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>An anonymous questionnaire was distributed among new nurses. The relationships and mechanism among the variables were explored using descriptive statistical analysis, Pearson\u2019s correlation coefficient and multiple linear regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The findings showed that workplace incivility was positively correlated with anxiety (r=0.371, p&lt;0.01) and job burn-out (r=0.238, p&lt;0.01) of new nurses. The positive relation between anxiety (\u03b2\n                      <jats:italic>=<\/jats:italic>\n                      0.364, p&lt;0.01) and job burn-out (\u03b2\n                      <jats:italic>=<\/jats:italic>\n                      0.240, p&lt;0.01) was also significant. Moreover, anxiety partially mediated (z=7.807, p&lt;0.01) and resilience moderated (\u03b2=\u22120.564, p&lt;0.01) the association between workplace incivility and job burn-out.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Experience of workplace incivility by new nurses would likely generate anxiety in the victims. Further, the increased anxiety state could elevate their level of job burn-out. New nurses with high levels of resilience could buffer the negative influence of workplace incivility by using a positive coping style.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-020461","type":"journal-article","created":{"date-parts":[[2018,4,6]],"date-time":"2018-04-06T03:10:46Z","timestamp":1522984246000},"page":"e020461","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":52,"title":["Impact of workplace incivility against new nurses on job burn-out: a cross-sectional study in China"],"prefix":"10.1136","volume":"8","author":[{"given":"Yu","family":"Shi","sequence":"first","affiliation":[{"name":"Department of Health Management, Public Health College of Harbin Medical University, Harbin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Human Resource Management, Fourth Affiliated Hospital of Harbin Medical University, Harbin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shue","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Harbin Medical University Cancer Hospital, Harbin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengzhe","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Health Management, Public Health College of Harbin Medical University, Harbin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinghui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Health Management, Public Health College of Harbin Medical University, Harbin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhinan","family":"Sun","sequence":"additional","affiliation":[{"name":"English teaching and research department, College of Humanities and Social Science, Harbin Medical University, Harbin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinpeng","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Outpatient Operating Room, First Affiliated Hospital of Harbin Medical University, Harbin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Health Management, Public Health College of Harbin Medical University, Harbin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lihua","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Health Management, Public Health College of Harbin Medical University, Harbin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,4,5]]},"reference":[{"key":"2025121600124152000_8.4.e020461.1","doi-asserted-by":"publisher","DOI":"10.1002\/bs.3830090206"},{"key":"2025121600124152000_8.4.e020461.2","doi-asserted-by":"publisher","DOI":"10.2307\/256693"},{"key":"2025121600124152000_8.4.e020461.3","doi-asserted-by":"publisher","DOI":"10.5465\/AMR.1999.2202131"},{"key":"2025121600124152000_8.4.e020461.4","unstructured":"Lauer CS . 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