{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T14:13:49Z","timestamp":1783779229096,"version":"3.55.0"},"reference-count":70,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"the Science and Technology Support Program of Guizhou province","award":["[2020]4Y171"],"award-info":[{"award-number":["[2020]4Y171"]}]},{"name":"CMB foundation project","award":["16-254"],"award-info":[{"award-number":["16-254"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["WORK: A Journal of Prevention, Assessment &amp; Rehabilitation"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Major public health events have wide-ranging and far-reaching effects, while also causing significant psychological problems for healthcare professionals, particularly those directly involved in patient care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The present study aimed to explore the mediating role of mental health and the moderating role of caring for COVID-19 patients in the relationship between hospital violence and self-efficacy expectation among Chinese healthcare professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a cross-sectional study conducted in the early stage of the epidemic. A total of 3006 Chinese healthcare professionals completed the assessment of hospital violence, self-efficacy expectation (SEE), and mental health using a set of instruments, including the visual analog scale (VAS), the Patient Health Questionnaire-9 (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study found that hospital violence experience was significantly correlated with higher depressive symptoms (r\u2009=\u20090.168,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), higher anxiety (r\u2009=\u20090.171,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and lower SEE (r\u2009=\u2009-0.062,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.01). The association between hospital violence and lower self-efficacy expectations was stronger among those who directly provided healthcare services to patients (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      \u2009=\u2009-5.35,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.01) than among those who did not provide direct patient care (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      \u2009=\u2009-2.07,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Depression and anxiety, as mediating variables, accounted for 54.4% and 48.66% of the total effect of the relationship between hospital violence and SEE, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>During major public health events, experiences of workplace violence may reduce the self-efficacy expectations of healthcare professionals, particularly among those who directly provide patient care. Mental health plays a mediating role in this relationship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10519815261460408","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T06:58:27Z","timestamp":1783493907000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The relationship between hospital violence and self-efficacy expectation among healthcare professionals during major public health events: The role of mental health and caring patients"],"prefix":"10.1177","author":[{"given":"Lina","family":"Ha","sequence":"first","affiliation":[{"name":"Faculty of Humanities and Social Sciences, Xi'an Jiaotong University, Xi'an, Shanxi, China"},{"name":"Department of Medical Psychology, School of Humanities and Management, Ningxia Medical University, Yinchuan, Ningxia, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingning","family":"Chang","sequence":"additional","affiliation":[{"name":"Medical Experimental Center, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China"},{"name":"The First Clinical Medical College, Ningxia Medical University, Yinchuan, Ningxia, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9408-0596","authenticated-orcid":false,"given":"Zihao","family":"Liu","sequence":"additional","affiliation":[{"name":"Social Security, School of Humanities and Management, Ningxia Medical University, Yinchuan, Ningxia, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhizhong","family":"Wang","sequence":"additional","affiliation":[{"name":"The First Dongguan Affiliated Hospital, Guangdong Medical University, Dongguan, China"},{"name":"Department of Epidemiology and Statistic, School of Public Health at Guangdong Medical University, Dongguan, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00482-023-00728-3"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e3181cfbb46"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1359105317734039"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2020.1752865"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.24171\/j.phrp.2019.10.6.06"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23407"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.112717"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14311"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0254401"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0965-2302(99)80094-0"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1441389"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.2478\/s13382-014-0255-y"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-24924-1"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12181903"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/JHM-D-16-00037"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-19671-7"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102641"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqae023.0640"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017182"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.09.004"},{"key":"e_1_3_3_23_2","article-title":"Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review","volume":"11","author":"Pollock A","year":"2020","unstructured":"Pollock A, Campbell P, Cheyne J, et al. 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