{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:05:43Z","timestamp":1791824743745,"version":"4.3.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"1-2","license":[{"start":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T00:00:00Z","timestamp":1603324800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Research in Nursing"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The rising rate of workplace violence in hospitals is a serious concern. While leading organisations recommend implementing interventions to address workplace violence, little is known about the workplace violence relationship between patients and visitors, and how it affects nurses\u2019 emotional exhaustion and their perceptions of patient safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The study\u2019s purpose was to understand the status of workplace violence in hospitals and the relationships between nurses\u2019 experiences of workplace violence, emotional exhaustion, and perceptions of patient safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional analysis used data from a survey conducted at a large academic medical centre using the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture plus additional measures of workplace violence and emotional exhaustion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nurses reported more occurrences of verbal violence than physical violence. Nurses\u2019 experiences of workplace violence negatively affect nurses\u2019 emotional exhaustion and patient-safety perceptions. Moreover, nurses\u2019 emotional exhaustion mediated the relationship between verbal abuse and patient-safety perceptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Interventions to reduce nurses\u2019 emotional exhaustion and strengthen resilience can mitigate the negative effects of verbal abuse and to some extent the effects of physical violence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1744987120960200","type":"journal-article","created":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T16:31:12Z","timestamp":1603384272000},"page":"35-46","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":49,"title":["Relationships between nurses\u2019 experiences of workplace violence, emotional exhaustion and patient safety"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8209-9785","authenticated-orcid":false,"given":"Sinhye","family":"Kim","sequence":"first","affiliation":[{"name":"PhD candidate, School of Nursing, University of North Carolina at Chapel Hill, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4783-7049","authenticated-orcid":false,"given":"Celeste","family":"Mayer","sequence":"additional","affiliation":[{"name":"Patient Safety Officer, retired, University of North Carolina Health Care and Adjunct Faculty, School of Nursing, University of North Carolina at Chapel Hill, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl B","family":"Jones","sequence":"additional","affiliation":[{"name":"Professor, School of Nursing, University of North Carolina at Chapel Hill, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,22]]},"reference":[{"key":"bibr1-1744987120960200","unstructured":"Advisory Board (2018) Global Edition: Rebuild the foundation for a resilient workforce. Best practices to repair the cracks in the care environment. Research report. 4 September. Washington, DC: Global Centre for Nursing Executives."},{"key":"bibr2-1744987120960200","doi-asserted-by":"publisher","DOI":"10.1177\/1078390318809159"},{"key":"bibr3-1744987120960200","unstructured":"American Nurses Association (2014) American Nurse Association Health Risk Appraisal (HRA): Preliminary findings October 2013\u2013October 2014. Executive summary. Silver Spring, MD: ANA."},{"key":"bibr4-1744987120960200","unstructured":"American Nurses Association (2019) Reporting incidents of workplace violence. Available at: www.nursingworld.org\/\u223c495349\/globalassets\/docs\/ana\/ethics\/endabuse-issue-brief-final.pdf (accessed 4 July 2020)."},{"key":"bibr5-1744987120960200","unstructured":"American Organization of Nurse Executives (2014)\n                      Mitigating Violence in the Workplace\n                      . AONE guiding principles. 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Washington, DC; US Department of Labor."},{"key":"bibr20-1744987120960200","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1501998"},{"key":"bibr21-1744987120960200","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22489"},{"key":"bibr22-1744987120960200","doi-asserted-by":"publisher","DOI":"10.1097\/NNA.0000000000000648"},{"key":"bibr23-1744987120960200","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2018.04.007"},{"key":"bibr24-1744987120960200","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-002042"},{"key":"bibr25-1744987120960200","unstructured":"Sorra JS and Nieva VF (2004) Hospital Survey on Patient Safety Culture. (Prepared by Westat, under Contract No. 290-96-0004). Rockville, MD: Agency for Healthcare Research and Quality."},{"key":"bibr26-1744987120960200","unstructured":"The Joint Commission (2010) Sentinel Event Alert, Issue 45: Preventing violence in the health care setting. 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