- Self-efficacy is directly and positively associated with resilience in nurses exposed to workplace violence.
- Social support is positively linked to self-efficacy and partially mediates its effect on nurses' resilience.
- Professional title, self-efficacy and social support are the main influencing factors for resilience; strengthening these improves nursing quality and patient satisfaction.
J Clin Nurs. 2026 May 30. doi: 10.1111/jocn.70360. Online ahead of print.
ABSTRACT
AIM: To assess the resilience of nurses exposed to workplace violence and analyse its influencing factors.
DESIGN: A cross-sectional study.
METHODS: From October 2023 to April 2025, 396 nurses were recruited from hospitals in Shanghai and Nanjing, China. Personal Information Form, Hospital Workplace Violence Questionnaire, Resilience Assessment Scale for Medical Staff, General Self-efficacy Scale and Social Support Rating Scale were used to collect data. Descriptive statistics, t-tests, analysis of variance, Pearson’s correlation analysis, multiple regression analysis and mediating effect analysis were used to analyse the data.
RESULTS: The mean resilience score was 67.38 ± 15.52. Professional title, self-efficacy and social support were the main influencing factors on resilience among nurses exposed to workplace violence. Resilience showed a significant positive correlation with both self-efficacy and social support. Self-efficacy was directly and positively associated with resilience, and was positively associated with social support, and social support partially mediated the relationship between self-efficacy and resilience.
CONCLUSION: Self-efficacy is directly and positively associated with resilience. Social support partially mediates the relationship between self-efficacy and resilience. These findings highlight the interaction between personal and environmental factors in shaping the resilience of nurses exposed to workplace violence.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Enhancing resilience among nurses exposed to workplace violence has important implications for increasing patient satisfaction and improving the quality of nursing.
IMPACT: Provided valuable insights into workplace violence within the nursing profession. Social support partially mediated the relationship between self-efficacy and resilience. Improving nurses’ resilience requires enhancing personal self-efficacy and strengthening social support systems.
REPORTING METHOD: STROBE checklist was used. NO PATIENT OR PUBLIC CONTRIBUTIONS.
PMID:42218118 | DOI:10.1111/jocn.70360
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