Abstract

In recent years, patient mistreatment of healthcare workers, especially nurses, has been frequent, endangering the interests of organizations while also threatening nurses’ own development. This study aims to examine from the perspective of nurses’ personal interests whether mistreatment by patients decreases nurses’ workplace well-being and career commitment, and how their susceptibility to emotional contagion and emotional regulation ability might mitigate these negative effects. This study adopted a cross-sectional study design (data were collected through self-reported questionnaires with a two-month time lag between the months of August–October 2017). A total of 289 nurses from three hospitals in Shandong province, China, were recruited to participate in our study. The results reveal that mistreatment by patients is negatively related to nurses’ workplace well-being and career commitment. Emotional contagion susceptibility moderates the relationships between mistreatment by patients and career commitment, while there is no significant buffering effect of mistreatment by patients on workplace well-being. Emotional regulation ability moderates the relationships between mistreatment by patients and both workplace well-being and career commitment. These results suggest that improvements in nurses’ emotional regulation ability and susceptibility to emotional contagion can alleviate the harmful impacts of mistreatment by patients.

Highlights

  • IntroductionI managed to get through the tasks, but his hostile comments felt personal, and they devastated me emotionally” [1], this is a statement by a nurse who was verbally abused by a patient

  • We propose that the susceptibility of nurses to emotional contagion may strengthen the negative effects of mistreatment by patients on nurses’ workplace well-being and career commitment for two reasons

  • Mistreatment by patients was negatively correlated with workplace well-being (r = −0.210, p < 0.001) and career commitment (r = −0.161, p < 0.01)

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Summary

Introduction

I managed to get through the tasks, but his hostile comments felt personal, and they devastated me emotionally” [1], this is a statement by a nurse who was verbally abused by a patient This is not an isolated case; in recent years, verbal violence by patients against nurses in the healthcare industry has been a frequent phenomenon. A recent survey of 4263 nurses in the healthcare industry showed that 54% of respondents had experienced verbal violence by patients [2], including negative emotional behaviors exhibited by patients, such as anger, swearing, insults, yelling, and speaking rudely toward nurses; all of these are part of a phenomenon known as “mistreatment by patients” [3]. These behaviors reduce nurses’ work productivity and job performance [4,5] and hinder patient safety [6], and may affect their own mental health and long-term development

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