Abstract
Objective: To explore the impact of workplace violence on job performance and quality of life of community healthcare workers in China, especially the relationship of these three variables. Methods: From December 2013 to April 2014, a total of 1404 healthcare workers were recruited by using the random cluster sampling method from Community Health Centers in Guangzhou and Shenzhen. The workplace violence scale, the job performance scale and the quality of life scale (SF-36) were self-administered. The structural equation model constructed by Amos 17.0 was employed to assess the relationship among these variables. Results: Our study found that 51.64% of the respondents had an experience of workplace violence. It was found that both job performance and quality of life had a negative correlation with workplace violence. A positive association was identified between job performance and quality of life. The path analysis showed the total effect (β = −0.243) of workplace violence on job performance consisted of a direct effect (β = −0.113) and an indirect effect (β = −0.130), which was mediated by quality of life. Conclusions: Workplace violence among community healthcare workers is prevalent in China. The workplace violence had negative effects on the job performance and quality of life of CHCs’ workers. The study suggests that improvement in the quality of life may lead to an effective reduction of the damages in job performance caused by workplace violence.
Highlights
The New Health Care Reform Plan issued by the Chinese government in 2009 re-emphasized the central role of Community Health Centers (CHCs) in providing cost-effective and convenient primary care to the public, which aimed to improve equitable access to basic healthcare for its residents by building a strong, primary care-based delivery system [1]
Results showed that quality of life (QOL) was significantly positively associated with the job performance of health workers in CHCs
Our study found that workplace violence had a significantly negative predicative effect on the job performance of community health workers, the association of which was mediated by QOL
Summary
The New Health Care Reform Plan issued by the Chinese government in 2009 re-emphasized the central role of Community Health Centers (CHCs) in providing cost-effective and convenient primary care to the public, which aimed to improve equitable access to basic healthcare for its residents by building a strong, primary care-based delivery system [1]. To achieve the above goals, there is an urgent need to promote the work status and health status of community healthcare workers [2]. The current tense physician-patient relationship caused by workplace violence is widely recognized to be an exigent social problem that might impact the health status and the work status of healthcare workers in CHCs. The issue of workplace violence used to be a hot research topic of public health [3,4,5]. Some studies had proven that workplace violence influences employee’s work status, like job performance [15,16]
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