TY - JOUR PY - 2021// TI - Rethinking "zero tolerance": a moderated mediation model of mental resilience and coping strategies in workplace violence and nurses' mental health JO - Journal of nursing scholarship A1 - Fan, Sisi A1 - An, Wenhong A1 - Zeng, Lihong A1 - Liu, Jue A1 - Tang, Siyuan A1 - Chen, Jia A1 - Huang, Hui SP - ePub EP - ePub VL - ePub IS - ePub N2 - AIMS: This study aimed to investigate whether the impact of workplace violence (WPV) on nurses' mental health varies with mental resilience and coping strategies.

BACKGROUND: Workplace violence is a serious threat to nurses' mental health, and its impact on nurses' mental health is influenced by many factors.

METHOD: A cross-sectional study involving 349 participants was conducted over 12 months. The data were analyzed using SPSS 25.0 and SPSS PROCESS macro.

RESULTS: In total, 82.52% of nurses were exposed to WPV. WPV not only affects mental health directly but also indirectly through mental resilience. Coping strategies had a moderating effect among WPV, mental resilience and mental health. When nurses coped with psychological violence with intolerance, WPV had a stronger negative effect on their mental health. When nurses coped with psychological violence with tolerance but coped with physical violence with intolerance, mental resilience had a stronger positive effect on their mental health.

CONCLUSIONS: Good mental resilience and coping with psychological violence with tolerance while coping with physical violence with intolerance can help buffer WPV and promote mental health. CLINICAL RELEVANCE: Employers who have a "zero tolerance" policy regarding WPV need to re-examine how they currently operate.

Language: en

LA - en SN - 1527-6546 UR - http://dx.doi.org/10.1111/jnu.12753 ID - ref1 ER -