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      How workplace violence correlates turnover intention among Chinese health care workers in COVID‐19 context: The mediating role of perceived social support and mental health

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          Abstract

          Aim

          To elucidate the effects of workplace violence on turnover intention among Chinese health care workers, and to identify the potential mediators in this relationship.

          Background

          Workplace violence has emerged as a crucial determinant of turnover intention for health care workers.

          Methods

          A cross‐sectional survey was conducted among Chinese health care workers ( N = 1,063) between 13 and 20 February 2020. Mediation effects were tested using structural equation modelling with weighted least squares mean and variance adjusted (WLSMV) estimator.

          Results

          Workplace violence had both direct and indirect effects on turnover intention among Chinese health care workers. Specifically, perceived social support, mental health and perceived social support together with mental health partially mediated the relationship between workplace violence and turnover intention.

          Conclusions

          Chinese health care workers experiencing violence during the COVID‐19 outbreak were more likely to report turnover intention. Enhancing social support and reducing mental health problems would be beneficial in decreasing the detrimental effects of workplace violence on turnover intention.

          Implications for Nursing Management

          Ensuring health care workers’ health and safety is vital in reducing turnover intention, which in turn ascertains continuity of health care delivery. Health care managers should develop targeted interventions to improve social support and prevent post‐violence mental health problems.

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          Most cited references51

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          The Multidimensional Scale of Perceived Social Support

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            Stress, social support, and the buffering hypothesis.

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              Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study

              Highlights • Medical staff experience mental health disturb during the COVID-19 pandemic. • Direct and indirect exposure to COVID-19 affects the mental health profoundly. • Psychological materials and resources provide some protection. • Interventions with appropriate level are urgent.
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                Author and article information

                Contributors
                yym2015@whu.edu.cn
                wpg926@whu.edu.cn
                weiwang90@163.com
                Journal
                J Nurs Manag
                J Nurs Manag
                10.1111/(ISSN)1365-2834
                JONM
                Journal of Nursing Management
                John Wiley and Sons Inc. (Hoboken )
                0966-0429
                1365-2834
                22 April 2021
                : 10.1111/jonm.13325
                Affiliations
                [ 1 ] School of Health Sciences Wuhan University Wuhan China
                [ 2 ] Department of Population and Quantitative Health Sciences University of Massachusetts Medical School Worcester MA USA
                [ 3 ] School of Nursing Hubei University of Medicine Shiyan China
                [ 4 ] Department of Gastroenterology the Affiliated Hospital of Xuzhou Medical University Xuzhou China
                [ 5 ] School of Public Health Xuzhou Medical University Xuzhou China
                Author notes
                [*] [* ] Correspondence

                Peigang Wang, School of Health Sciences, Wuhan University, 115 Donghu Road, Wuhan, Hubei, 430071, China.

                Email: wpg926@ 123456whu.edu.cn

                Wei Wang, School of Public Health, Xuzhou Medical University, 209 Tong Shan Road, Xuzhou, Jiangsu, 221004, China

                Email: weiwang90@ 123456163.com

                Author information
                https://orcid.org/0000-0002-2558-3121
                Article
                JONM13325
                10.1111/jonm.13325
                8250348
                33792990
                568a3910-71dc-4e53-86b8-f84a0accef9d
                © 2021 John Wiley & Sons Ltd

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 07 March 2021
                : 26 November 2020
                : 27 March 2021
                Page count
                Figures: 2, Tables: 2, Pages: 8, Words: 15856
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.4 mode:remove_FC converted:02.07.2021

                health care workers,mental health, covid‐19,perceived social support,turnover intention,workplace violence

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