Citation

Sui G, Liu G, Jia L, Wang L, Yang G. BMJ Open 2019; 9(5): e024186.

Affiliation

Key Laboratory of Ministry of Education for Traditional Chinese Medicine Viscera-State Theory and Applications, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China.

Copyright

(Copyright © 2019, BMJ Publishing Group)

DOI

10.1136/bmjopen-2018-024186

PMID

31129572

Abstract

OBJECTIVES: The purpose of this study was to (1) Identify the prevalence of workplace violence among doctors in Liaoning, China. (2) Examine the relationships between workplace violence and psychological capital with depressive symptoms and burn-out in Chinese doctors.

DESIGN: A quantitative, cross-sectional study. SETTING: Eight hospitals in Liaoning Province were surveyed using a self-reported questionnaire. PARTICIPANTS: The study population comprised 1800 doctors. Ultimately 1392 doctors completed valid questionnaires with a response rate of 77.3%.

RESULTS: The prevalence of workplace violence was 77.5%. Compared with other types of workplace violence, the prevalence of psychological aggression was the highest (72.7%). Workplace violence (depressive symptoms: β[95% CI]=0.11 [0.06, 0.16]; emotional exhaustion: β[95% CI]=0.18 [0.13, 0.23]; depersonalisation: β[95% CI]=0.17 [0.12, 0.22]) and psychological capital (depressive symptoms: β[95% CI]=-0.32 [-0.37, -0.27]; emotional exhaustion: β[95% CI]=-0.23 [-0.28, -0.18]; depersonalisation: β[95% CI]=-0.23 [-0.28, -0.18]) were associated with depressive symptoms and burn-out. Workplace violence increased the level of depressive symptoms and burn-out by damaging psychological capital (depressive symptoms: a*b=1.61, bias-corrected and accelerated [BCa] 95% CI 1.08 to 2.25; emotional exhaustion: a*b=1.29, BCa 95% CI 0.86 to 1.83; depersonalisation: a*b=0.70, BCa 95% CI 0.45 to 1.00).

CONCLUSIONS: In China, most doctors will be exposed to workplace violence, especially psychological aggression. A safer work environment and psychological capital development may be considered in prevention and treatment strategies for improving mental health.

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Language: en

Keywords

burnout; depressive symptoms; doctors; psychological capital; workplace violence