Worker resignation due to patient nuisance in hospitals: Determinants and prevention

To investigate determinants and protective strategies for the resignation of health care workers resulting from patient-derived nuisance in medical institutions, we conducted a cross-sectional survey in the 57 hospitals in Mie Prefecture, Japan. A random sampling of 775 employees (physicians, nurses, administrators, and other health care workers) was provided self-administered questionnaires. Among 480 participants who experienced patient-derived nuisance, 132 participants considered resignation as a result, giving an estimated prevalence of 17.1% (95% CI: 14.4%-19.8%) of all respondents. Nonphysical nuisances such as "demand for an unwarranted apology" (OR: 2.57; 95% CI: 1.61-4.12) had higher ORs for considering resignation than other kinds of nuisance. By contrast, OR for the provision of human support by medical institutions was 0.49 (95% CI: 0.28-0.86). Human support was associated with alleviation of the intention to resign.

Portuguese Version of the 12-Item Violence Prevention Climate Scale: Test of Psychometric Properties

BACKGROUND AND PURPOSE

A violence prevention climate is critical for nurses' well-being but also for nursing practice and the quality of care. This study examined the reliability and factor validity of the European Portuguese version of the 12-item Violence Prevention Climate Scale (VPCS).

METHODS

Data came from a sample of 120 nurses providing care in Portugal. Confirmatory factor analysis was used to test the structural theory of the scale.

RESULTS

First and second-order confirmatory factor analysis models showed identical goodness-of-fit suggesting the adequacy of the models to the sample data. Our results also provide evidence of composite reliability, and convergent and discriminant validity.

CONCLUSIONS

Consistent with previous studies, data from this study showed that the Portuguese version of the 12-item VPCS is a reliable and valid scale to evaluate nurses' perceptions of a violence prevention climate.