PSYCHOLOGICAL OUTCOMES OF VERBAL AGGRESSION AMONG HOSPITAL CAREGIVERS: A STUDY OF SECOND VICTIM EXPERIENCES AND SUPPORT MECHANISMS: EMPIRICAL RESEARCH QUANTITATIVE
Keywords:
Nurses, verbal aggression, Second victims, Psychological resilience, AnxietyAbstract
Aim: Examine the correlation among the frequency of verbal abuse, second victim distress, second victim support, psychological resilience, and anxiety levels among clinical nursing personnel in tertiary medical institutions. Design: A further analysis of cross-sectional correlation-based survey data was performed. Methods: Convenience sampling was employed to select a total of 332 nurses from a large tertiary hospital located in Chongqing. Study participants fulfilled a demographic survey, the Workplace verbal aggression Frequency Scale, the Generalized Anxiety Disorder Scale (GAD-7), the Connor-Davidson Resilience Scale (CD-RISC), as well as the Second Victims Experiences and Support Scale, so as to gauge the degree of verbal abuse, anxiety, psychological resilience, second victim distress and second victim support. Results: The average values are listed as below: verbal aggression frequency (0.89±0.90), anxiety (1.85±0.87), resilience (2.42±0.72), second victim distress (2.90±0.72), along with second victim support (2.32±0.68). Independent sample t analyses and one-way ANOVA revealed that gender, age, department, educational level, marital status, and tenure significantly impacted the frequency of verbal aggression. Work unit, on-job tenure, and monthly pay notably influenced psychological distress levels. Educational attainment, professional credential, employment category, and revenue shaped resilience. Distress of the second victim correlated with age, department, job title, number of offspring, professional experience, and personal income. Different support levels showed clear disparities based on job title, work experience, and personal earnings. The Pearson correlation analysis exhibited significantly positive associations among verbal aggression frequency, anxiety, and secondary victim distress, and also between resilience and social support. Negative associations were identified linking verbal aggression and support, anxiety and resilience, as well as second victim distress with both resilience and support. Correlated multiple linear regression analyses indicated that oral aggression frequency, resilience, and second-party victims psychological distress served as significant predictors of anxiety levels (adjusted R²=0.271, p<0.001). Mediation analysis findings showed that resilience, social backing, and psychological tension partially intervened the association between verbal aggression and nervousness, possessing an overall intervening impact of 11.70%. No Patient or Public Contribution.References
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