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Appl Nurs Res. 2018 Apr;40:122-128. doi: 10.1016/j.apnr.2018.01.003. Epub 2018 Jan 31.

Incidence and risk factors of workplace violence against nurses in a Chinese top-level teaching hospital: A cross-sectional study.

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Department of Geriatric Cardiology, Qilu Hospital of Shandong University, Jinan, PR China.
Scientific Research Department, Qilu Hospital of Shandong University, Jinan, PR China.
Nursing Department, Qilu Hospital of Shandong University, Jinan, PR China. Electronic address:



To investigate the incidence of workplace violence involving nurses and to identify related risk factors in a high-quality Chinese teaching hospital.


A cross-sectional study design was used. The final sample comprised responses from 1831 registered nurses collected with a whole-hospital survey from June 1 to June 15, 2016. The demographic characteristics of the nurses who had experienced any form of violence were collected, and logistic regression analysis was applied to evaluate the risk factors for nurses related to workplace violence.


Out of the total number of nurses surveyed, 904 (49.4%) nurses reported having experienced any type of violence in the past year. The frequencies of exposure to physical and non-physical violence were 6.3% (116) and 49.0% (897), respectively. All the incidence rates of violence were lower than those of other studies based on regional hospitals in China and were at the same level found in developed countries and districts. Binary logistic regression analysis revealed that nurses at levels 2 to 4 and female nurses in clinical departments were the most vulnerable to non-physical violence. For physical violence, the two independent risk factors were working in an emergency department and having 6-10 years of work experience.


Workplace violence directly threatens nurses from high-quality Chinese teaching hospitals. However, the incidence of WPV against nurses in this teaching hospital was better than that in regional hospitals. This study also provides reference material to identify areas where nurses encounter relatively high levels of workplace violence in high-quality Chinese teaching hospitals.


Nurses; Risk factors; Teaching hospital; Workplace violence


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