Purpose To investigate the influence of violence experience and response of coping with violence on professional QoL among emergency department. Methods This cross-sectional study, included 179 subjects. Data were collected online from June 24 to July 31, 2022, and were analyzed using independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression. Results In the compassion satisfaction category, the problem focused coping (β=.328, p<.001) was a significant influencing factor (adj. R2 =.103) (F=21.36, p<.001). In the burnout category, violence response (β=.460, p<.001), problem focused coping (β=-.306, p<.001), and violence experience (β=.151, p=.030) were significant influencing factors (adj. R2 =.288) (F=24.99, p<.001). In the secondary traumatic stress category, violence response (β=.587, p<.001) and emergency department career (β=.177, p=.011) were significant influencing factors (adj. R2 =.383) (F=41.90, p<.001). Conclusion To improve professional QoL, it is necessary to understand the current situation related to violence and prepare a coping support system and intervention to prevent violence experiences and reduce negative consequences related to violence for a safe working environment for emergency department nurses.
PURPOSE This study was a cross-sectional study done to determine the relevance and impact factors of nursing practice environment and self-esteem on critical thinking disposition in clinical nurses. METHODS A survey was conducted from March to May 2015 with self-report questionnaire. Participants were 281 registered nurses working in one tertiary hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression with SPSS/WIN 21.0. RESULTS Factors affecting the nurses' critical thinking disposition included age (F=7.23, p<.001), educational background (F=7.82, p<.001), position (F=14.95, p<.001), clinical career (F=7.66, p<.001). Further, critical thinking disposition had a positive correlation with nursing practice environment (r=.60, p<.001) and self-esteem (r=.41, p<.001). Self-esteem and nursing practice environment accounted for 43% of the variance in critical thinking disposition. CONCLUSION The study findings show that critical thinking disposition is influenced by nursing foundations for quality of care and the collegial nurse-physician relations of nursing practice environment. Therefore, it's necessary to provide continuing education for clinical nurses to reconstruct the organizational culture of nurses and physician partnerships. In addition, increasing self-esteem through various motivational programs should increase critical thinking disposition.
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