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The Effects of Violence Coping Program Based on Middle-Range Theory of Resilience on Emergency Room Nurses¡¯ Resilience, Violence Coping, Nursing Competency and Burnout

Journal of Korean Academy of Nursing 2017³â 47±Ç 3È£ p.332 ~ 344
KMID : 0806120170470030332
À̽¹Π( Lee Seung-Min ) - ¸¶»ê´ëÇб³ °£È£Çаú

¼º°æ¹Ì ( Sung Kyung-Mi ) - °æ»ó´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose: The purpose of this study was to examine the effects of a violence coping program (VCP) based on Polk¡¯s middle-range theory of resilienceon nursing competency, resilience, burnout, and the ability to cope with violence in nurses working in emergency rooms.

Methods: A quasi-experimental study, with a nonequivalent control group and a pretest-posttest design, was conducted. Participants were 36 nurses whoworked in emergency rooms and had experienced violence; 18 nurses from D hospital and 18 nurses from C hospital were assigned to the experimentaland control groups, respectively. The experimental group received the VCP twice per week for 8 weeks.

Results: Levels of resilience,F =59.41, p<.001, active coping behavior, c2=33.09, p<.001, and nursing competency, F =59.41 p<.001, increased significantly and levels of passivecoping behavior, c2=22.92, p<.001, and burnout, F =52.74, p<.001, decreased significantly in the experimental group.

Conclusion: The results suggestthat the VCP could be an effective strategy for reducing burnout and improving resilience, active coping behavior, and nursing competency. Therefore, it would be a useful intervention for improving the quality of nursing care provided in emergency rooms.
KeyWords
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Psychological resilience, Violence, Psychological adaptation, Clinical competence, Professional burnout
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