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Multiple Workplace Violence and Its Effects on Burnout, Turnover Intention and
Sleeping Problem Among Nurses in Taiwan

L. Pien 1

Post-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Chinese Taipei
1

Background: Occupational hazards such as workplace violence significantly impact the well-being of
nursing professionals, influencing their psychological and physical health, as well as their propensity
to leave their positions.

Objective: This study aimed to examine the types and effects of non-physical and physical workplace
violence against nurses. It also explored the associations between different types of workplace
violence and burnout, sleep problem, and leaving intention among nurses.

Methods: Utilizing a cross-sectional design and convenience sampling, this study enlisted 1720 nursing
professionals. Participants completed a self-administered survey detailing incidents of workplace violence,
which included physical assault, verbal abuse, psychological intimidation, and sexual harassment. The
survey also assessed health outcomes through burnout scales, sleep quality indices, and a measure of
resignation intent. The relationship between experiences of workplace violence and health outcomes,
including the desire to leave the job, was analyzed using Analysis of Variance and logistic regression.

Results: A significant portion (66.7%) of participants reported encountering some form of workplace
violence in the past year, with non-physical aggression being most common (37.7%). Notably, 26.9% of
respondents reported experiencing multiple forms of aggression. Individuals subjected to both physical
and non-physical violence reported more severe personal burnout, client-related burnout, sleep disruption,
and a stronger intent to resign than those who faced physical violence alone. Controlling for work
environment variables, multivariate logistic regression indicated that experiencing a combination of
physical and non-physical workplace violence was strongly linked to heightened burnout levels, poor sleep
Poster Presentation Abstracts
quality, and increased resignation inclination.

Conclusion: The nursing workforce in Taiwan is at a substantial risk of encountering workplace
violence, which negatively affects their intention to remain in their roles and their overall health. The
impact is more profound among those experiencing various forms of violence.

Keywords: workplace violence, burnout, sleep disturbances, turnover intention

_____________________________________________________________________________________________________
Correspondence: Li-Ching Pien, Post-Baccalaureate Program in Nursing, College of Nursing, Taipei
Medical University, Chinese Taipei
E-mail: andy5240@tmu.edu.tw

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