Workplace Violence, Psychological Safety, and Decent Work Perception: A Longitudinal Mediation Study Among Clinical
Hangna Qiu1,2, Zhengyi Ma2, Juntong Jing2
1Department of Neurosurgery, The First Affiliated Hospital of Henan University, Henan University, Kaifeng, China.
Journal of Advanced Nursing
|August 6, 2026
Summary
Workplace violence negatively impacts nurses' perception of decent work, both directly and by undermining psychological safety. This highlights the crucial role of psychological safety in maintaining work dignity for clinical nurses.
Area of Science:
- Nursing Research
- Occupational Health Psychology
- Sociology of Work
Background:
- Workplace violence is a significant issue affecting healthcare professionals globally.
- Nurses' perception of decent work is crucial for job satisfaction and retention.
- Psychological safety is increasingly recognized as a key factor in workplace well-being.
Purpose of the Study:
- To examine the longitudinal relationship between workplace violence and decent work perception among clinical nurses.
- To investigate the mediating role of psychological safety in this relationship.
Main Methods:
- A longitudinal study involving 534 clinical nurses in mainland China.
- Data collected via surveys at three time points (T1-T3).
- Analysis using cross-lagged panel models with SPSS and AMOS to assess causal relationships and mediation effects.
Main Results:
- Significant correlations were found between workplace violence, psychological safety, and decent work perception across all time points.
- Workplace violence had a direct negative effect on decent work perception.
- Psychological safety at T2 significantly mediated the relationship between workplace violence at T1 and decent work perception at T3.
Conclusions:
- Workplace violence diminishes nurses' decent work perception directly and indirectly by eroding psychological safety.
- Psychological safety is a critical mechanism linking exposure to workplace violence with decreased work dignity.
- Interventions should focus on reducing workplace violence and enhancing psychological safety to promote decent work for nurses.
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