Role of violence exposure on altruistic behavior and grit among emergency nurses in rural hospitals.

Abstract

Aim: To explore the effect of violence exposure on altruistic behavior and grit among emergency nurses in 103-bed emergency departments in rural hospitals in Egypt.

Background: Workplace violence is a pervasive issue in emergency departments. Nurses in rural hospitals, facing limited resources and isolation, may be even more vulnerable to the adverse effects of workplace violence. Altruism, characterized by a selfless concern for the well-being of others, and grit, known as persistence and dedication toward long-term aspirations, are fundamental attributes that significantly influence the quality of care nurses provide. In high-stress environments like emergency departments, these qualities are essential for maintaining patient safety and well-being; the presence of workplace violence can compromise these vital attributes.

Method: A descriptive correlational design was undertaken in the intensive care units of rural hospitals. The research utilized three measurements: the workplace place violence questionnaire, the Short Grit Scale, and the altruistic behaviors scale.

Findings: Reporting of incidence, mitigation strategies, and the impact of violence are inversely related to altruism and grit. Altruism and grit were positively correlated. The regression indicates that while altruism is high, factors like mitigation strategies, years of experience, and perceived risk contribute negatively to altruistic behaviors.

Implications for nursing practice, nursing, and health policy: This research underscores the significance of assessing personal assets and their relation to violence exposure. It highlights a critical need for resilience-building initiatives that empower nurses to build both altruism and grit among nurses while addressing the impact of workplace violence. In addition, nursing policies should include specific provisions for their protection, such as adjusting shift patterns to reduce their exposure to high-risk periods, ensuring adequate staffing levels, and implementing buddy systems.