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The Influence of Lateral Violence on Burnout and Empathy with Patients among Nurses: The Moderating Effect of Communication
Korean J Stress Res 2019;27:224-231
Published online September 30, 2019
© 2019 Korean Society of Stress Medicine.

Soohyun Nam1 , Boyoung Hwang2

1College of Nursing, Seoul National University & Seoul National University Hospital, 2College of Nursing & Research Institute of Nursing Science, Seoul National University, Seoul, Korea
Correspondence to: Soohyun Nam
College of Nursing, Seoul National University & Seoul National University Hospital, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea
Tel: +82-2-2072-7647
Fax: +82-2-2072-7643
Received July 31, 2019; Revised August 28, 2019; Accepted August 28, 2019.
Articles published in stress are open-access, distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Horizontal violence or lateral violence among nurses is a critical social issue given its global prevalence and frequency. In this study, we examined the effects of lateral violence on nurses’ burnout and empathy with patients by examining the moderating effect of communication in each relationship.
Methods: This was a secondary analysis of data from a cross-sectional descriptive study, including a total of 211 registered nurses who had worked for more than six months at a medical institution in Seoul, South Korea. The data were collected between March 20, 2019 and June 1, 2019 using self-administered online surveys. Descriptive statistics and Pearson’s correlation coefficient were calculated, and hierarchical multiple regression analyses were performed. To test the moderating effect of communication, an interaction term was added to each model.
Results: Communication negatively moderated the relationship between lateral violence and burnout. On the other hand, there was no significant moderating effect of communication on the relationship between lateral violence and empathy with patients.
Conclusions: From these findings, we revealed the effect of communications between lateral violence and burnout. The higher the communication ability, the less the effect of lateral violence on burnout. Our findings highlight the importance of communication when developing interventions to reduce burnout in the presence of lateral violence.
Keywords : Registered nurses, Lateral violence, Burnout, Empathy, Communication

September 2019, 27 (3)

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