A systematic review of workplace violence management training for nursing students

Ding Yuan; Ruan Tiantian; Xu Mengqi; Guo Jianli; Zhu Lingyan

doi:10.3760/cma.j.cn116021-20240911-02231

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A systematic review of workplace violence management training for nursing students

Nursing Education Study | 更新时间：2026-02-26

- A systematic review of workplace violence management training for nursing students
- Chinese Journal of Medical Education Research Vol. 25, Issue 2, Pages: 236-244(2026)
- 作者机构：
  
  1.上海交通大学医学院附属第六人民医院护理部，上海 200233
  2.香港中文大学那打素护理学院，香港 999077
- 作者简介：
  
  Zhu Lingyan, Email: juliets@aliyun.com
- 基金信息：
  
  2024 Shanghai Educational Scientific Research Project(C2024311)
- DOI：10.3760/cma.j.cn116021-20240911-02231
  CLC： R-05
- Received：11 September 2024，
  
  Published：20 February 2026
- 稿件说明：
移动端阅览
丁原, 阮甜甜, 徐梦琦, 等. 护生工作场所暴力管理能力培训的系统评价[J]. 中华医学教育探索杂志, 2026, 25(2): 236-244.

Ding Yuan, Ruan Tiantian, Xu Mengqi, et al. A systematic review of workplace violence management training for nursing students[J]. Chinese Journal of Medical Education Research, 2026, 25(2): 236-244.
丁原, 阮甜甜, 徐梦琦, 等. 护生工作场所暴力管理能力培训的系统评价[J]. 中华医学教育探索杂志, 2026, 25(2): 236-244. DOI： 10.3760/cma.j.cn116021-20240911-02231.

Ding Yuan, Ruan Tiantian, Xu Mengqi, et al. A systematic review of workplace violence management training for nursing students[J]. Chinese Journal of Medical Education Research, 2026, 25(2): 236-244. DOI： 10.3760/cma.j.cn116021-20240911-02231.

摘要

目的

系统评价工作场所暴力管理能力培训在护理专业学生中的培训效果。

方法

在PubMed、Embase、中国生物医学文献数据库等中英文数据库中，检索国内外关于护生工作场所暴力管理能力培训的随机对照试验研究或者类实验研究。检索时限均为建库至2024年6月。采用RevMan 5.3软件进行数据分析。

结果

共纳入12篇文献，726名护生。Meta分析结果显示，接受工作场所暴力管理能力培训的护生知识成绩高于对照组（SMD=1.15，95%

=0.62~1.69，

0.001），培训周期≥4周时护生知识成绩更好，差异具有统计学意义（

0.001）；态度得分高于对照组（SMD=0.94，95%

=0.45~1.43，

0.001），已参与实习的护生接受培训后对工作场所暴力的态度改变更明显，差异具有统计学意义（

0.001）；应对技能得分高于对照组（SMD=1.19，95%

=0.50~1.87，

0.001）。

结论

护生工作场所暴力管理能力培训有助于增加护生的暴力知识储备，改变其面对暴力的态度以及提高其应对能力。

Abstract

Objective

To systematically the effectiveness of workplace violence management training among nursing students.

Methods

A systematic search was conducted in both English and Chinese databases

including PubMed

Embase

Cochrane Library

Web of Science

CINAHL

APA PsycINFO

China Biology Medicine disc

Wanfang Data

Chinese Scientific Journals Full-Text Database

and China National Knowledge Infrastructure

for randomized controlled trials or quasi-experimental studies on workplace violence management training for nursing students. The search was limited to studies published from the inception of the databases up to June 2024. RevMan 5.3 software was used for data analysis.

Results

A total of 12 articles and 726

nursing students were included. The meta-analysis showed that the knowledge score of nursing students who received workplace violence management training was significantly higher than that of the control group (SMD=1.15

95%

=0.62-1.69

0.001). The knowledge score of nursing students was significantly improved with ≥ 4 weeks of training (

0.001). The attitude score of trained nursing students was significantly higher than that of the control group (SMD=0.94

95%

=0.45-1.43

0.001). The nursing students with practice training showed significantly greater changes in their attitude towards workplace violence (

0.001). The score of coping skills was significantly higher in the trained nursing students compared to the control group (SMD=1.19

95%

=0.50-1.87

0.001).

Conclusions

Workplace violence management training for nursing students effectively increases their knowledge about violence

alters their attitudes toward violence

and improves their coping abilities.

关键词

Keywords

references

Liu X , Yang H , Hu Y , et al . Incidence of workplace violence against nurses among Chinese hospitals: a meta-analysis [J ] . J Nurs Manag , 2022 , 30 ( 6 ): 1490 - 1501 . DOI: 10.1111/jonm.13427 http://dx.doi.org/10.1111/jonm.13427 .

Tian K , Xiao X , Zeng R , et al . Prevalence of workplace violence against general practitioners: a systematic review and meta-analysis [J ] . Int J Health Plann Manage , 2022 , 37 ( 3 ): 1238 - 1251 . DOI: 10.1002/hpm.3404 http://dx.doi.org/10.1002/hpm.3404 .

Alvarado M . Advocating for safety in the workplace [J ] . J Emerg Nurs , 2012 , 38 ( 1 ): 5 . DOI: 10.1016/j.jen.2011.08.013 http://dx.doi.org/10.1016/j.jen.2011.08.013 .

Krug EG , Mercy JA , Dahlberg LL , et al . The world report on violence and health [J ] . Lancet , 2002 , 360 ( 9339 ): 1083 - 1088 . DOI: 10.1016/S0140-6736(02)11133-0 http://dx.doi.org/10.1016/S0140-6736(02)11133-0 .

Tee S , Üzar Özçetin YS , Russell-Westhead M . Workplace violence experienced by nursing students: a UK survey [J ] . Nurse Educ Today , 2016 , 41 : 30 - 35 . DOI: 10.1016/j.nedt.2016.03.014 http://dx.doi.org/10.1016/j.nedt.2016.03.014 .

Hunter EJ , Eades CE , Evans JMM . Violence experienced by undergraduate nursing students during clinical placements: an online survey at a Scottish University [J ] . Nurse Educ Pract , 2022 , 61 : 103323 . DOI: 10.1016/j.nepr.2022.103323 http://dx.doi.org/10.1016/j.nepr.2022.103323 .

张丽娜 . 暴力伤医事件视角下医学生对医患关系的认识研究 [J ] . 中国医学伦理学， 2018 ， 31 （ 8 ）： 1035 - 1039， 1051 . DOI: 10.12026/j.issn.1001-8565.2018.08.18 http://dx.doi.org/10.12026/j.issn.1001-8565.2018.08.18 .

Ayasreh IR , Khalaf IA . Nurse students' attitudes toward the nursing profession after witnessing workplace violence [J ] . Int J Nurs Educ Scholarsh , 2020 , 17 ( 1 ): 17 . DOI: 10.1515/ijnes-2020-0060 http://dx.doi.org/10.1515/ijnes-2020-0060 .

Fernández-Gutiérrez L , Mosteiro-Díaz MP . Bullying in nursing students: a integrative literature review [J ] . Int J Ment Health Nurs , 2021 , 30 ( 4 ): 821 - 833 . DOI: 10.1111/inm.12854 http://dx.doi.org/10.1111/inm.12854 .

Lu D , Jeong SY , Zhu L . Development and validation of a management of workplace violence competence scale for nursing practicum students [J ] . Asian Nurs Res , 2021 , 15 ( 1 ): 23 - 29 . DOI: 10.1016/j.anr.2020.10.005 http://dx.doi.org/10.1016/j.anr.2020.10.005 .

Somani R , Muntaner C , Hillan E , et al . A systematic review: effectiveness of interventions to deescalate workplace violence against nurses in healthcare settings [J ] . Saf Health Work , 2021 , 12 ( 3 ): 289 - 295 . DOI: 10.1016/j.shaw.2021.04.004 http://dx.doi.org/10.1016/j.shaw.2021.04.004 .

Heckemann B , Zeller A , Hahn S , et al . The effect of aggression management training programmes for nursing staff and students working in an acute hospital setting. A narrative review of current literature [J ] . Nurse Educ Today , 2015 , 35 ( 1 ): 212 - 219 . DOI: 10.1016/j.nedt.2014.08.003 http://dx.doi.org/10.1016/j.nedt.2014.08.003 .

Alshawush K , Hallett N , Bradbury-Jones C . The impact of transition programmes on workplace bullying, violence, stress and resilience for students and new graduate nurses: a scoping review [J ] . J Clin Nurs , 2022 , 31 ( 17/18 ): 2398 - 2417 . DOI: 10.1111/jocn.16124 http://dx.doi.org/10.1111/jocn.16124 .

曹俊，柳家贤，孙宏博，等 . 护生遭受实习场所垂直暴力现状及干预策略的研究进展 [J ] . 护士进修杂志， 2023 ， 38 （ 16 ）: 1470 - 1473 . DOI: 10.16821/j.cnki.hsjx.2023.16.007 http://dx.doi.org/10.16821/j.cnki.hsjx.2023.16.007 .

Sterne JAC , Savović J , Page MJ , et al . RoB 2: a revised tool for assessing risk of bias in randomised trials [J ] . BMJ , 2019 , 366 : l4898 . DOI: 10.1136/bmj.l4898 http://dx.doi.org/10.1136/bmj.l4898 .

Barker TH , Habibi N , Aromataris E , et al . The revised JBI critical appraisal tool for the assessment of risk of bias for quasi-experimental studies [J ] . JBI Evid Synth , 2024 , 22 ( 3 ): 378 - 388 . DOI: 10.11124/JBIES-23-00268 http://dx.doi.org/10.11124/JBIES-23-00268 .

陈立青，孙宗芹，刘颖 . 模拟演练干预对儿科实习护生应对医院暴力能力的影响 [J ] . 中国临床护理， 2021 ， 13 （ 11 ）. DOI: 10.3969/j.issn.1674-3768.2021.11.010 http://dx.doi.org/10.3969/j.issn.1674-3768.2021.11.010 .

金莉雅，朱雅，陈聪聪，等 . 标准化病人模拟干预对本科实习护生医院暴力应对能力的影响 [J ] . 护理学报， 2020 ， 27 （ 10 ）： 14 - 18 . DOI: 10.16460/j.issn1008-9969.2020.10.014 http://dx.doi.org/10.16460/j.issn1008-9969.2020.10.014 .

谭初花 . 案例导入情境教学法在护理见习生防暴力能力培养中的应用 [J ] . 中国护理管理， 2013 ， 13 （增刊1 ）： 122 - 123 .

李苗苗 . 格林模式促进护生应对医务场所暴力的效果研究 [D ] . 南昌：南昌大学， 2019 .

刘敬文，谢淑娟，彭小冬，等 . 情境教学模式在护理本科生对精神科工作场所暴力识别及应对中的效果研究 [J ] . 国际护理学杂志， 2022 ， 41 （ 11 ）： 1931 - 1936 . DOI: 10.3760/cma.j.cn221370-20201021-00499 http://dx.doi.org/10.3760/cma.j.cn221370-20201021-00499 .

Martinez AJS . Implementing a workplace violence simulation for undergraduate nursing students: a pilot study [J ] . J Psychosoc Nurs Ment Health Serv , 2017 , 55 ( 10 ): 39 - 44 . DOI: 10.3928/02793695-20170818-04 http://dx.doi.org/10.3928/02793695-20170818-04 .

Park M , Choi JS . Development and evaluation of a workplace bullying cognitive rehearsal-based nursing simulation education program: a mixed-methods study [J ] . Int J Environ Res Public Health , 2023 , 20 ( 6 ): 4974 . DOI: 10.3390/ijerph20064974 http://dx.doi.org/10.3390/ijerph20064974 .

Moir C , Baby M . Managing violence and aggression:graduate-entry nursing students' responses to pre-enptive communication skills education [J ] . Kai Tiaki Nursing Research , 2022 , 13 ( 1 ): 9 - 18 .

Koohestani HR , Baghcheghi N , Karimy M , et al . Design, implementation and evaluation of workplace violence management educational program for nursing students [J ] . Teach Learn Nurs , 2023 , 18 ( 4 ): e156 - e160 . DOI: 10.1016/j.teln.2023.05.004 http://dx.doi.org/10.1016/j.teln.2023.05.004 .

Jeong Y , Lee K . The development and effectiveness of a clinical training violence prevention program for nursing students [J ] . Int J Environ Res Public Health , 2020 , 17 ( 11 ): 4004 . DOI: 10.3390/ijerph17114004 http://dx.doi.org/10.3390/ijerph17114004 .

Harlan MD , Bench V , Hudack C , et al . Using teaching videos to improve nursing students' self-efficacy in managing patient aggression [J ] . J Nurs Educ , 2023 , 62 ( 7 ): 423 - 426 . DOI: 10.3928/01484834-20230509-06 http://dx.doi.org/10.3928/01484834-20230509-06 .

Bakker EJM , Dekker-van Doorn CM , Kox JHAM , et al . Conflict or connection? A feasibility study on the implementation of a training based on connecting communication in a nursing curriculum [J ] . Nurse Educ Today , 2022 , 111 : 105302 . DOI: 10.1016/j.nedt.2022.105302 http://dx.doi.org/10.1016/j.nedt.2022.105302 .

Bell A , Horsfall J , Goodin W . The mental health nursing clinical confidence scale:a tool for measuring undergraduate learning on mental health clinical placements [J ] . Aust N Z J Ment Health Nurs , 1998 , 7 ( 4 ): 184 - 190 . PMID: 10095468 .

Ingoglia S , Lo Coco A , Albiero P . Development of a brief form of the interpersonal reactivity index(B-IRI) [J ] . J Pers Assess , 2016 , 98 ( 5 ): 461 - 471 . DOI: 10.1080/00223891.2016.1149858 http://dx.doi.org/10.1080/00223891.2016.1149858 .

Raes F , Pommier E , Neff KD , et al . Construction and factorial validation of a short form of the self-compassion scale [J ] . Clin Psychol Psychother , 2011 , 18 ( 3 ): 250 - 255 . DOI: 10.1002/cpp.702 http://dx.doi.org/10.1002/cpp.702 .

Pejtersen JH , Kristensen TS , Borg V , et al . The second version of the copenhagen psychosocial questionnaire [J ] . Scand J Public Health , 2010 , 38 ( 3 Suppl ): S8 - S24 . DOI: 10.1177/1403494809349858 http://dx.doi.org/10.1177/1403494809349858 .

Min SH , Chayongsuk , Chang K . The structural relationship among verbal abuse experience, emotional labor, job satisfaction, and customer orientation of golf caddies [J ] . Korean J Sport Stud , 2018 , 57 ( 1 ): 259 - 273 . DOI: 10.23949/kjpe.2018.01.57.1.20 http://dx.doi.org/10.23949/kjpe.2018.01.57.1.20 .

Hee SD , Soojin K . The effect and development of a simulation learning module based on schizophrenic patients care of nursing students [J ] . J Korean Acad Nurs , 2020 , 29 ( 2 ): 106 - 118 . DOI: 10.12934/jkpmhn.2020.29.2.106 http://dx.doi.org/10.12934/jkpmhn.2020.29.2.106 .

Kreutzer JS , Marwitz JH , Sima AP , et al . Efficacy of the resilience and adjustment intervention after traumatic brain injury:a randomized controlled trial [J ] . Brain Inj , 2018 , 32 ( 8 ): 963 - 971 . DOI: 10.1080/02699052.2018.1468577 http://dx.doi.org/10.1080/02699052.2018.1468577 .

Thackrey M . Clinician confidence in coping with patient aggression-assessment and enhancement [J ] . Prof Psychol： Res Pract , 1987 , 18 ( 1 ): 57 - 60 . DOI: 10.1037/0735-7028.18.1.57 http://dx.doi.org/10.1037/0735-7028.18.1.57 .

Ang WC , Swain N , Gale C . Evaluating communication in healthcare:systematic review and analysis of suitable communication scales [J ] . J Commun Health , 2013 , 6 ( 4 ): 216 - 222 . DOI: 10.1179/1753807613Y.0000000041 http://dx.doi.org/10.1179/1753807613Y.0000000041 .

Hemati EM , Heshmati NF , Reihani H , et al . The effect of workplace violence prevention program on attitudes of nurses towards the management of violence and aggression in patients and their families [J ] . J Health Promot Manag , 2015 , 4 ( 1 ): 80 - 87 . DOI: 10.1111/jan.13950 PMID: http://dx.doi.org/10.1111/jan.13950PMID: 30644125 .

Zachariae R , O'Connor M , Lassesen B , et al . The self-efficacy in patient-centeredness questionnaire： a new measure of medical student and physician confidence in exhibiting patient-centered behaviors [J ] . BMC Med Educ , 2015 , 15 : 150 . DOI: 10.1186/s12909-015-0427-x http://dx.doi.org/10.1186/s12909-015-0427-x .

韩未来，刘安娜，贺连香 . 护理教育欺凌行为现状及其干预方法研究进展 [J ] . 护士进修杂志， 2022 ， 37 （ 13 ）： 1186 - 1190 . DOI: 10.16821/j.cnki.hsjx.2022.13.007 http://dx.doi.org/10.16821/j.cnki.hsjx.2022.13.007 .

Dafny HA , McCloud C , Pearson V , et al . Nursing students' experience of workplace violence in clinical practice: a qualitative systematic review [J ] . J Clin Nurs , 2023 , 32 ( 17/18 ): 6136 - 6164 . DOI: 10.1111/jocn.16746 http://dx.doi.org/10.1111/jocn.16746 .

Lu X , Hou C , Bai D , et al . Prevalence, associated factors, and nursing practice-related outcomes of workplace violence towards nursing students in clinical practice: a systematic review and meta-analysis [J ] . Nurse Educ Today , 2024 , 133 : 106074 . DOI: 10.1016/j.nedt.2023.106074 http://dx.doi.org/10.1016/j.nedt.2023.106074 .

Cai J , Wu S , Wang H , et al . The effectiveness of a workplace violence prevention strategy based on situational prevention theory for nurses in managing violent situations: a quasi-experimental study [J ] . BMC Health Serv Res , 2023 , 23 ( 1 ): 1164 . DOI: 10.1186/s12913-023-10188-1 http://dx.doi.org/10.1186/s12913-023-10188-1 .

Hallett N , Gayton A , Dickenson R , et al . Student nurses' experiences of workplace violence: a mixed methods systematic review and meta-analysis [J ] . Nurse Educ Today , 2023 , 128 : 105845 . DOI: 10.1016/j.nedt.2023.105845 http://dx.doi.org/10.1016/j.nedt.2023.105845 .

Chesire DJ , McIntosh A , Hendrickson S , et al . Dimensions of hospital workplace violence: patient violence towards the healthcare team [J ] . J Clin Nurs , 2022 , 31 ( 11/12 ): 1662 - 1668 . DOI: 10.1111/jocn.16021 http://dx.doi.org/10.1111/jocn.16021 .

Kumari A , Sarkar S , Ranjan P , et al . Interventions for workplace violence against health-care professionals: a systematic review [J ] . Work , 2022 , 73 ( 2 ): 415 - 427 . DOI: 10.3233/WOR-210046 http://dx.doi.org/10.3233/WOR-210046 .

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