• Yan Wu, Jun Wang, Jiali Liu, Jing Zheng, Ke Liu, Judith G Baggs, Xu Liu, and Liming You.
• School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, China.
• J Nurs Manag. 2020 Apr 1; 28 (3): 495-503.

AimWe aimed to test a model examining the direct and indirect effects of the work environment on workplace violence, nurse burnout and work attitudes of Chinese hospital nurses.BackgroundWork environment is a key factor related to nurses' work attitudes. There has been limited information about how the work environment influences nurses' work attitudes.MethodThis was a cross-sectional study that included 1,517 hospital nurses in 111 medical/surgical units in 23 hospitals from Guangdong province, China. Structural equation modelling was used to test a hypothesized model that supposed work environment has both direct and indirect effects on work attitudes (e.g. job satisfaction and intention to leave) through workplace violence and nurse burnout.ResultsBetter work environment was related to higher job satisfaction and lower intention to leave both directly and indirectly through two mediators: workplace violence and burnout. Burnout mediated the association of workplace violence with job satisfaction and intention to leave.ConclusionsImproving work environment would promote nurse safety and subsequently contribute to stabilize the nurse workforce.Implications For Nursing ManagementTo help nurses achieve safety and improved work attitudes, nurse managers should build a positive work environment and help nurses who have experienced workplace violence relieve their burnout.© 2019 John Wiley & Sons Ltd.

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