Journal List > J Korean Acad Nurs > v.47(3) > 1003240

J Korean Acad Nurs. 2017 Jun;47(3):332-344. Korean.
Published online June 30, 2017.
© 2017 Korean Society of Nursing Science
The Effects of Violence Coping Program Based on Middle-Range Theory of Resilience on Emergency Room Nurses' Resilience, Violence Coping, Nursing Competency and Burnout
Seung Min Lee,1 and Kyung Mi Sung2
1Nursing Department, Masan University, Changwon, Korea.
2College of Nursing · Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Sung, Kyung Mi. College of Nursing · Institute of Health Sciences, Gyeongsang National University, 816-15, Jinju-Daero, Jinju 52727, Korea. Tel: +82-55-772-8246, Fax: +82-55-772-8222, Email:
Received June 15, 2016; Revised March 15, 2017; Accepted March 16, 2017.

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. ( If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.



The purpose of this study was to examine the effects of a violence coping program (VCP) based on Polk's middle-range theory of resilience on nursing competency, resilience, burnout, and the ability to cope with violence in nurses working in emergency rooms.


A quasi-experimental study, with a nonequivalent control group and a pretest-posttest design, was conducted. Participants were 36 nurses who worked in emergency rooms and had experienced violence; 18 nurses from D hospital and 18 nurses from C hospital were assigned to the experimental and control groups, respectively. The experimental group received the VCP twice per week for 8 weeks.


Levels of resilience, F=59.41, p<.001, active coping behavior, χ2=33.09, p<.001, and nursing competency, F=59.41 p<.001, increased significantly and levels of passive coping behavior, χ2=22.92, p<.001, and burnout, F=52.74, p<.001, decreased significantly in the experimental group.


The results suggest that the VCP could be an effective strategy for reducing burnout and improving resilience, active coping behavior, and nursing competency. Therefore, it would be a useful intervention for improving the quality of nursing care provided in emergency rooms.

Keywords: Psychological resilience; Violence; Psychological adaptation; Clinical competence; Professional burnout


Figure 1
Program development procedure and testing for program effectiveness.
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Table 2
Homogeneity Tests for Subject's Characteristics and Study Variables (N=36)
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Table 3
Effects of the Violence Coping Program in Emergency Room Nurses (N=36)
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This manuscript is based on a part of the first author's master's thesis from Gyeongsang National University.

CONFLICTS OF INTEREST:The authors declared no conflict of interest.

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