How Patient-Perpetrated Workplace Violence Leads to Turnover Intention Among Nurses: The Mediating Mechanism of Occupational Stress and Burnout

This study looked into the impact of patient-perpetrated workplace violence on nurses’ turnover intention by examining the sequential mediation effect of occupational stress and burnout. Results were obtained by analyzing the data collected from 216 nurses working in four public hospitals of central Pakistan. Results provided full support to the research hypotheses, demonstrating that patient-inflicted violence negatively affects nurses’ turnover intention, and that occupational stress and burnout both individually mediate the patient violence–turnover intention relationship. Particularly, the results illustrated that patient violence is related to turnover intention through occupational stress first and then burnout. These results widen the focus of past research by demonstrating that the patient violence–turnover intention link is not as simple as previously believed. Future researchers can use these findings to further develop integrated models that explore the adverse consequences of workplace violence on nursing staff’s personal and professional well-being.     

Mental health problems among internally displaced persons in Darfur

War victims are regarded as one of the highest risk groups for mental disturbances. This study investigated the effects of the Darfur conflict on mental health of 430 internally displaced persons (IDPs) from three camps located around Fasher and Nyala towns. A stratified random sampling technique was used to select participants. Male participants represented 50.6% of the sample while female participants represented 49.4%. The Posttraumatic Stress Disorder Checklist and the General Health Questionnaire (GHQ-28) were used in addition to a questionnaire measuring demographic variables and living conditions. It was hypothesized that high prevalence of posttraumatic stress disorder (PTSD) symptoms and of nonpsychotic psychiatric symptoms will be evident. Results showed a high dissatisfaction rate (72%) with living conditions among IDPs. There was also high prevalence of PTSD (54%) and general distress (70%) among IDPs. Female participants showed more somatic symptoms than their male counterparts. Married participants were more distressed, anxious, and showed more social dysfunction, while single ones reported more avoidance symptoms. Significant differences related to date of displacement were found in PTSD and hyperarousal. The group of IDPs displaced in 2003 scored higher on these scales than those displaced in 2004 and 2005. There was also significant difference related to date of displacement in distress, somatic symptoms, depression, anxiety, and social dysfunction. IDPs displaced in 2003 scored higher on these scales. Results are discussed in light of the study hypotheses and previous findings. It is concluded that three factors might affect the dissatisfaction of IDPs with living conditions inside camps. These are: lack of employment, unsuitability of food items, and lack of security around camps. It was recommended that psychological support services should be among the prime relief services provided by aid agencies.     

Attachment hierarchies in Bangladeshi women in couple-initiated and arranged marriages

Attachment theory posits that in adulthood, romantic partners typically fill the role of primary attachment figure, yet few studies have examined whether these findings hold in cultures that practice arranged marriage or that emphasise collectivistic values and filial piety. In the current study, we compared attachment hierarchies in 116 Bangladeshi women engaged to be married or in the first 3 years of couple-initiated (also known as love) marriages and arranged marriages. Women in couple-initiated marriages reported greater use of their partners for the attachment functions of safe haven and secure base than women in arranged marriages. However, women in both groups were more likely to identify one of their parents than their partner as their primary attachment figure. Although replication is necessary, these findings suggest that partners may not be universally prioritised above parents in the attachment hierarchy and that attachment theory's assumptions of individuation from parents in adulthood may not apply cross-culturally. Findings are discussed in terms of cultural differences from samples previously represented in attachment research, such as kinship structures, the meaning of marriage and filial piety.     

Human rights and Islamic revivalism

At a time when human rights are again becoming a potent part of international relations, one is entitled to ask to whose advantage the issue is being raised. One particular target seems to be Islamic ‘fundamentalism’, ignoring the wide varieties of religious and political views presented by contemporary Islamic movements. An attempt is made to identify the main divergent trends among these movements. The author warns that an uncritical use of the human rights issue as a weapon with which to beat Islamic movements only serves to aid state oppression in the Muslim world. Particular consideration is given to the position of non‐Muslims, and a dialogue is encouraged to clarify facts and fears.

This paper was given as a lecture at a seminar on ‘Religion, Law and Society’ organized by the World Council of Churches in early November 1993 in Nyon, Switzerland