Abstract: Objective To investigate the status of workplace psychological violence,organizational commitment and turnover intention of medical staff in emergency department of grade-A tertiary hospitals in Nanchong City,analyze the mediating role of organizational commitment in workplace psychological violence and turnover intention. Methods Using the convenience sampling method,336 emergency medical workers from six tertiary general hospitals in Nanchong City were investigated by general information questionnaire,workplace psychological violence scale,organizational commitment scale and turnover intention scale from April to May 2022.AMOS 24.0 was used for the structural equation validation. Results The scores of workplace psychological violence,organizational commitment and turnover intention of medical staff in emergency department of grade-A tertiary hospitals in Nanchong City were （27.23±7.58）,（81.71±12.47） and （10.73±3.82）points,respectively. The single factor analysis showed that there were statistically significant differences in the scores of workplace psychological violence,organizational commitment and turnover intention among emergency medical personnel with different gender,marital status,educational background,occupation category,contract type,length of service in the emergency department and health status（all P<0.05）. The correlation analysis showedthe total score of workplace psychological violence and the scores of each dimension were positively correlated with the total score of turnover intention and the scores of each dimension（all P<0.05）,and negatively correlated with the total score of organizational commitment and the scores of each dimension（all P<0.05）. The total score of organizational commitment and the scores of each dimension were negatively correlated with the total score of turnover intention and the scores of each dimension（all P<0.05）.The mediating effect analysis showed that organizational commitment played a partial mediating role in workplace psychological violence and turnover intention（β=0.095,P<0.01）,with the mediating effect of 18.38%. Conclusions The turnover intention of emergency medical staff in grade-A tertiary hospitals in Nanchong City is high,which is significantly correlated with workplace psychological violence and organizational commitment. The medical managers should create a magnetic medical environment and improve organizational commitment to enhance the loyalty of emergency medical staff and reduce turnover intention.

Key words: Emergency department, Medical personnel, Turnover intention, Workplace psychological violence, Organizational commitments, Turnover intention