急诊护士遭受工作场所暴力情况的调查分析

[目的]了解急诊科护士遭受医院工作场所暴力的情况,分析原因,为预防、干预工作场所暴力的发生提供依据。[方法]根据WHO相关文件及医院工作场所暴力的定义设计调查表,并采用症状自评量表（SCL-90）,对北京市3所三级甲等医院98名急诊护士近1年内遭受暴力情况进行调查。[结果]98名被调查者在最近1年内有78人遭受过暴力,发生率为79.59,以语言暴力为主;分诊台是急诊科发生暴力的常见工作场所;急诊科护士处理暴力的主要方式是耐心解释和忍让回避;暴力发生的主要危险因素依次为病人（或其陪同者、探视者）的要求未得到满足、候诊时间过长、病人经抢救无效死亡等;强迫、焦虑、躯体不适、抑郁和恐惧是急诊护士遭受暴力后的主要负面心理反应。[结论]急诊科护士作为遭受工作场所暴力的高危人群,必须引起重视;针对医院特点开展工作场所暴力防范与应对措施教育,提高急诊科护士防范暴力的能力,维护医院正常的工作秩序。     

急诊护士遭受工作场所暴力情况的调查分析

[目的]了解急诊科护士遭受医院工作场所暴力的情况,分析原因,为预防、干预工作场所暴力的发生提供依据.[方法]根据WHO相关文件及医院工作场所暴力的定义设计调查表,并采用症状自评量表(SCL-90),对北京市3所三级甲等医院98名急诊护士近1年内遭受暴力情况进行调查.[结果]98名被调查者在最近1年内有78人遭受过暴力,发生率为79.59%,以语言暴力为主;分诊台是急诊科发生暴力的常见工作场所;急诊科护士处理暴力的主要方式是耐心解释和忍让回避;暴力发生的主要危险因素依次为病人(或其陪同者、探视者)的要求未得到满足、候诊时间过长、病人经抢救无效死亡等;强迫、焦虑、躯体不适、抑郁和恐惧是急诊护士遭受暴力后的主要负面心理反应.[结论]急诊科护士作为遭受工作场所暴力的高危人群,必须引起重视;针对医院特点开展工作场所暴力防范与应对措施教育,提高急诊科护士防范暴力的能力,维护医院正常的工作秩序.     

急诊科护士工作场所暴力及暴力氛围感知情况调查

目的:调查分析急诊科护士工作场所暴力及暴力氛围感知情况,以期为预防急诊科暴力事件发生提供参考。方法:2021年4月—2021年5月选取3所三级甲等医院急诊科护士为研究对象,利用问卷星对其进行问卷调查。结果:共纳入267份问卷进行分析。结果显示,急诊科护士遭遇暴力事件总人数为156人,其中言语暴力数量最多。急诊科护士工作场所暴力氛围感知总分为(93.55±23.14)分。多因素分析显示,职务、职称、工作年限、遭遇暴力事件情况为急诊科护士工作场所暴力氛围感知的影响因素。结论:急诊科护士工作场所暴力情况较为严重,工作场所暴力氛围感知处于中等偏上水平。普通护士、职称较低、工作年限较短以及未遭遇过暴力事件的急诊科护士工作场所暴力氛围感知较低,护理管理者应引起重视,制定针对性的措施提高护士的暴力氛围感知水平,促进护士身心健康。     

儿科护士遭受工作场所暴力的调查研究

目的:了解儿科护士遭受工作场所暴力的原因,为预防、干预工作场所暴力的发生提供依据.方法:采用问卷调查法对本市2家市级医院儿科护士共156人进行整体调查.结果:儿科护士是遭受工作场所暴力的高危人群;小夜班、中午班为工作场所暴力的高发时段;施暴的主要方式为语言攻击、推搡;受暴者可引起委屈、愤怒、恐惧等不良心理反应,导致身心耗竭综合征、工作疲渍感、焦虑等身心疾病;工作满意度下降,离职意向增强.结论:工作场所暴力给儿科护士造成严重的身心伤害,管理者应加强薄弱时段人力资源配置,重视儿科专业护士的培养和使用,预防和控制工作场所暴力的发生.     

儿科护士遭受工作场所暴力的调查研究

目的：了解儿科护士遭受工作场所暴力的原因,为预防、干预工作场所暴力的发生提供依据。方法：采用问卷调查法对本市2家市级医院儿科护士共156人进行整体调查。结果：儿科护士是遭受工作场所暴力的高危人群;小夜班、中午班为工作场所暴力的高发时段;施暴的主要方式为语言攻击、推搡;受暴者可引起委屈、愤怒、恐惧等不良心理反应,导致身心耗竭综合征、工作疲溃感、焦虑等身心疾病;工作满意度下降,离职意向增强。结论：工作场所暴力给儿科护士造成严重的身心伤害,管理者应加强薄弱时段人力资源配置,重视儿科专业护士的培养和使用,预防和控制工作场所暴力的发生。     

护士遭受医院工作场所暴力应对方式的调查研究

目的了解护士遭受医院工作场所暴力的情况,探讨护士在遭受医院工作场所暴力过程中的应对方式。方法方便性抽样选取3所综合性医院工作至少1年的1 020名在职护士,采用医院工作场所暴力调查表和特质应对方式量表,调查医院工作场所暴力发生情况和护士在遭受医院工作场所暴力时所采取的应对方式。结果医院工作场所暴力总体发生率为64.3%,其中心理暴力86.0%、身体暴力20.9%、性暴力11.5%。护士对医院工作场所暴力的主要应对措施包括与对方讲道理(71.0%)、求助上级与同事(55.9%)、委曲求全或躲避(43.2%)、不理睬(37.6%)、报警(20.9%)等;医院暴力发生后护理人员的情感支持来自同事(76.2%)、家人/亲属(50.1%)、朋友(36.7%)以及网络倾诉对象(11.3%)。对工作生活事件采用积极应对方式的护士遭受医院暴力的风险较采用消极应对者为小(P<0.01)。结论护士遭受医院工作场所暴力的总体发生率较高;护士面对医院工作场所暴力时,恰当运用不同的应对方式和情感支持,能够减少医院工作场所暴力对护士的身心损害。     

急诊科护士遭受工作场所暴力的原因及应对策略的研究进展

急诊科护士遭受医院工作场所暴力越发频繁,已成为了全球性问题。本文就医院工作场所暴力的概念、现状及影响,做出了总结,分析产生暴力的因素及原因,提出了相应的预防及处理措施。     

护士遭受医院工作场所暴力的研究进展及对策

近年来,护士遭受到的医院工作场所暴力越来越多,已经演变成为严重的医疗行业问题和社会问题。本文介绍了医院工作场所暴力的危害和概念,展示了国内外护士遭受医院工作场所暴力的发生现状,对护士遭受医院工作场所暴力发生的原因和特点进行了总结分析,并提出了相应对策。     

急诊科护士工作场所暴力情况与离职意愿的相关性研究

目的调查急诊科护士工作场所暴力与离职意愿情况,并分析其相关性。方法采用离职意愿量表、医院工作场所暴力调查问卷对北京市13所医院的385名急诊科护士进行问卷调查。结果急诊科护士离职意愿均分为(2.74±0.58)分,处于较高水平。385名护士在过去12个月中,遭受语言攻击(89.87%)、威胁(70.65%)的发生率较高,其次是躯体攻击(20.52%),性骚扰最少(3.90%)。语言攻击、威胁分别与离职意愿Ⅰ(辞去目前工作的可能性)、离职意愿Ⅱ(寻找其他工作的动机)呈正相关(P0.01)。结论管理人员应考虑语言攻击和威胁的发生,以降低急诊科护士的离职意愿。     

急诊科护士工作场所暴力与职业紧张现状及其相关性分析

目的:探讨急诊科护士工作场所暴力与职业紧张之间的关系,为预防急诊科护士工作场所暴力提供理论依据。方法:采用医院工作场所暴力调查量表和职业紧张目录问卷对广州市5家急诊科护士进行调查。结果:80.2%的急诊科护士在过去一年中遭受过工作场所暴力,其中辱骂、威胁、身体攻击的发生率分别为77.6%、62.0%、22.3%。急诊科护士的职业紧张平均得分为296.62分,职业任务平均得分为132.08分,紧张反应平均得分为67.52分,应对资源平均得分为87.11分。影响工作场所暴力的职业紧张因素从大到小排列依次是工作环境、休闲应对资源、心理紧张反应、任务不适、躯体紧张反应、任务过重、任务冲突。结论:急诊科护士工作场所暴力发生率高,急诊科护士工作场所暴力受职业紧张影响。     

A Survey of Workplace Violence Across 65 U.S. Emergency Departments

Objectives: Workplace violence is a concerning issue. Healthcare workers represent a significant portion of the victims, especially those who work in the emergency department (ED). The objective of this study was to examine ED workplace violence and staff perceptions of physical safety. Methods: Data were obtained from the National Emergency Department Safety Study (NEDSS), which surveyed staff across 69 U.S. EDs including physicians, residents, nurses, nurse practitioners, and physician assistants. The authors also conducted surveys of key informants (one from each site) including ED chairs, medical directors, nurse managers, and administrators. The main outcome measures included physical attacks against staff, frequency of guns or knives in the ED, and staff perceptions of physical safety. Results: A total of 5,695 staff surveys were distributed, and 3,518 surveys from 65 sites were included in the final analysis. One‐fourth of surveyed ED staff reported feeling safe sometimes, rarely, or never. Key informants at the sampled EDs reported a total of 3,461 physical attacks (median of 11 attacks per ED) over the 5‐year period. Key informants at 20% of EDs reported that guns or knives were brought to the ED on a daily or weekly basis. In multivariate analysis, nurses were less likely to feel safe “most of the time” or “always” when compared to other surveyed staff. Conclusions: This study showed that violence and weapons in the ED are common, and nurses were less likely to feel safe than other ED staff.     

Health Care Personnel and Workplace Violence in the Emergency Departments of a Volatile Metropolis: Results from Karachi,Pakistan

Background

Workplace violence (WPV) is an important challenge faced by health care personnel in the emergency department (ED).

Study Objectives

To determine the prevalence and nature of WPV reported by physicians and nurses working in the EDs of four of the largest tertiary care hospitals in Karachi, Pakistan and to understand the mental health impact of experiencing WPV.

Methods

This cross-sectional survey was conducted between September and November 2008 using a widely used questionnaire developed by the World Health Organization. Overall, 266 (86% response rate) questionnaires were included in this study.

Results

A total of 44 (16.5%) physicians and nurses said they had been physically attacked, and 193 (72.5%) said that they had experienced verbal abuse in the last 12 months. Among those who reported physical attack, 29.6% reported that the last incident involved a weapon, and in 64% of cases the attacker was a patient's relative. Eighty-six percent thought that the last attack could have been prevented, and 64% said that no action was taken against the attacker. After adjusting for covariates, physicians were less likely than nurses to report physical attack (odds ratio [OR] 0.46; 95% confidence interval [CI] 0.2–1.0), and personnel with greater work experience (OR 4.8; 95% CI 2.0–11.7) and those who said that there were procedures to report WPV in their workplace (OR 3.2; 95% CI 1.6–6.5) were more likely to report verbal abuse. WPV was associated with mental health effects in the form of bothersome memories, super-alertness, and feelings of avoidance and futility.

Conclusion

WPV is an important challenge in the EDs of large hospitals in Karachi. A majority of respondents feel that WPV is preventable, but only a minority of attackers face consequences.     

Violence Against Female Student Nurses in the Workplace

Violence, harassment, and bullying in the workplace are not new phenomena. However, the growing epidemic of violence in the health sector workplace is raising great concern among workers, employers, and governmental agencies across Australia, Canada, the United Kingdom, and the United States. National and international literature reveals that the prevalence of violence experienced by graduate and undergraduate female nursing students in the college and workplace settings are largely unknown. Moreover, the prevalence of violence is now recognized as a major health priority by the World Health Organization, the International Council of Nurses, and Public Services International. Even so, the number of nursing personnel affected by this problem continues to rise. A modified self-report online survey was used to ascertain the level of violence experienced by nursing students in their clinical placements. One hundred percent of those surveyed had experienced some type of workplace violence and the perpetrators were most often other staff members followed closely by patients. The American Association of Colleges of Nursing Position Statement recommends that all faculty prepare nurses to recognize and prevent all forms of violence in the workplace. This research seeks to develop practical approaches to better understand and prevent this global public health issue.     

神经外科护士经历横向暴力的现状调查及分析

目的了解神经外科护士经历横向暴力的现状,以期为制订针对性的干预措施提供参考。方法 2015年7-10月,采用便利抽样法选择在海军总医院神经外科工作的127名注册护士为研究对象,采用经历暴力事件调查量表(sabotage savvy,SS)对其进行调查。结果监护病房护士相对于普通病房护士更多地经历横向暴力(χ~2=4.251,P0.05);经历横向暴力与护士的工作年限有关,工作年限低(5年)的护士相对于工作年限高(≥5年)的护士更多经历横向暴力(χ~2=31.877,P0.05)。结论神经外科护士工作期间普遍经历横向暴力,护理管理者需提高对加强横向暴力的认识,并采取有效的干预措施。     

History of Domestic Violence among Male Patients Presenting to an Urban Emergency Department

OBJECTIVE: To establish the prevalence of domestic violence committed by women against male patients presenting to an urban ED for any reason. METHODS: This was a prospective survey in which male patients of legal age presenting to the ED over a 13-week period were interviewed. Patients answered a series of six questions adapted from the George Washington University Universal Violence Prevention Screening Protocol. Patients who could not speak English, those refusing to participate, those unable to give informed consent, and those meeting regional criteria for major trauma were excluded. RESULTS: Of 866 male patients interviewed, 109 (12.6%) had been the victims of domestic violence committed by a female intimate partner within the preceding year. Victims were more likely to be younger, single, African American, and uninsured. The most common forms of assault were slapping, grabbing, and shoving (60.6% of victims). These were followed by choking, kicking, biting, and punching (48.6%), or throwing an object at the victim (46.8%). Thirty-seven percent of cases involved a weapon. Seven percent of victims described being forced to have sex. Nineteen percent of victims contacted the police; 14% required medical attention; 11% pressed charges or sought a restraining order; and 6% pursued follow-up counseling. CONCLUSIONS: Almost 13% of men in this sample population had been victims of domestic violence committed by a female intimate partner within the previous year. Further attention to the recognition and management of domestic violence committed by women against men may be warranted.     

患者对护士遭受工作场所暴力相关因素认知的调查研究

目的了解患者对护士遭受工作场所暴力相关因素的认知,为建立预防护士遭受工作场所暴力的应对策略提供参考依据。方法 2016年3月,采用便利抽样法选择重庆市2所三级甲等综合性医院门急诊和住院部的475例患者为研究对象,采用《医院工作场所暴力相关因素调查表》对其进行问卷调查。结果患者对护士遭受工作场所暴力的相关因素认同程度依次为护理服务因素、社会环境因素、医院管理因素和患者自身因素;其中认可程度前10位的条目中8项与护理服务相关,1项与患者自身因素相关,1项与社会因素相关;多重线性回归分析结果显示,患者的性别、职业、婚姻和学历对评分结果均有影响(均P0.05),年龄、常住地、收入、付费方式和就诊科室对评分结果均无影响(均P0.05)。结论患者对暴力相关因素中护理服务维度的认同度高,提示医院管理者及护士自身都应加强对护士专业能力及沟通能力的培训,同时应充分评估患者社会及支持系统情况,提供个性化的专业服务和指导,从而减少工作场所暴力的发生。