三甲医院临床护士工作场所心理暴力与应对方式的相关性研究

目的 探讨三甲医院临床护士工作场所心理暴力现状,并分析其与应对方式之间的关系,为护理管理者制定防护措施提供参考依据。 方法 本研究为调查研究,采取便利抽样法,于2019年3—6月采用一般情况调查表、中文版工作场所心理暴力行为量表及简易应对方式量表对浙江省3所三甲医院的344名临床护士进行问卷调查。数据收集后使用SPSS 19.0统计学软件进行统计分析。 结果 在过去6个月内,临床护士遭受心理暴力的得分为15(5,32)分,其中,24.42%的护士曾经遭受过心理暴力行为;不同聘用形式、护理工作年限、技术职称的临床护士工作场所心理暴力发生率之间差异有统计学意义(均P<0.01);临床护士工作场所心理暴力行为与消极应对方式呈正相关(P<0.05),与积极应对方式呈负相关(P<0.05)。 结论 三甲医院临床护士工作场所心理暴力发生率存在一定的改善空间,且其与消极应对方式呈正相关。提示护理管理者应给予工作时间短、技术职称低以及合同制的护士更多的心理疏导,通过组织团建活动、鼓励及时上报暴力事件、建立心理疏导小组等形式,降低该人群的心理暴力水平,从而改善其应对方式,使其积极投入到临床护理工作中。 

A study on the correlation between psychological violence and coping style in the workplace of clinical nurses in Grade-A Tertiary hospitals

Objective To explore the current situation of psychological violence in the workplace of clinical nurses in Grade-A Tertiary hospitals, and to analyze the relationship between it and coping methods, so as to provide reference for nursing managers to formulate protective measures. Methods This study was a survey study. Convenience sampling method was adopted. From March 2019 to June 2019, 344 clinical nurses in three Grade-A Tertiary hospitals of Zhejiang Province were surveyed by using general situation questionnaire, Workplace Sychologically Violent Behaviours instrument and Simple Coping Style Questionnaire. After data collection, SPSS statistical software was used for statistical analysis. Results In the past 6 months, the score of psychological violence suffered by clinical nurses was 15(5,32), of which 24.42% had experienced psychological violence. There were statistically significant differences in the incidence of psychological violence in the workplace of clinical nurses among the forms of employment, years of nursing work and technical titles(all P<0.01). Psychological violence in the workplace of clinical nurses was positively correlated with negative coping style(P<0.05), and negatively correlated with positive coping style(P<0.05). Conclusion The incidence of psychological violence in the workplace of clinical nurses in Grade-A Tertiary hospitals has certain opportunities for improvement. Prompt nursing managers should give them short working time, low technical titles and contract system nurses more psychological counseling, by organizing team building activities, to encourage prompt reporting violence, to set up psychological counseling team, to reduce the level of psychological violence, so as to improve the coping styles, actively into clinical nursing work.