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Incidence and risk factors of workplace violence against nurses in a Chinese top-level teaching hospital: A cross-sectional study
Institution:1. Department of Geriatric Cardiology, Qilu Hospital of Shandong University, Jinan, PR China;2. Scientific Research Department, Qilu Hospital of Shandong University, Jinan, PR China;3. Nursing Department, Qilu Hospital of Shandong University, Jinan, PR China;1. Department of Health Management, School of Health Management, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin 150081, China;2. Department of Moral Education and Law Fundamentals, College of Humanities and Social Sciences, Harbin Medical University, Harbin 150081, China;3. Medical Dispute Office, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China;4. Medical Dispute Office, Beijing Jishuitan Hospital, Beijing 100035, China;5. Department of Psychiatry, the Fourth Affiliated Hospital of Harbin Medical University, Harbin 150001, China;6. Department of Neurosurgery, the Second Affiliated Hospital of Harbin Medical University, Harbin 150001, China;1. Shanxi Medical University, Department of Psychiatric, The First Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China;2. Shanxi Medical University; Vascular Surgery, Shanxi Bethune Hospital, Taiyuan, 030001, Shanxi, China;3. College of Nursing, Shanxi Medical University, Taiyuan 030001, Shanxi, China
Abstract:PurposeTo investigate the incidence of workplace violence involving nurses and to identify related risk factors in a high-quality Chinese teaching hospital.MethodsA cross-sectional study design was used. The final sample comprised responses from 1831 registered nurses collected with a whole-hospital survey from June 1 to June 15, 2016. The demographic characteristics of the nurses who had experienced any form of violence were collected, and logistic regression analysis was applied to evaluate the risk factors for nurses related to workplace violence.ResultsOut of the total number of nurses surveyed, 904 (49.4%) nurses reported having experienced any type of violence in the past year. The frequencies of exposure to physical and non-physical violence were 6.3% (116) and 49.0% (897), respectively. All the incidence rates of violence were lower than those of other studies based on regional hospitals in China and were at the same level found in developed countries and districts. Binary logistic regression analysis revealed that nurses at levels 2 to 4 and female nurses in clinical departments were the most vulnerable to non-physical violence. For physical violence, the two independent risk factors were working in an emergency department and having 6–10 years of work experience.ConclusionsWorkplace violence directly threatens nurses from high-quality Chinese teaching hospitals. However, the incidence of WPV against nurses in this teaching hospital was better than that in regional hospitals. This study also provides reference material to identify areas where nurses encounter relatively high levels of workplace violence in high-quality Chinese teaching hospitals.
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