Risk factors for workplace violence in clinical registered nurses in Taiwan
Risk factors for workplace violence in clinical registered nurses in Taiwan
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DOI：
10.1111/j.1365-2702.2010.03650.x
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发表时间：
2011-05-01
影响因子：
4.2
通讯作者：
Lee, Sheuan
中科院分区：
文献类型：
--
作者：
Pai, Hsiang-Chu;Lee, Sheuan
目的与目标：本研究的目的是确定在台湾医疗机构工作的临床护士的身体和心理暴力的危险因素和心理健康后果。背景：在台湾医院工作的注册护士报告工作场所暴力的发生率很高。然而，以往的研究很少报道护理人员的心理虐待，而个人因素与工作场所暴力之间的关系仍然不清楚。设计。这是一项横断面研究。方法。参与者被邀请完成工作场所暴力问卷，这是一种旨在评估工作场所暴力类型的工具（身体暴力、辱骂、欺凌/聚众闹事和性骚扰），结果：对521名护士进行了问卷调查，结果：521名护士对虐待行为的反应与虐待行为的发生率、虐待行为的发生率等进行了比较。在参与者中，102人（19中心点6%）表示他们经历过身体暴力，268人（51中心点4%）经历过言语虐待，155人（29中心点8%）经历过欺凌/围攻，67人（12中心点9%）经历过性骚扰。多因素Logistic回归分析表明，年龄在30岁以下（比值比= 2中心点4; 95%置信区间= 1中心点34-4中心点46）和焦虑（比值比= 4中心点7; 95%置信区间= 1个中心点24-18个中心点12）增加了言语虐待的几率，而欺负与焦虑相关（比值比= 2中心点7，95%可信区间= 1中心点09-6中心点93）。夜班工作增加了经历性骚扰的几率（比值比= 2中心点3，95%置信区间= 1中心点29-4中心点16），而身体暴力与学士学位相关（比值比= 2中心点8，95%置信区间= 1中心点20-6中心点73）。心理伤害最严重的是创伤后应激障碍。结论心理暴力对临床护士的影响较大，与临床实践相关，对暴力的预防干预应敏感地考虑个人因素。医疗机构应启动咨询计划，以帮助护士科普与工作场所暴力有关的压力。
Aims and objectives.The purpose of this study was to determine the risk factors and mental health consequences of physical and psychological violence for clinical nurses working in healthcare settings in Taiwan.Background.Registered nurses working in hospitals in Taiwan report high incidences of workplace violence. However, previous studies rarely report psychological abuse among nursing staff, while the relationships between personal factors and workplace violence remain unclear.Design.This is a cross-sectional study.Methods.Participants were invited to complete the Workplace Violence Questionnaire, an instrument designed to assess types of workplace violence (physical violence, verbal abuse, bullying/mobbing and sexual harassment), the characteristics of perpetrators and victims and victims' reactions to their abuse.Results.A total of 521 nurses completed the questionnaire. Of the participants, 102 (19 center dot 6%) indicated that they had experienced physical violence, 268 (51 center dot 4%) had experienced verbal abuse, 155 (29 center dot 8%) had experienced bullying/mobbing and 67 (12 center dot 9%) had experienced sexual harassment. Multiple logistic analyses indicated that age under 30 years (odds ratio = 2 center dot 4; 95% confidence interval = 1 center dot 34-4 center dot 46) and anxiety (odds ratio = 4 center dot 7; 95% confidence interval = 1 center dot 24-18 center dot 12) increased the odds of verbal abuse, while bullying was associated with anxiety (odds ratio = 2 center dot 7, 95% confidence interval = 1 center dot 09-6 center dot 93). Night work shift increased the odds of experiencing sexual harassment (odds ratio = 2 center dot 3, 95% confidence interval = 1 center dot 29-4 center dot 16), while physical violence was associated with bachelor's degree (odds ratio = 2 center dot 8, 95% confidence interval = 1 center dot 20-6 center dot 73). The most serious psychological harm was post-traumatic stress disorder.Conclusions.Exposure to psychological violence often has a great impact on clinical nurses.Relevance to clinical practice.For violence prevention, interventions should be sensitive to personal factors. Healthcare institutions should initiate counselling programs to help nurses cope with the stress related to workplace violence.