Prevalence and Perpetrators of Workplace Violence by Nursing Unit and the Relationship Between Violence and the Perceived Work Environment

Prevalence and Perpetrators of Workplace Violence by Nursing Unit and the Relationship Between Violence and the Perceived Work Environment
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DOI:
10.1111/jnu.12112
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发表时间:
2015-01-01
影响因子:
3.4
通讯作者:
Hong, Hyun-Ja
Hong, Hyun-Ja
中科院分区:
医学2区
文献类型:
--
作者:
Park, Mihyun;Cho, Sung-Hyun;Hong, Hyun-Ja

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AimsTo确定的患病率和肇事者对护士的工作场所暴力,并检查工作要求和信任和正义的关系,在工作场所与violence.DesignThis研究采用的横截面数据,从2013年在韩国首尔的一所大学医院进行的护士调查。研究样本包括来自47个护理单位的970名女护士,包括普通科、肿瘤科、重症监护室(ICU)、手术室和门诊部。数量要求、工作节奏和情感要求)、信任和正义以及暴力。这些变量之间的关系进行多因素Logistic回归分析与多层次modeling.FindingsThe 12个月的口头虐待(63.8%)的患病率最高,其次是暴力威胁(41.6%),身体暴力(22.3%),性骚扰(19.7%),但欺凌的患病率最低(9.7%)。身体暴力、暴力威胁和言语虐待最常发生在ICU,而性骚扰和欺凌最常发生在手术室。主要施暴者是病人,其次是医生和病人家属。护士感知更大的工作需求和更少的信任和正义更有可能已经暴露于violence.ConclusionsThe患病率和暴力行为的肇事者之间的护理单位有很大的不同。临床相关性充分的工作要求和信任和公正的工作环境可能会减少对护士的暴力行为。反过来,减少暴力将有助于创造更好的护理工作环境。
AimsTo identify the prevalence and perpetrators of workplace violence against nurses and to examine the relationship of work demands and trust and justice in the workplace with the occurrence of violence.DesignThis study employed cross-sectional data from a 2013 nurse survey conducted at a university hospital in Seoul, South Korea. The study sample included 970 female nurses from 47 nursing units, including general, oncology, intensive care units (ICUs), operating rooms, and outpatient departments.MethodsThe second version of the medium-sized Copenhagen Psychosocial Questionnaire (COPSOQ II) was used to measure work demands (i.e., quantitative demands, work pace, and emotional demands), trust and justice, and violence. Relationships among those variables were examined by conducting multiple logistic regression analyses with multilevel modeling.FindingsThe 12-month prevalence of verbal abuse (63.8%) was highest, followed by threats of violence (41.6%), physical violence (22.3%), and sexual harassment (19.7%), but bullying had the lowest prevalence (9.7%). Physical violence, threats of violence, and verbal abuse occurred most frequently in ICUs, whereas sexual harassment and bullying were highest in operating rooms. The main perpetrators were patients, followed by physicians and patients' families. Nurses perceiving greater work demands and less trust and justice were more likely to have been exposed to violence.ConclusionsThe prevalence and perpetrators of violence varied considerably among nursing units. Greater work demands and less trust and justice were associated with nurses' experiences of violence.Clinical RelevanceAdequate work demands and a trusted and just work environment may reduce violence against nurses. In return, reduction of violence will contribute to creating a better nursing work environment.