Workplace violence against nurses in Chinese hospitals: a cross-sectional survey.

Workplace violence against nurses in Chinese hospitals: a cross-sectional survey.
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中国医院针对护士的工作场所暴力:横断面调查

DOI:
10.1136/bmjopen-2014-006719
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发表时间:
2015-03-26
期刊:
影响因子:
2.9
通讯作者:
Hao Y
Hao Y
中科院分区:
医学3区
文献类型:
--
作者:
Jiao M;Ning N;Li Y;Gao L;Cui Y;Sun H;Kang Z;Liang L;Wu Q;Hao Y

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了解我国护士工作场所暴力的发生情况,识别其危险因素,为今后有针对性的干预提供依据。黑龙江,中国东北部的一个省。横向调查。共有588名护士提供了数据。还对12名护士、7名医院管理人员和6名卫生官员进行了深入访谈。共有7.8%的护士报告身体暴力的经验和71.9%的报告非身体暴力的经验,在过去的一年。施暴者是患者或其亲属(分别为93.5%和82%),24%的护士经历过涉及易闹(专门针对医院的团伙)的非身体暴力。与有经验的护士相比,无经验的护士更容易报告身体(13.2%)或非身体(89.5%)暴力。研究生水平的护士更有可能感知和报告非身体暴力(84.6%)。与固定日班护士相比,轮班护士经历身体暴力的可能性高3.668倍(95%CI 1.275至10.554),经历非身体暴力的可能性高1.771倍(95%CI 1.123至2.792)。对工作场所暴力和工作类型的更高焦虑水平与暴力有关。受访者认为经济负担、不满意的治疗结果和沟通不畅是工作场所暴力的影响因素。安置前教育应侧重于高危群体,以减少工作场所暴力。提高公众和决策者的认识对于在个人、医院和国家各级制定有效的控制战略是必要的。
To determine the prevalence of workplace violence that Chinese nurses have encountered, identify risk factors and provide a basis for future targeted interventions. Heilongjiang, a province in northeast China. A cross-sectional survey. A total of 588 nurses provided data. There were also in-depth interviews with 12 nurses, 7 hospital administrators and 6 health officials. A total of 7.8% of the nurses reported physically violent experiences and 71.9% reported non-physically violent experiences in the preceding year. Perpetrators were patients or their relatives (93.5% and 82%, respectively), and 24% of nurses experienced non-physical violence that involved Yi Nao (gangs specifically targeting hospitals). Inexperienced nurses were more likely to report physical (13.2%) or non-physical (89.5%) violence compared with experienced nurses. Graduate-level nurses were more likely to perceive and report non-physical violence (84.6%). Nurses who worked rotating shifts were 3.668 times (95% CI 1.275 to 10.554) more likely to experience physical violence, and 1.771 times (95% CI 1.123 to 2.792) more likely to experience non-physical violence compared with nurses who worked fixed day shifts. Higher anxiety levels about workplace violence and work types were associated with violence. Interviewees perceived financial burdens, unsatisfactory treatment outcomes and miscommunications as influencing factors for workplace violence. Preplacement education should focus on high-risk groups to reduce workplace violence. Increased awareness from the public and policymakers is necessary to develop effective control strategies at individual, hospital and national levels.
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