Work-related fear and the threats of fear among emergency department nursing staff and physicians in Finland

Work-related fear and the threats of fear among emergency department nursing staff and physicians in Finland
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DOI:
10.1111/jocn.13633
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发表时间:
2017-10-01
影响因子:
4.2
通讯作者:
Paavilainen, Eija
Paavilainen, Eija
中科院分区:
医学2区
文献类型:
--
作者:
Mikkola, Riitta;Huhtala, Heini;Paavilainen, Eija

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Aims and objectivesTo描述的恐惧,造成恐惧的威胁和发生的恐惧之间的急诊科护理人员和医生BackgroundThe急诊科是一个具有挑战性的工作场所,工作人员经常面临的因素,导致fear.DesignA横断面study.MethodsA调查进行了16家医院(n=544)。这些医院的护士、实习护士、护理员和医生参加了调查。调查问卷是根据对一所大学医院和一所中心医院的30名护士的访谈分析。访谈结果采用归纳内容分析法进行分析。使用统计方法,如频率,交叉制表和主成分analysis.ResultsThe结果表明,几乎所有的急诊科人员都经历过与工作有关的恐惧进行调查的分析。一般来说,恐惧是短暂的。根据调查结果,恐惧最常见的原因是用药错误、儿童复苏、灾难性事故、紧急或暴力情况或携带武器的病人。造成恐惧的威胁包括不安全感,危险的工作环境,威胁的损失一个人的健康和威胁的后果,一个人的错误和actions.ConclusionThe急诊科的工作人员经常遇到的因素或情况,造成恐惧。引起恐惧的主要威胁,被调查者提出的不安全和危险的工作环境中。相关临床practiceThe从这项研究中获得的数据可以用来识别和描述与工作有关的恐惧和威胁的恐惧之间的急诊科护理人员和医生。根据这里的信息,将有可能制定方法来防止在急诊室引起恐惧的情况。
Aims and objectivesTo describe fear, the threats causing fear and the occurrence of fear among emergency department nursing staff and physicians.BackgroundThe emergency department is a challenging workplace where the staff is often confronted by factors that cause fear.DesignA cross-sectional study.MethodsA survey was conducted in 16 hospitals (n=544). Nurses, practical nurses, orderlies and physicians from those hospitals participated in the survey. The survey questionnaire was based on the analysis of interviews of 30 nurses from one university hospital and one central hospital. The results of the interviews were analysed using the inductive content analysis method. The analysis of the survey was performed using statistical methods, such as frequencies, cross-tabulation and principal component analysis.ResultsThe results showed that nearly all of the emergency department personnel had experienced work-related fear. Generally, the fear had been momentary. According to the survey results, fear was most often caused by medication errors, the resuscitation of a child, a catastrophic accident, urgent or violent situations or patients armed with weapons. Threats that caused fear included insecurity, danger in the work environment, threat of loss of one's health and threat of the consequences of one's mistakes and actions.ConclusionThe staff of emergency departments often encountered factors or situations that caused fear. The main threats causing fear that were raised by the respondents were insecurity and danger in the work environment.Relevance to clinical practiceThe data obtained from this study can be utilised in identifying and describing work-related fear and threats of fear among emergency department nursing staff and physicians. Based on the information herein, it will be possible to develop methods to prevent situations that cause fear in emergency departments.