Violence Against Nurses Working in US Emergency Departments
Violence Against Nurses Working in US Emergency Departments
复制标题
DOI：
10.1097/nna.0b013e3181ae97db
复制
发表时间：
2009-07-01
影响因子：
2
通讯作者：
MacLean, Susan L.
中科院分区：
文献类型：
--
作者：
Gacki-Smith, Jessica;Juarez, Altair M.;MacLean, Susan L.
目的：调查美国急诊科护士对患者和来访者的暴力体验和认知。背景：急诊科是一个特别容易发生工作场所暴力的场所，由于缺乏标准化的医疗场所暴力测量和报告机制，数据稀缺。方法：急诊护士协会注册护士成员(n=3,465)完成了一项包含69个项目的横断面调查。结果：约25%的受访者报告在过去3年中经历过20次以上的肢体暴力，近20%的受访者报告在同一时期经历过200次以上的言语虐待。经常遭受身体暴力和/或经常言语虐待的受访者表示，害怕报复和缺乏医院管理部门和急诊科管理层的支持是举报工作场所暴力的障碍。结论：针对急诊科护士的暴力行为非常普遍。受访者确定的暴力事件的诱发因素与研究文献一致；然而，有相当大的潜力可以减轻这些因素。医院管理人员、急诊科经理和医院保安的承诺是必要的，以促进改进和确保急诊科护士有一个更安全的工作场所。
Objective: The objective of this study was to investigate emergency nurses' experiences and perceptions of violence from patients and visitors in US emergency departments (EDs).Background: The ED is a particularly vulnerable setting for workplace violence, and because of a lack of standardized measurement and reporting mechanisms for violence in healthcare settings, data are scarce.Methods: Registered nurse members (n = 3,465) of the Emergency Nurses Association participated in this cross-sectional study by completing a 69-item survey.Results: Approximately 25% of respondents reported experiencing physical violence more than 20 times in the past 3 years, and almost 20% reported experiencing verbal abuse more than 200 times during the same period. Respondents who experienced frequent physical violence and/or frequent verbal abuse indicated fear of retaliation and lack of support from hospital administration and ED management as barriers to reporting workplace violence.Conclusion: Violence against ED nurses is highly prevalent. Precipitating factors to violent incidents identified by respondents is consistent with the research literature; however, there is considerable potential to mitigate these factors. Commitment from hospital administrators, ED managers, and hospital security is necessary to facilitate improvement and ensure a safer workplace for ED nurses.