Verbal and physical abuse against nurses in Turkey

Verbal and physical abuse against nurses in Turkey
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DOI:
10.1111/j.1466-7657.2007.00548.x
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发表时间:
2007-12-01
影响因子:
4.1
通讯作者:
Ugurluoglu, O.
Ugurluoglu, O.
中科院分区:
医学3区
文献类型:
--
作者:
Celik, S. S.;Celik, Y.;Ugurluoglu, O.

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本研究以土耳其首都8所医院的622名护士为研究对象,采用言语虐待和身体虐待问卷对其进行调查,结果发现,在本次研究的样本中,对护士的言语和身体虐待的发生率分别为91.1%和33.0%。研究发现,同事是言语虐待行为的最重要来源,而患者和患者亲属是身体虐待行为的重要来源。言语和身体虐待对护士的负面影响更频繁地被报道为心理健康障碍、工作表现下降和头痛。对虐待行为最常见的反应是愤怒、无助、羞辱和抑郁。有趣的是,“无所事事”是最常被报道的言语辱骂应对方式。研究结果还表明,在住院病房工作和在护理行业增加工作经验是增加遭受身体虐待的可能性的统计显著变量。所有关于言语和身体虐待行为的来源、负面影响、情感和应对方法的结果导致我们讨论,护士在工作中的工作地位和权力较低,医疗保健环境中恶劣的工作条件,以及针对施虐者的管理机制和法律法规不足是迫使护士在不适当的工作环境中工作的重要因素。
This study of verbal and physical abuse against nurses in Turkey aimed to describe prevalence, sources, important effects on work, family and social life of the nurses, coping methods and factors.A sample of 622 nurses working in eight hospitals located in the capital city of Turkey was surveyed using verbal and physical abuse questionnaires.The prevalence of verbal and physical abuse against nurses in the sample of this study were found to be as 91.1% and 33.0% respectively. Colleagues were found to be the most important source of verbally abusive behaviours while patients and patients' relatives were the important sources of physically abusive behaviours. Disturbed mental health, decreased job performance and headache were the more frequently reported negative effects of verbal and physical abuses on nurses. The most common reactions against abusive behaviours were anger, helplessness, humiliation and depression. It is interesting to find that 'did nothing' was the most reported coping method with verbal abuse. The findings also suggested that working in inpatient units and increasing work experience in the nursing profession were statistically significant variables increasing the likelihood of being abused physically.All the results on sources, negative effects, feelings and coping methods on verbally and physically abusive behaviours lead us to discuss that lower working status and power of the nurses at the work, poor working conditions in healthcare settings and insufficient administrative mechanisms as well as law and regulations against the abusers are the important factors forcing the nurses to work in an inappropriate work environment in Turkey.