Association among components of resilience and workplace violence-related depression among emergency department nurses in Taiwan: a cross-sectional study
Association among components of resilience and workplace violence-related depression among emergency department nurses in Taiwan: a cross-sectional study
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DOI：
10.1111/jocn.13309
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发表时间：
2016-09-01
影响因子：
4.2
通讯作者：
Ma, Shu-Ching
中科院分区：
文献类型：
--
作者：
Hsieh, Hsiu-Fen;Chen, Yao-Mei;Ma, Shu-Ching
目的和目标。本研究旨在探讨离职护士近期工作场所暴力、抑郁倾向、社会支持与心理弹性的关系，并试图找出离职护士的保护因素和潜在的预防干预目标。医院工作场所暴力对医疗专业人员的职业健康和安全产生负面影响，尤其是急诊科护士。设计。采用横断面、相关性研究设计。使用分层回归来检验2013年6月至2013年12月从台湾急诊部门收集的数据。从两家医院招募了180名护士。采用结构化访谈和问卷调查的方法收集资料，包括社会支持量表、心理弹性量表和流行病学研究中心抑郁量表。159名护士曾遭受过病人或家属的身体或言语暴力，占88.33%。无抑郁倾向组的心理弹性和同伴支持显著高于无抑郁倾向组。心理弹性中的个人力量、社会能力、结构风格和宗教信仰是影响抑郁倾向的显著因素，解释了46.0%的变异量。心理弹性的五个组成部分中，个人力量、社会能力和结构化风格对抑郁倾向的影响比同伴支持更显著。医院管理者应该为急诊科护士建立一个安全的工作环境，并加强他们在遇到工作场所暴力时对抑郁的抵御能力。本研究发现复原力的五个组成部分中的三个：个人力量、社会能力和结构化风格对离职护士的抑郁倾向有保护作用。提高这三个组成部分的应对和解决问题的技能，由医疗保健管理人员将是有效的措施，提高他们的应变能力的情况下，工作场所的暴力。
Aim and objectives. This correlation study examined the relationship among recently workplace violence, depressive tendency, social support, and resilience of victimised nurses, and we also tried to identify protective factors and potential targets for preventive interventions for these nurses.Background. Workplace violence in hospitals negatively affects occupational health and safety of medical professionals, especially for emergency department nurses.Design. A cross-sectional, correlation research design was applied.Methods. Hierarchical regression was used to examine data which were collected from June 2013 to December 2013 from emergency departments in Taiwan. One hundred and eighty nurses were recruited from two hospitals. Structured interviews and questionnaires were applied to collect data, including the Social Support Scale, the Resilience Scale and the Center for Epidemiologic Studies Depression.Results. A total of 159 (88.33%) nurses had suffered from physical or verbal violence by patients or their family. Resilience and peer support were significantly higher in the group without depressive tendency. Components of resilience of personal strength, social competence, structure style and religious beliefs were significant factors which accounted for 46.0% of variance in depressive tendency. Three of the five components of resilience: personal strength, social competence and structured style were found to have profounder effects against depressive tendency than peer support.Conclusions. Hospital managers should establish a safer working environment for emergency department nurses and reinforce their resilience against depression when they encounter workplace violence.Relevance to clinical practice. This study showed that three of the five components of resilience: personal strength, social competence and structured style are protective factors against depressive tendency in victimised nurses. Improving these three components with coping and problem-solving skills by healthcare manager would be effective measures for enhancing their resilience in situations of workplace violence.