Unreported workplace violence in nursing
Unreported workplace violence in nursing
复制标题
DOI：
10.1111/inr.12106
复制
发表时间：
2014-09-01
影响因子：
4.1
通讯作者：
Seljak, J.
中科院分区：
文献类型：
--
作者：
Kvas, A.;Seljak, J.
背景：在护理工作中，工作场所暴力事件频繁发生。大多数暴力行为仍然没有上报。因此，我们不知道工作场所暴力事件的实际发生频率。这需要研究护士在工作场所暴力后的行为，并找出为什么大多数受害者没有以适当的方式报告暴力行为的原因。目的：探讨斯洛文尼亚护士经历的护理暴力。方法：对斯洛文尼亚具有代表性的护士进行调查。对3756名护士进行问卷调查，692名护士完成问卷调查。结果：61.6%的受访护士在过去一年中曾接触过暴力。大多数受害者受到心理暴力(60.1%)和经济暴力(28.9%)的影响。受害者以正式书面形式报告了暴力行为，比例从6.5%(心理暴力)到10.9%(身体暴力)不等。不报告暴力和不与任何人谈论暴力的受害者中，性暴力受害者所占比例最大(17.9%)。不举报暴力的主要原因是认为举报不会改变什么，其次是担心失去工作。结论：只有一小部分受访者以书面形式举报暴力，主要原因是受害者认为举报不会改变任何事情。这是对预防工作场所暴力制度的严厉批评，因为它揭示了保健组织领导结构的反应不力。对护理和卫生政策的影响：专业协会和教育系统必须使护士为预防暴力和在发生暴力行为时采取适当行动做好准备。医疗保健组织必须确保必要的条件，以便在暴力行为后根据相关协议采取适当行动并鼓励其采取适当行动。
Background: Workplace violence occurs on a frequent basis in nursing. Most violent acts remain unreported. Consequently, we do not know the actual frequency of the occurrence of workplace violence. This requires research of nurses' actions following workplace violence and identification of reasons why most victims do not report violent acts in the appropriate manner.Aim: To explore violence in nursing as experienced by nurses in Slovenia.Methods: A survey was carried out with a representative sample of nurses in Slovenia. The questionnaire Workplace Violence in Nursing was submitted to 3756 nurses, with 692 completing the questionnaire.Results: A total of 61.6% of the nurses surveyed had been exposed to violence in the past year. Most victims were exposed to psychological (60.1%) and economic violence (28.9%). Victims reported acts of violence in formal written form in a range from 6.5% (psychological violence) to 10.9% (physical violence). The largest share of victims who did not report violence and did not speak to anyone about it were victims of sexual violence (17.9%). The main reason for not reporting the violence was the belief that reporting it would not change anything, followed by the fear of losing one's job.Conclusions: Only a small share of the respondents reported violence in written form, the main reason being the victims' belief that reporting it would not change anything. This represents a severe criticism of the system for preventing workplace violence for it reveals the failure of response by leadership structures in healthcare organizations.Implications for Nursing and Health Policy: Professional associations and the education system must prepare nurses for the prevention of violence and appropriate actions in the event of violent acts. Healthcare organizations must ensure the necessary conditions for enabling and encouraging appropriate actions following violent acts according to relevant protocols.