Experience of verbal violence among Chinese nursing students in clinical practice: a qualitative study.
Experience of verbal violence among Chinese nursing students in clinical practice: a qualitative study.
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DOI：
10.1186/s12909-023-04741-z
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发表时间：
2023-10-16
影响因子：
3.6
通讯作者：
Zhang, Qianqian
中科院分区：
文献类型：
--
作者：
Qian, Meiyan;Zhu, Pingting;Wu, Qiwei;Wang, Wen;Shi, Guanghui;Ding, Yinwen;Zhang, Hui;Gu, Xinyue;Xu, Ting;Zhang, Qianqian
护士职业普遍存在工作场所暴力，而护生作为职业层级中相对较低的一个环节，也不能幸免，其中言语暴力可能比身体暴力对受害者造成更严重的后果，但关于我国临床环境下护生言语暴力的文献较少。目的探讨中国护生在临床实习中遭受言语暴力的经历，以及护生科普暴力的策略。描述性定性研究。2022年1月至2022年6月，采用立意雪球抽样法对21名临床实习护生进行半结构式访谈。采用Nvivo 12软件和归纳内容分析法进行数据分析。本文遵循了COSTIC（报告定性研究的统一标准）指南。通过数据分析，确定了三个主题：（1）多种形式的言语暴力;（2）伤害和影响;（3）挣扎或应对。研究结果显示，护生在临床实习中遭受多种形式的言语暴力，不仅来自患者和照顾者，还来自临床导师和医生等同行，这不仅损害了学生的个人健康和福祉，而且可能导致护理行业未来的人力资源流失。寻求他人的情感支持和强迫自己成长是最常用的应对策略。护理教育者和护理管理者需要重视临床环境中的言语暴力，积极培养护生应对不文明行为的能力。建立沟通、复原力、暴力预防等相关课程和培训，建立更严格的临床导师聘任制度和教学考核制度，是帮助护生更好地开展临床实习的策略。
Workplace violence is prevalent in the nursing profession, and as a relatively junior link of the professional hierarchy, nursing students are not immune to it. Among these, verbal violence may have more serious consequences for the victims than physical violence, but the literature on verbal violence among nursing students in Chinese clinical settings is limited. To explore the verbal violence experience among Chinese nursing students in clinical practice, and the strategies used by nursing students to cope with violence. A descriptive qualitative study. From January 2022 to June 2022, semi-structured interviews were conducted with 21 nursing students in clinical practice by purposive snowball sampling. Nvivo12 software and inductive content analysis were used for data analysis. This paper followed the COREQ (Consolidated criteria for Reporting Qualitative Research) guidance. Through data analysis, three themes were defined:(1) Multiform verbal violence; (2) Hurting and impacting and (3) Struggling or Coping. The findings indicated that nursing students were subjected to multiple forms of verbal violence in clinical practice, not only from patients and caregivers, but also from peers such as clinical tutors and doctors, which not only harmed students’ personal health and well-being, but may also contribute to the nursing industry’s future loss of human resources. Seeking emotional support from others and forcing themselves to grow up were the most commonly used coping strategies. Nursing educators and nursing managers need to pay attention to verbal violence in the clinical environment, and actively develop the ability of nursing students to deal with uncivilized behavior. Establishing relevant courses and training such as communication, resilience, and violence prevention, establishing a stricter clinical mentor appointment system, and teaching assessment system may be strategies to help nursing students better perform clinical practice.
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影响因子：
2.6
作者：
Bowllan, Nancy Meierdierks
通讯作者：
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