A descriptive study of the perceptions of workplace violence and safety strategies of nurses working in level I trauma centers

A descriptive study of the perceptions of workplace violence and safety strategies of nurses working in level I trauma centers
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DOI:
10.1016/j.jen.2005.07.008
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发表时间:
2005-12-01
影响因子:
1.7
通讯作者:
Catlette, M
Catlette, M
中科院分区:
医学3区
文献类型:
--
作者:
Catlette, M

文献摘要

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工作场所暴力是卫生保健领域的一项重大职业危害。作为卫生保健领域最大的雇员群体,护士特别容易受到工作场所暴力的伤害,在急诊科工作的护士面临的风险尤其大。本研究的目的是通过访谈在职期间遭受暴力的急诊护士,来研究工作场所暴力现象。方法:采用描述性研究方法,对来自2个一级创伤中心的8名注册护士进行访谈,探讨工作场所暴力问题。访谈回答的跨案例比较被用来分析来自逐字记录的数据。结果:急诊护士确定了具体的工作暴力经历。不充分的安全措施和脆弱性是两个主题在整个访谈中一直被反复提及。对护理实践的启示:接受采访的急诊护士讨论了他们与患者、家庭成员和其他表现出暴力和攻击行为的人的经历。他们指出了他们认为不充分的安全措施,并讨论了他们因工作中的暴力事件而感到脆弱的感受。更大样本的进一步研究可以确认急诊科的具体安全问题,必须解决这些问题,为急诊护士、他们的同事和病人提供一个更安全的工作场所。
Introduction: Workplace violence is a significant occupational hazard in health care. As the largest group of employees in health care, nurses are particularly vulnerable to workplace violence, with those who work in emergency departments being especially at risk. The purpose of this research was to study the phenomenon of workplace violence by interviewing emergency nurses who had experienced violence while on duty.Method: A descriptive study approached the issue of workplace violence from the perspective of 8 registered nurses from 2 level 1 trauma centers who volunteered to be interviewed. Cross-case comparison of the interview responses was used to analyze the data from verbatim transcripts.Results: Emergency nurses identified specific experiences of violence at work. Inadequate safety measures and vulnerability were the 2 themes that were consistently verbalized through out the interviews.Implications for Nursing Practice: The emergency nurses who were interviewed discussed their experiences with patients, family members, and others who exhibited violent and aggressive behavior. They identified safety measures that they believed were inadequate and discussed their feelings of vulnerability because of violent incidents at work. Further research with larger samples could confirm specific safety problems in emergency departments that must be addressed to provide a safer workplace for emergency nurses, their colleagues, and their patients.