医院门诊工作场所暴力的现状分析及对护士心理健康的影响
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摘要
目的:通过对四川省某三甲医院门诊护士进行问卷调查,了解门诊护士经历(包括目睹与遭受)门诊工作场所暴力的情况并分析其可能原因,为门诊采取预防和控制工作场所暴力提供理论依据。方法:采用整群抽样对116名门诊护士进行问卷调查,问卷由"护士一般情况调查表"和"医务场所暴力调查表"组成。结果:所有门诊护士均目睹过医务场所暴力发生,98.2%的护士均遭受过医务场所暴力(11.5%躯体攻击、98.2%情感虐待、28.3%威胁恐吓、17.7%言语的性骚扰、5.3%躯体的性骚扰)。100%护士表示工作缺乏安全感、压力大;47.8%护士有转行意愿。结论:门诊护士遭受工作场所暴力的问题极为严重,对于护士的专业态度和身心健康均有非常大的影响,应采取相应措施防止或减少医务场所暴力的发生,并加强教育培训,增强门诊护士应对医务场所暴力的能力。
Objective To study the status of violence in outpatients and its influence on nurses' mental health,and provide a theoretical basis for its prevention and control. Method 116 cases of outpatient nurses were chosen with cluster sampling and surveyed with questionnaire,which was composed of"general questionnaire"and"medical violence questionnaire". Results All the nurses had witnessed violence in medical services. 98. 2% of them had suffered from medical workplace violence( 11. 5% as physical attacks,98. 2% as emotional abuse,28. 3% as threat and intimidation,17. 7% as verbal sexual harassment,and 5. 3%as physical harassment). All the nurses expressed the sense of lack of security and pressure. And 47. 8% of them had a willingness to change their job. Conclusion The problem of outpatient department nurses suffering from workplace violence is extremely serious,which can influence the nurses' professional attitude and mental health. It is suggested to put forward countermeasures to prevent or reduce the incidence of medical workplace violence,and strengthen education and training to improve their ability to coping with medical workplace violence.
Objective To study the status of violence in outpatients and its influence on nurses' mental health,and provide a theoretical basis for its prevention and control. Method 116 cases of outpatient nurses were chosen with cluster sampling and surveyed with questionnaire,which was composed of"general questionnaire"and"medical violence questionnaire". Results All the nurses had witnessed violence in medical services. 98. 2% of them had suffered from medical workplace violence( 11. 5% as physical attacks,98. 2% as emotional abuse,28. 3% as threat and intimidation,17. 7% as verbal sexual harassment,and 5. 3%as physical harassment). All the nurses expressed the sense of lack of security and pressure. And 47. 8% of them had a willingness to change their job. Conclusion The problem of outpatient department nurses suffering from workplace violence is extremely serious,which can influence the nurses' professional attitude and mental health. It is suggested to put forward countermeasures to prevent or reduce the incidence of medical workplace violence,and strengthen education and training to improve their ability to coping with medical workplace violence.
引文
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[5]王培席.工作场所暴力对商丘市医务人员工作能力、工作满意度和转岗打算影响的通径分析[J].卫生研究,2006,6(35):785-788
[6]谢伦芳.国外护理人员遭受工作场所暴力的研究进展[J].护理研究,2007,(12):1043-1045.
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[9]陆红.门诊护士工作场所暴力调查与分析[J].护理管理杂志,2012,11(12):791-793.
[10]李波,宁宇,寇长贵,等.护士在医疗场所遭受暴力侵害的现况分析[J].中国医院管理,2005,25(12):23-25.
[11]陈树林,李凌江.SCL-90信度效度检验和常模的再比较[J].中国神经精神疾病杂志,2003,29(5):323-327.
[12]姜丽英.门诊护士遭受工作场所暴力的分析及对策[J].医院管理论坛,2014,9:16-18.
[13]张永霞,宋雪梅.急诊科护士在遭受暴力事件后的干预措施[J].包头医学,2015(2):119-121.
[14]张婷,程文玉,杨可,等.基于Delphi法的医暴防范策略[J].中国卫生事业管理,2017,34(1):36-39.
[15]余可谊.面对医院暴力,除了悲伤、愤怒,我们还能做什么[J].中国医学人文,2015,1(8):34-36.
[2]Mark,Siegler.美国社会如何应对医生与护士的工作场所暴力[J].中国医学伦理学,2014,27(1):24-26.
[3]SAINES J C.Violence and aggression in A&E:recommendations for action[J].Accident and emergency nursing,1999,7(1):8-12.
[4]方萍萍,叶倩,李一心,等.护士视角下的医疗工作场所暴力现状调查及对策分析[J].中国卫生事业管理,2016,33(4):255-258.
[5]王培席.工作场所暴力对商丘市医务人员工作能力、工作满意度和转岗打算影响的通径分析[J].卫生研究,2006,6(35):785-788
[6]谢伦芳.国外护理人员遭受工作场所暴力的研究进展[J].护理研究,2007,(12):1043-1045.
[7]HENDERSON A D.Nurses and workplace violence:nurses’experiences of verbal and physical abuse at work[J].Nursing leadership(Toronto,Ont),2003,16(4):82-98.
[8]王培席.医务场所暴力调查及理论模型研制[D],2006.
[9]陆红.门诊护士工作场所暴力调查与分析[J].护理管理杂志,2012,11(12):791-793.
[10]李波,宁宇,寇长贵,等.护士在医疗场所遭受暴力侵害的现况分析[J].中国医院管理,2005,25(12):23-25.
[11]陈树林,李凌江.SCL-90信度效度检验和常模的再比较[J].中国神经精神疾病杂志,2003,29(5):323-327.
[12]姜丽英.门诊护士遭受工作场所暴力的分析及对策[J].医院管理论坛,2014,9:16-18.
[13]张永霞,宋雪梅.急诊科护士在遭受暴力事件后的干预措施[J].包头医学,2015(2):119-121.
[14]张婷,程文玉,杨可,等.基于Delphi法的医暴防范策略[J].中国卫生事业管理,2017,34(1):36-39.
[15]余可谊.面对医院暴力,除了悲伤、愤怒,我们还能做什么[J].中国医学人文,2015,1(8):34-36.