Workplace Violence

工作场所暴力
  • 文章类型: Journal Article
    惩教人员面临着广泛的工作场所暴力和由此产生的过度劳累,这可能会严重损害他们的身心健康。
    本研究旨在调查过度劳累在劳教人员中工作场所暴力与身心健康问题表现之间的关系中的中介作用。
    本研究招募了472名符合条件的参与者。横断面数据使用中文版工作场所暴力量表(WVS)获得,同时通过相关量表评估惩教人员的身心健康。分析涉及描述性统计,相关分析,和中介模型的测试。
    研究发现工作场所暴力之间存在显著相关性,过度劳累,和各种心理健康变量(抑郁症,焦虑,压力,自杀意念,和失眠),相关性在0.135到0.822之间(p<0.01)。中介分析显示,工作场所暴力直接影响惩教人员的身心健康(p<0.001),也通过过度劳累产生间接影响(p<0.023)。这些发现强调了工作场所暴力对惩教人员健康的重大影响,直接和间接。
    工作场所暴力和过度劳累极大地加剧了惩教人员面临的身心健康挑战。过度劳累在工作场所暴力与这些健康问题之间的关系中起着中介作用。该研究建议通过增加惩教人员的人数来解决工作场所暴力和心理健康问题,改善工作环境,并实施增强的福利政策。
    UNASSIGNED: Correctional officers face widespread workplace violence and the resulting overwork that can profoundly damage their physical and mental health.
    UNASSIGNED: This study aims to investigate the mediating role of overwork in the relationship between workplace violence and the manifestation of physical and mental health issues among correctional officers.
    UNASSIGNED: This study enlisted 472 eligible participants. Cross-sectional data were obtained using the Chinese version of the Workplace Violence Scale (WVS), while the physical and mental health of correctional officers was evaluated through relevant scales. Analysis involved descriptive statistics, correlation analyses, and tests for mediation models.
    UNASSIGNED: The study found significant correlations between workplace violence, overwork, and various mental health variables (depression, anxiety, stress, suicidal ideation, and insomnia), with correlations ranging from 0.135 to 0.822 (p < 0.01). Mediation analysis revealed that workplace violence directly impacts correctional officers\' physical and mental health (p < 0.001) and also has an indirect effect through overwork (p < 0.023). These findings underscore the substantial impact of workplace violence on the health of correctional officers, both directly and indirectly.
    UNASSIGNED: Workplace violence and overwork significantly contribute to the physical and mental health challenges faced by correctional officers. Overwork acts as a mediator in the relationship between workplace violence and these health issues. The study suggests addressing workplace violence and mental health issues among correctional officers by increasing their numbers, improving the work environment, and implementing enhanced welfare policies.
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  • 文章类型: Journal Article
    背景:在医疗保健环境中,医疗服务提供者在工作场所经常遇到身体和言语攻击。据报道,患者和患者的亲戚和朋友是工作场所暴力的肇事者。在所有医疗机构中,急诊科(ED)已被指定为暴力的高风险场所,超过四分之一的急诊医生报告说他们是人身攻击的受害者。这项研究旨在报告吉达市军事和非军事医院中针对急诊医师的工作场所暴力的发生率。
    方法:本研究采用了横断面设计。通过谷歌表格平台开发了一份电子问卷,其中包括人口统计数据,在工作场所对参与者的言语或身体暴力的发生,他们经历了多少次这种暴力,事件发生的时间,医院内外的位置,无论肇事者大多是病人,患者家属,或者朋友,以及他们是否报告了任何暴力事件。分类变量用于描述频率和百分比,而描述性统计,如平均值和95%置信区间(95%CI)用于总结量表变量。P<0.05被认为是统计学上显著的差异。
    结果:在100名参与者中,76经历过身体或语言暴力,或者两者兼而有之。其余24人没有经历任何形式的暴力。83%的身体受到侵害的医生在非军事医院工作。在经历过言语暴力的72名参与者中,51人(70.8%)在非军事医院工作,21人(29.2%)在军队医院。不报告的最常见原因是参与者认为报告暴力事件没有用。此外,92%的参与者选择“培训医护人员应对暴力袭击”作为减少与工作有关的暴力数量的建议有用因素。此外,“公众的教育”和“提高医护人员的意识”也被91%和90%的参与者选择为有用的因素,分别。
    结论:这表明,与军队同行相比,非军事医院的医生遭受的暴力程度更高。然而,令人担忧的是,军事和非军事医疗机构的暴力事件报告严重不足。
    BACKGROUND: In healthcare settings, physical and verbal attacks are commonly encountered in the workplace among healthcare providers. Patients and patients\' relatives and friends have been reported to be the perpetrators of workplace violence. Among all healthcare settings, emergency department (ED) have been designated as high-risk settings for violence, where more than one-quarter of emergency physicians reported that they were victims of physical assault. This study aimed to report the prevalence of workplace violence against emergency medicine physicians in military and non-military hospitals in Jeddah city.
    METHODS: A cross-sectional design has been used in this study. An electronic questionnaire was developed through the Google Form Platform and it included demographic data, the occurrence of verbal or physical violence in the workplace to participants, how many times they experienced this violence, the time of incidents, the location either inside or outside the hospital, whether the perpetrators were mostly patients, patient families, or friends, and whether they reported any violence or not. Categorical variables were used to describe frequencies and percentages, while descriptive statistics such as mean and 95% Confidence Interval (95% CI) were used to summarize the scale variables. P < 0.05 was considered for statistically significant differences.
    RESULTS: Among the 100 participants, 76 experienced either physical or verbal violence, or both. The remaining 24 did not experience any sort of violence. 83% of the physicians who have been physically violated were working in non-military hospitals. Of the 72 participants who had experienced verbal violence, 51 (70.8%) were working in a non-military hospital, while 21 (29.2%) were in a military hospital. The most common reason for not reporting was that the participants felt that reporting the violence incidence was useless. Moreover, 92% of participants chose \"Train healthcare workers to deal with violent attacks\" as a suggested helpful factor in decreasing the number of work-related violence. In addition, \"Education of the public\" and \"Raising awareness of healthcare workers\" were chosen as helpful factors as well by 91% and 90% of participants, respectively.
    CONCLUSIONS: This revealed that physicians in non-military hospitals experience higher levels of violence compared to their military counterparts. However, it is concerning that instances of violence are substantially under-reported across both military and non-military healthcare facilities.
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  • 文章类型: Journal Article
    工作场所暴力是地方性的,破坏性,以及医疗保健中频率和严重程度的升级。关于地区和偏远医院急诊科(ED)的工作场所暴力的研究很少。
    这项研究的目的是在澳大利亚五个地区和偏远地点确定与ED中暴力事件相关的犯罪者和情况特征。
    本研究审计了医院汇总数据,事件报告,和2018年12个月的医疗记录,以检查五个地区和偏远澳大利亚ED的工作场所暴力事件的肇事者和情况特征。
    暴力事件在整个星期和轮班中均匀分布。大多数事件被分类为紧急,发生在最初的4小时内,并有多学科参与。几乎每六个事件中就有一个导致受伤。施暴者主要是年轻和中年男性,几乎总是病人,大多数人表现为精神和行为障碍,或使用精神活性物质。
    了解暴力肇事者的特征可以帮助寻求量身定制干预措施,以减少进一步的暴力行为。这些发现对优化患者护理具有重要意义,员工安全和资源管理。
    UNASSIGNED: Workplace violence is endemic, destructive, and escalating in frequency and severity in healthcare. There is a paucity of research on workplace violence in regional and remote hospital emergency departments (EDs).
    UNASSIGNED: The aim of this study was to identify the perpetrator and situational characteristics associated with violent incidents in the ED across five regional and remote Australian sites.
    UNASSIGNED: This study audited hospital summary data, incident reports, and medical records for a 12-month period in 2018 to examine the perpetrator and situational characteristics of workplace violence incidents in five regional and remote Australian EDs.
    UNASSIGNED: Violent incidents were evenly spread throughout the week and across shifts. Most incidents were triaged as urgent, occurred within the first 4 hr, and had multidisciplinary involvement. Almost one in every six incidents resulted in an injury. Perpetrators of violence were predominantly young and middle-aged males and almost always patients, with most presenting with mental and behavioral disorders, or psychoactive substance use.
    UNASSIGNED: Understanding the characteristics of perpetrators of violence can help in seeking to tailor interventions to reduce further violent behaviors. These findings carry implications for optimizing patient care, staff safety and resource management.
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  • 文章类型: Journal Article
    背景:研究表明,与其他职业相比,医护人员的自杀风险更大,但是大多数发表的研究都集中在医生身上。这项研究调查了广泛的非医师医护人员中自杀意念(SI)和相关职业因素的患病率。
    方法:在2022年9月至11月之间,对大型城市医疗保健系统中30%的非医师医疗保健人员进行了一项匿名在线调查。进行加权多变量二元逻辑回归以确定与SI相关的工作场所和心理健康因素。
    结果:1084名受访者包括护士,行政人员,研究人员,医疗助理,执业护士,医师助理,和其他角色。在样本中,8.6%的人在前两周接受了SI。回归结果表明,在调整了人口因素后,SI的更大几率与患者或来访者的身体暴力有关(优势比[OR]=2.15,95%置信区间[CI]=1.06-4.37),较低的感知领导支持(OR=0.95,95%CI=0.92-0.98),和抑郁症筛查阳性(OR=4.66,95%CI=2.45-8.86)。探索性分析表明,抑郁可能是工作场所压力源和SI之间的中介因素。
    结论:限制包括中度反应率,使用单个项目来评估SI,和横截面设计。
    结论:研究结果表明,在医护人员中,工作场所暴力和领导支持是与SI相关的重要职业因素。减少和减轻工作场所暴力,加强领导支持,改善获得精神卫生保健的机会应被视为干预措施的目标,以降低该人群的自杀风险。
    BACKGROUND: Research suggests that healthcare workers are at greater risk for suicide than other occupations, but most published studies focus on physicians. This study examines the prevalence of suicidal ideation (SI) and associated occupational factors among a broad group of non-physician healthcare staff.
    METHODS: An anonymous online survey was sent to a random sample of 30 % of non-physician healthcare staff at a large urban healthcare system between September and November 2022. Weighted multivariable binary logistic regressions were conducted to determine the workplace and mental health factors associated with SI.
    RESULTS: The 1084 respondents included nurses, administrative staff, research staff, medical assistants, nurse practitioners, physician assistants, and other roles. Of the sample, 8.8 % endorsed having SI over the prior two weeks. Results of the regression indicated that, after adjusting for demographic factors, greater odds of SI were associated with physical violence experienced from a patient or visitor (odds ratio [OR] = 2.15, 95 % confidence interval [CI] = 1.06-4.37), lower perceived leadership support (OR = 0.95, 95 % CI = 0.92-0.98), and positive screening for depression (OR = 4.66, 95 % CI = 2.45-8.86). Exploratory analysis suggests that depression may be a mediating factor between workplace stressors and SI.
    CONCLUSIONS: Limitations include the response rate, the use of a single item to assess SI, and the cross-sectional design.
    CONCLUSIONS: Findings suggest that workplace violence and leadership support are important occupational factors associated with SI among healthcare workers. Reducing and mitigating workplace violence, enhancing leadership support, and improving access to mental health care should be considered targets for interventions to decrease suicide risk in this population.
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  • 文章类型: Journal Article
    美国注册护士(RN)劳动力正在变化,高的倦怠率,打算离开,和空缺。快速,对护理人员队伍的反复评估可以帮助医院管理人员和政策制定者制定有效的招聘和保留策略.
    确定2022年至2023年调查之间实践RN\'就业计划和工作场所评估的变化。
    这项调查研究比较了密歇根州护士\'研究在2个时间点收集的数据:2022年2月22日至3月1日以及2023年5月17日至6月1日。用活跃的,包括密歇根州的无限制许可证和有效的个人电子邮件地址。
    主要结果是护士打算在1年内离开目前的职位。在2023年的调查中,计划离开的护士被询问了他们下一步的职业和计划离开的主要原因。工作场所评估包括有关虐待或暴力工作场所事件的问题,情绪疲惫,工作满意度,实践环境提供高质量的护理,和临床设置的安全评级。回归分析用于检查与计划离职相关的工作场所评估和个人因素。
    这项研究获得了9150名护士(6495名女性[71.0%])和7059名护士(5134名女性[72.7%])对2022年做出反应的数据(反应率,8.3%)和2023年(回应率,7.4%)调查,分别。在2023年的调查中,32.0%(2259)的护士计划离开他们的位置,与2022年调查的39.1%(3576)相比。在这些护士中,957(41.8%)计划离开现任雇主,但继续从事护理工作,工作负载是最常被引用的原因(29.4%[672])。与2022年队列相比,2023年样本中的护士报告的工作场所虐待或暴力较少(4591[50.2%]对3063[43.4%];P<.001),人手不足的班次较少(4407[48.2%]对2898[41.0%];P<.001),较少使用强制性加班(1709[18.7%]vs824[11.7%];P<.001)。与计划离职可能性增加相关的因素包括工作场所虐待或暴力(赔率比[OR],1.39;95%CI,1.05-1.82)和更高的情绪衰竭得分(OR,3.05;95%CI,2.38-3.91)。有利的实践环境(或,0.37;95%CI,0.22-0.62)和优异的临床设置安全性评级(OR,0.28;95%CI,0.14-0.56)与计划离开的可能性较低相关。
    这项研究的结果表明,与2022年调查相比,护士报告的工作场所条件有所改善;然而,计划离境率,虐待或暴力事件,不安全条件仍然很高,人员不足仍然是大多数护士的首要问题。卫生系统领导人和政策制定者应优先考虑支持护士保留和减少潜在劳动力不稳定的举措。
    UNASSIGNED: The US registered nurse (RN) workforce is in flux, with high rates of burnout, intention to leave, and vacancies. Rapid, repeated assessments of the nursing workforce can help hospital executives and policymakers enact effective recruitment and retention strategies.
    UNASSIGNED: To identify changes in practicing RNs\' employment plans and workplace assessments between the 2022 and 2023 surveys.
    UNASSIGNED: This survey study compared data collected from the Michigan Nurses\' Study at 2 time points: February 22 to March 1, 2022, and May 17 to June 1, 2023. Practicing RNs with an active, unrestricted license in Michigan and a valid individual email address were included.
    UNASSIGNED: The primary outcome was nurses\' intention to leave their current position within 1 year. In the 2023 survey, nurses who planned to leave were queried on their next career step and the primary reason for their planned departure. Workplace assessments included questions about abusive or violent workplace events, emotional exhaustion, job satisfaction, the practice environment\'s delivery of high-quality care, and the clinical setting\'s safety rating. Regression analysis was used to examine workplace assessments and personal factors associated with planned departures.
    UNASSIGNED: This study obtained data on 9150 nurses (6495 females [71.0%]) and 7059 nurses (5134 females [72.7%]) responding to the 2022 (response rate, 8.3%) and 2023 (response rate, 7.4%) surveys, respectively. In the 2023 survey, 32.0% (2259) of nurses planned to leave their position, compared with 39.1% (3576) in the 2022 survey. Of these nurses, 957 (41.8%) planned to leave their current employer but remain in nursing, with workloads as the most frequently cited reason (29.4% [672]). Compared with the 2022 cohort, nurses in the 2023 sample reported less workplace abuse or violence (4591 [50.2%] vs 3063 [43.4%]; P < .001), fewer understaffed shifts (4407 [48.2%] vs 2898 [41.0%]; P < .001), and less frequent use of mandatory overtime (1709 [18.7%] vs 824 [11.7%]; P < .001). Factors associated with increased likelihood for planned departures included workplace abuse or violence (odds ratio [OR], 1.39; 95% CI, 1.05-1.82) and higher emotional exhaustion scores (OR, 3.05; 95% CI, 2.38-3.91). Favorable practice environments (OR, 0.37; 95% CI, 0.22-0.62) and excellent clinical setting safety ratings (OR, 0.28; 95% CI, 0.14-0.56) were associated with lower likelihood of planned departure.
    UNASSIGNED: Results of this study showed that nurses reported improved workplace conditions in the 2023 vs the 2022 survey; however, planned departure rates, abusive or violent events, and unsafe conditions remained high, and understaffing remained a primary concern for most nurses. Health system leaders and policymakers should prioritize initiatives that support nurse retention and reduce potential workforce instability.
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  • 文章类型: Journal Article
    针对医护人员的工作场所暴力已成为一个严重的全球公共卫生问题。精神科护士的工作场所暴力发生率高于所有其他医疗机构,每年高达84.2%。它不仅对医护人员生活的许多方面产生负面影响,而且破坏了护患关系的和谐,降低了护理质量。中国的精神科护士人数约为96,000人,远低于大多数其他国家,无法满足日益增长的精神卫生需求。然而,工作场所暴力的增加未来会加剧目前护士的短缺。因此,有必要制定有效的策略来防止精神科护士遭受工作场所暴力,从而减少护士流失,提高护理质量。在制定策略和采取措施之前,全面了解精神科护士预防工作场所暴力的偏好和优先事项是重要的前提。不幸的是,到目前为止,没有研究调查精神科护士的偏好。因此,一项离散选择实验(DCE)正在进行,以探索精神科护士对预防工作场所暴力的偏好。本文报告了DCE的方法细节。
    通过文献综述开发了六个属性,一对一访谈和焦点小组讨论。使用NGENE中的D-高效设计来生成选择集。SPSS24.0将用于社会人口学的描述性分析,Stata16.0将用于DCE数据分析。将使用多项logit模型来初步探索选择任务中包括的工作场所暴力预防特征之间的权衡。然后,在混合的logit模型中,我们计划选择一些任意定义的基础暴力预防计划,并将使用nlcom命令来评估替代暴力预防计划的可能性。
    该研究得到了相关伦理委员会的批准。我们的发现将强调基于精神科护士偏好的优先干预领域,并为医院制定和改进工作场所暴力预防策略提供参考。结果将通过研讨会分享,政策简报,同行评审的期刊文章和在线博客。
    UNASSIGNED: Workplace violence against healthcare workers has become a serious global public health problem. The incidence of workplace violence towards Psychiatric nurses is higher than in all other medical institutions, up to 84.2% per year. It not only negatively affects many aspects of healthcare workers\' lives, but also destroys the harmony of the nurse-patient relationship and reduces the quality of nursing care. The number of psychiatric nurses in China was approximately 96,000, far lower than most other countries and unable to meet the growing demand for mental health. However, the increase in workplace violence has future exacerbates the current shortage of nurses. Therefore, it is necessary to develop effective strategies to prevent psychiatric nurses from suffering from workplace violence, thereby to reduce nurse turnover and improve the quality of nursing care. A comprehensive understanding of psychiatric nurses\' preferences and priorities for preventing workplace violence is an important prerequisite before formulating strategies and taking measures. Unfortunately, to date, no research has investigated the psychiatric nurses\' preferences. Therefore, a discrete choice experiment (DCE) is conducting to explore the psychiatric nurses\' preferences for workplace violence prevention. This article reports on methodological details of the DCE.
    UNASSIGNED: Six attributes were developed through a literature review, one-on-one interviews and focus group discussions. D-efficient design in NGENE was used to generate choice sets. SPSS 24.0 will be used for descriptive analysis of social Demography, and Stata 16.0 will be used for analysis of DCE data. A multinomial logit model will be used to preliminarily explore trade-offs between workplace violence prevention characteristics included in the choice tasks. Then, in a mixed logit model, we plan to choose some arbitrarily defined base violence prevention program and will use the nlcom command to evaluate the probability of an alternative violence prevention program.
    UNASSIGNED: The study was approved by the relevant ethics committees. Our findings will emphasize priority intervention areas based on the preferences of psychiatric nurses and provide references for hospitals to develop and improve workplace violence prevention strategies. The results will be shared through seminars, policy briefs, peer-reviewed journal articles and online blogs.
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  • 文章类型: Journal Article
    全球范围内的医护人员遭受工作场所暴力的风险增加。身体伤害等不良影响,降低了对患者的护理质量,降低了生产率,并给雇主带来了相关的成本。不报告妨碍了有效预防的实施。这项研究旨在评估患病率,不报告工作场所暴力的原因,以及在研究地点设计干预策略之前的预防知识,在这个问题上缺乏研究。
    这项横断面研究是在阿巴卡利基的教学医院进行的,Ebonyi州,2020年,205名员工为期4周。医院被分层为临床,护理服务,药房,实验室,和行政区划;按比例分配和随机抽样用于选择分配的样本。使用结构化问卷收集数据。描述性统计确定了中心趋势和分散的衡量标准,而变量的双变量分析采用Pearson卡方检验。统计学显著性设定为p≤0.05,置信水平为95%。
    参与者的平均年龄为39.1±7.8岁。工作场所暴力的发生率为70%。不报告的最常见原因是报告程序的复杂性和耗时(26.5%),其次是对职业报复的恐惧(22.4%)。对工作场所暴力预防策略具有良好知识的受访者比例很高(69.8%)。性别(p=0.03),工作设置(p=0.006),以前的工作场所暴力培训(p=0.005)和工作场所暴力预防策略知识(p=0.04)与工作场所暴力经历有统计学意义的关联.
    工作场所暴力的高流行率表明,需要一个工作场所暴力预防计划,该计划应包括一个简单的报告和培训过程。以前的培训提高了认识,这可能是与工作场所暴力密切相关的原因。
    UNASSIGNED: Healthcare workers globally are at an increased risk of workplace violence. Adverse effects such as physical injury, reduced quality of care to patients and lower productivity with associated costs to employers occur. Non-reporting hinders the implementation of effective prevention. This study aimed to assess the prevalence, reasons for non-reporting of workplace violence, and knowledge of prevention prior to designing intervention strategies in the study location where there is a paucity of research on this issue.
    UNASSIGNED: This cross-sectional study was conducted at a Teaching Hospital in Abakaliki, Ebonyi State, for 4 weeks in 2020 among 205 employees. The hospital was stratified into Clinical, Nursing Services, Pharmacy, Laboratory, and administrative divisions; proportionate allocation and random sampling were used to select the allocated samples. A structured questionnaire was used to collect data. Descriptive statistics determined the measures of central tendencies and dispersion, while bivariate analysis of the variables was done using Pearson\'s Chi-Square test. Statistical significance was set at p ≤ 0.05 with a confidence level of 95%.
    UNASSIGNED: The mean age of the participants was 39.1 ± 7.8 years. The prevalence of workplace violence was 70%. The most common reason for non-reporting was complexities and time-consuming reporting procedures (26.5%) followed by fear of reprisal on career (22.4%). The proportion of respondents with good knowledge of workplace violence prevention strategies was high (69.8%). Gender (p = 0.03), work setting (p = 0.006), previous workplace violence training (p = 0.005) and knowledge of workplace violence preventive strategies (p = 0.04) had statistically significant associations with experience of workplace violence.
    UNASSIGNED: The high prevalence of workplace violence suggests a need for a workplace violence prevention program which should include a simple process of reporting and training. The improved awareness from previous training may account for the significant association with workplace violence.
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  • 文章类型: Journal Article
    背景:重症监护病房(ICU)经常发生与患者和亲属的冲突,由危重病及其治疗加剧的因素驱动。大多数ICU医疗保健专业人员都经历过口头和/或身体暴力。有必要了解ICU中的医疗保健专业人员如何体验和管理这种工作场所暴力。
    方法:使用与ICU医疗保健专业人员的半结构化焦点小组访谈,对瑞典的四家医院进行了定性描述性分析。
    结果:共有34名参与者(14名护士,对四家医院的6名医生和14名其他工作人员)进行了采访。总体主题:“医疗保健中的暴力悖论”说明了ICU护理中暴力的正常化,并表明了医疗保健专业人员之间的复杂关联,将暴力视为护理的一个组成部分。同时认定自己是这种暴力的受害者。医疗保健专业人员描述了准备不足,缺乏管理暴力局势的适当工具。因此,暴力管理主要基于自学成才的技能。
    结论:这项研究有助于理解ICU护理中暴力的正常化,并为其起源提供了可能的解释。悖论涉及多方面的方法,承认并面对医疗保健中暴力的结构和文化层面。这种方法将为更可持续的医疗保健系统奠定基础。
    BACKGROUND: Conflicts with patients and relatives occur frequently in intensive care units (ICUs), driven by factors that are intensified by critical illness and its treatments. A majority of ICU healthcare professionals have experienced verbal and/or physical violence. There is a need to understand how healthcare professionals in ICUs experience and manage this workplace violence.
    METHODS: A qualitative descriptive analysis of four hospitals in Sweden was conducted using semi-structured focus-group interviews with ICU healthcare professionals.
    RESULTS: A total of 34 participants (14 nurses, 6 physicians and 14 other staff) were interviewed across the four hospitals. The overarching theme: \"The paradox of violence in healthcare\" illustrated a normalisation of violence in ICU care and indicated a complex association between healthcare professionals regarding violence as an integral aspect of caregiving, while simultaneously identifying themselves as victims of this violence. The healthcare professionals described being poorly prepared and lacking appropriate tools to manage violent situations. The management of violence was therefore mostly based on self-taught skills.
    CONCLUSIONS: This study contributes to understanding the normalisation of violence in ICU care and gives a possible explanation for its origins. The paradox involves a multifaceted approach that acknowledges and confronts the structural and cultural dimensions of violence in healthcare. Such an approach will lay the foundations for a more sustainable healthcare system.
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  • 文章类型: Journal Article
    在临床医疗保健人员中,护士面临工作场所暴力的比例最高,这对他们的身心健康以及个人和职业生活都有重大影响。然而,关于工作场所暴力对没有经验的母乳喂养护士的影响以及他们在母乳喂养期间和之后重返工作岗位的经历知之甚少。这项研究旨在探讨没有经验的母乳喂养护士遇到工作场所暴力的经历及其带来的影响。
    本研究采用描述性定性设计。对三家三级医院不同岗位和科室的20名护士进行了半结构化深入访谈。采用目的和最大变化采样技术。访谈数据采用Colaizzi的方法进行分析,和研究结果报告根据综合标准报告定性研究(COREQ)标准。
    关于工作场所暴力和没有经验的母乳喂养护士的风险的推论包括体力劳动(例如举起重物和进行心肺复苏),冲突,工作技能不足,角色混乱,职业暴露风险,病人的暴力,来自老年人的压力。一项归纳性主题调查揭示了“母乳喂养期间面临的挑战,\"\"冲突的职业和家庭角色,\"\"失去平衡,“和”应对策略。
    由于工作场所暴力,没有经验的母乳喂养护士经历了一些负面影响。因此,计划和实施预防战略和管理计划至关重要,这些战略和管理计划专门针对没有经验的母乳喂养护士的工作场所暴力。
    UNASSIGNED: Among clinical healthcare personnel, nurses face the highest proportion of workplace violence, which has a significant impact on their physical and mental well-being as well as their personal and professional lives. However, little is known about the effects of workplace violence on inexperienced breastfeeding nurses and their experiences during and after breastfeeding when they return to work. This study aimed to explore the experiences of inexperienced breastfeeding nurses who encountered workplace violence and its resulting impacts.
    UNASSIGNED: This study employed a descriptive qualitative design. Semi-structured in-depth interviews were conducted with 20 nurses working in various positions and departments at three tertiary hospitals. Purposive and maximum variation sampling techniques were employed. The interview data were analyzed using Colaizzi\'s method, and the research findings were reported according to Consolidated Criteria for Reporting Qualitative Studies (COREQ)standards.
    UNASSIGNED: Inferences regarding workplace violence and risks for inexperienced breastfeeding nurses included physical labor (such as lifting heavy objects and performing cardiopulmonary resuscitation), conflicts, inadequate job skills, role confusion, occupational exposure risks, patient violence, and pressure from older adults. An inductive thematic investigation revealed the \"Challenges faced during breastfeeding,\" \"Conflicting professional and family roles,\" \"Out of balance,\" and \"Coping strategies.\"
    UNASSIGNED: Inexperienced breastfeeding nurses experience several negative consequences due to workplace violence. Therefore, it is essential to plan and implement preventive strategies and management programs that specifically target workplace violence among inexperienced breastfeeding nurses.
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    文章类型: Journal Article
    对医护人员的暴力行为是对卫生部门的威胁,事故和急诊科的工作人员受到的影响最严重。因此,这种暴力使医疗保健供应面临风险,并损害了护理质量。这项研究旨在确定患病率,type,急诊科医生和护士暴力的来源和危险因素。
    这是在2022年3月至4月在ED的医生和护士中进行的一项横断面研究,使用对工作人员的自我管理问卷。
    这项研究中有51名受访者,其中35.3%的医生和64.7%的护士。大多数(72.5%)的受访者是工作场所暴力的受害者,86.2%的人遭受过口头虐待。患者亲属占暴力肇事者的大多数(83.8%),缺乏沟通(41.2%)构成了攻击的大部分感知原因。大多数受害者没有对此事件做出任何报告(86.5%)。工作场所暴力的发生与医疗保健专业人员的类别之间存在显着关系。
    工作场所暴力在事故和急诊科很常见,护士受到的影响最严重。大多数受害者不报告该事件。医院管理者应该把政策,威慑和战略,例如沟通技巧培训和改进报告系统,以防止对医护人员的暴力行为。
    UNASSIGNED: Violence against healthcare workers is a menace ravaging the health sector and staff of the accident and emergency department are the worst affected. As a consequence, this violence puts health-care provision at risk and compromises the quality of care. This study aimed to determine the prevalence, type, sources and risk factors of violence against doctors and nurses in the emergency department.
    UNASSIGNED: This is a cross-sectional study conducted in March-April 2022 amongst doctors and nurses in the ED using a self- administered questionnaire on the staff.
    UNASSIGNED: There were 51 respondents in this study comprising 35.3% doctors and 64.7% nurses. Most (72.5%) of the respondents have been victims of workplace violence and 86.2% experienced verbal abuse. Patient relatives make up a majority (83.8%) of the perpetrators of the violence, with lack of communication (41.2%) making up the majority of the perceived reason for the assault. Most of the victims did not make any report about the incident (86.5%). There was a significant relationship between the occurrence of workplace violence and the category of healthcare professionals.
    UNASSIGNED: Workplace violence is common in the accident and emergency department and nurses are the worst affected. Most victims do not report the incident. Hospital administrators and managers should put policies, deterrents and strategies, such as training on communication skills and an improved reporting system to prevent violence against healthcare workers.
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