Nolan P, Dallender J, Soares J, Thomsen S, Arnetz B
School of Health Sciences, University of Birmingham, Birmingham, England.
J Adv Nurs. 1999 Oct;30(4):934-41. doi: 10.1046/j.1365-2648.1999.01163.x.
Violence against mental health service personnel is a serious workplace problem and one that appears to be increasing. This study aimed to ascertain the extent and nature of violence against mental health nurses and psychiatrists, and to identify what support, if any, they received following exposure to violence. Mental health staff working within five West Midlands Trusts in the United Kingdom were surveyed using a postal questionnaire to investigate the extent and nature of violence they encountered in their daily work. There was an overall response rate of 47%, which included a response rate for psychiatrists of 60% (n=74) and for mental health nurses of 45% (n=301). Though both groups experienced violence at work, nurses were found: to have been exposed to violence significantly more during their career; to have been a victim of violence within the previous 12 months of the survey; and to have suffered a violent incident involving physical contact. Whilst a higher proportion of nurses than psychiatrists received some support following a violent incident, a large proportion of both groups did not receive any, although most felt in need of it. The implications of this study for training and management are discussed.
针对精神卫生服务人员的暴力行为是一个严重的工作场所问题，而且似乎有愈演愈烈之势。本研究旨在确定针对精神科护士和精神科医生的暴力行为的程度和性质，并查明他们在遭受暴力后得到了哪些支持（若有）。通过邮寄问卷调查了英国西米德兰兹郡五个信托基金机构内的精神卫生工作人员，以调查他们在日常工作中遭遇暴力行为的程度和性质。总体回复率为47%，其中精神科医生的回复率为60%（n = 74），精神科护士的回复率为45%（n = 301）。尽管两组人员在工作中都曾遭遇暴力，但研究发现护士：在其职业生涯中遭受暴力的情况明显更多；在调查前的12个月内曾成为暴力行为的受害者；并且曾遭遇涉及身体接触的暴力事件。虽然暴力事件发生后获得某种支持的护士比例高于精神科医生，但两组中很大一部分人都未得到任何支持，尽管大多数人都觉得自己需要支持。本文讨论了该研究对培训和管理工作的启示。
