Australian School of Business, University of New South Wales, Sydney, Australia.
J Health Organ Manag. 2009;23(4):442-62. doi: 10.1108/14777260910979326.
The purpose of this paper is to examine prevalence of sexual harassment (SH) in nursing and the environmental factors that contribute to incidents of SH.
DESIGN/METHODOLOGY/APPROACH: A mixed-method research methodology is adopted. A total of 538 questionnaires are collected from nurses working in eight different hospitals across metropolitan and rural areas in Australia. A total of 23 in-depth semi-structured interviews are conducted.
Prevalence of SH in nursing is high with 60 percent of female nurses and 34 percent of male nurses reporting a SH incident in the two-year period prior to this paper. The questionnaire data suggest that patients are the most likely perpetrator, however, the interviews name physicians as typical perpetrators. A model is tested via structural equation modelling and revealed that leadership behaviors, an unbalanced job gender ratio and no prior socialization are positively associated with SH.
RESEARCH LIMITATIONS/IMPLICATIONS: This paper closes gaps in theory by introducing a new framework explaining the contextual factors that heighten a nurses' probability of being harassed. Some variables such as organizational culture and specific nursing units have not been explored and can be considered a limitation of the paper.
The results of this paper assist health professionals to adopt proactive practices for managing SH and plan a workforce where SH is minimized.
ORIGINALITY/VALUE: This paper illustrates the prevalence of different types of SH and the causes for male and female nurses that have not been investigated previously. The results help health managers make informed decisions in regard to intervention strategies.
本文旨在探讨护理中性骚扰（SH）的普遍程度以及导致 SH 事件的环境因素。
设计/方法/途径：采用混合方法研究方法。从澳大利亚大都市和农村地区的八家不同医院工作的护士中收集了总共 538 份问卷。共进行了 23 次深入的半结构化访谈。
护理中 SH 的发生率很高，有 60%的女护士和 34%的男护士在本文之前的两年内报告了一次 SH 事件。问卷调查数据表明，患者是最有可能的施害者，但访谈中提到医生是典型的施害者。通过结构方程模型进行测试的模型表明，领导行为、工作性别比例失衡和缺乏前期社会化与 SH 呈正相关。
研究局限性/影响：本文通过引入一个新的框架来解释加剧护士遭受骚扰概率的情境因素，填补了理论上的空白。一些变量，如组织文化和特定的护理单位，尚未得到探讨，可以被认为是本文的一个局限性。
本文的结果有助于卫生专业人员采取积极主动的措施来管理 SH，并计划一个将 SH 最小化的劳动力。
原创性/价值：本文说明了不同类型的 SH 的普遍性以及以前未被调查过的男性和女性护士遭受 SH 的原因。研究结果有助于卫生管理人员就干预策略做出明智的决策。
