Faculty of Health Sciences, Department of Nursing and Health Services, Yeditepe University, Marmara University, Institute of Health Sciences, Istanbul, Turkey.
J Clin Nurs. 2011 Feb;20(3-4):510-7. doi: 10.1111/j.1365-2702.2010.03520.x. Epub 2010 Oct 20.
The aim of this study was to determine the perceived verbal and physical violence and related factors experienced by nurses in emergency settings.
Studies on violence in emergency departments indicate an increasing frequency of these incidents. However, little is known about the violence experienced by the Turkish nurses working in emergency departments.
Survey.
The study population included 255 nurses. Data were collected using a questionnaire.
Verbal violence was reported with a frequency of 91.4%. Of the nurses, 74.9% had been exposed to physical violence in at least several episodes during the previous 12 months. Patients' relatives were the main perpetrators, followed by patients, most of whom were male. After experiencing violence, most of the nurses reported that, they had felt fear and only 3% described that they took sick leave, while 80% did not report the incidences of violence they experienced. The nurses described that, after a violent incident, they sought support mainly from their colleagues in emergency departments rather than from the administration. Over half of the nurses (65%) felt safe 'none of the time' in emergency departments, and 89.8% of them described that patients and patient relatives may potentially exhibit violent behaviours towards the staff when they are first admitted to emergency department, while 73.7% believed that the staffing pattern and physical environment of their emergency departments were not adequate to prevent violence. Most of the nurses (83.5%) stated that they should be provided with the training that will help them prevent and manage violence as part of their in-service education, whereas 82.7% of them had not received any such training.
The findings have implications for occupational health and safety from both employer and employee perspective.
本研究旨在确定急诊环境中护士所经历的感知言语和身体暴力及相关因素。
急诊科暴力事件的研究表明，此类事件的频率不断增加。然而，对于在土耳其急诊科工作的护士所经历的暴力事件，人们知之甚少。
调查。
研究对象包括 255 名护士。使用问卷收集数据。
言语暴力的报告频率为 91.4%。在过去 12 个月中，有 74.9%的护士至少有过几次遭遇身体暴力的经历。患者家属是主要施害者，其次是患者，其中大多数是男性。在经历暴力后，大多数护士感到恐惧，只有 3%的人请了病假，而 80%的人没有报告他们所经历的暴力事件。护士们表示，在暴力事件发生后，他们主要向急诊科的同事寻求支持，而不是向管理层寻求支持。超过一半（65%）的护士在急诊科“一直感到不安全”，89.8%的护士表示，当患者及其家属首次被送往急诊科时，他们可能会对工作人员表现出暴力行为，而 73.7%的护士认为他们的急诊科人员配备模式和物理环境不足以防止暴力。大多数护士（83.5%）表示，他们应该接受培训，以帮助他们预防和管理暴力，作为其在职教育的一部分，而 82.7%的护士没有接受过此类培训。
这些发现对雇主和员工双方的职业健康和安全都有影响。
