Department of Nursing, Min-Hwei College of Health Care Management, Tainan, Taiwan.
J Clin Nurs. 2011 May;20(9-10):1405-12. doi: 10.1111/j.1365-2702.2010.03650.x.
The purpose of this study was to determine the risk factors and mental health consequences of physical and psychological violence for clinical nurses working in healthcare settings in Taiwan.
Registered nurses working in hospitals in Taiwan report high incidences of workplace violence. However, previous studies rarely report psychological abuse among nursing staff, while the relationships between personal factors and workplace violence remain unclear.
This is a cross-sectional study.
Participants were invited to complete the Workplace Violence Questionnaire, an instrument designed to assess types of workplace violence (physical violence, verbal abuse, bullying/mobbing and sexual harassment), the characteristics of perpetrators and victims and victims' reactions to their abuse.
A total of 521 nurses completed the questionnaire. Of the participants, 102 (19.6%) indicated that they had experienced physical violence, 268 (51.4%) had experienced verbal abuse, 155 (29.8%) had experienced bullying/mobbing and 67 (12.9%) had experienced sexual harassment. Multiple logistic analyses indicated that age under 30 years (odds ratio = 2.4; 95% confidence interval = 1.34-4.46) and anxiety (odds ratio = 4.7; 95% confidence interval = 1.24-18.12) increased the odds of verbal abuse, while bullying was associated with anxiety (odds ratio = 2.7, 95% confidence interval = 1.09-6.93). Night work shift increased the odds of experiencing sexual harassment (odds ratio = 2.3, 95% confidence interval = 1.29-4.16), while physical violence was associated with bachelor's degree (odds ratio = 2.8, 95% confidence interval = 1.20-6.73). The most serious psychological harm was post-traumatic stress disorder.
Exposure to psychological violence often has a great impact on clinical nurses.
For violence prevention, interventions should be sensitive to personal factors. Healthcare institutions should initiate counselling programs to help nurses cope with the stress related to workplace violence.
本研究旨在确定身体和心理暴力对在台湾医疗机构工作的临床护士的风险因素和心理健康后果。
在台湾，在医院工作的注册护士报告的工作场所暴力发生率很高。然而，以前的研究很少报告护理人员遭受的心理虐待，而个人因素与工作场所暴力之间的关系尚不清楚。
这是一项横断面研究。
邀请参与者填写工作场所暴力问卷，该问卷旨在评估工作场所暴力（身体暴力、言语虐待、欺凌/骚扰和性骚扰）的类型、加害者和受害者的特征以及受害者对其虐待的反应。
共有 521 名护士完成了问卷。在参与者中，102 人（19.6%）表示他们经历过身体暴力，268 人（51.4%）经历过言语虐待，155 人（29.8%）经历过欺凌/骚扰，67 人（12.9%）经历过性骚扰。多变量逻辑分析表明，年龄在 30 岁以下（优势比=2.4；95%置信区间=1.34-4.46）和焦虑（优势比=4.7；95%置信区间=1.24-18.12）增加了言语虐待的几率，而欺凌与焦虑有关（优势比=2.7；95%置信区间=1.09-6.93）。夜班增加了遭受性骚扰的几率（优势比=2.3；95%置信区间=1.29-4.16），而身体暴力与学士学位有关（优势比=2.8；95%置信区间=1.20-6.73）。最严重的心理伤害是创伤后应激障碍。
暴露于心理暴力通常对临床护士有很大影响。
为了预防暴力，干预措施应针对个人因素。医疗机构应启动咨询计划，帮助护士应对与工作场所暴力相关的压力。
