Gates Donna M, Gillespie Gordon L, Succop Paul
College of Nursing, University of Cincinnati, Cincinnati, OH, USA.
Nurs Econ. 2011 Mar-Apr;29(2):59-66, quiz 67.
The purpose of this study was to examine how violence from patients and visitors is related to emergency department (ED) nurses' work productivity and symptoms of post-traumatic stress disorder (PTSD). Researchers have found ED nurses experience a high prevalence of physical assaults from patients and visitors. Yet, there is little research which examines the effect violent events have on nurses' productivity, particularly their ability to provide safe and compassionate patient care. A cross-sectional design was used to gather data from ED nurses who are members of the Emergency Nurses Association in the United States. Participants were asked to complete the Impact of Events Scale-Revised and Healthcare Productivity Survey in relation to a stressful violent event. Ninety-four percent of nurses experienced at least one posttraumatic stress disorder symptom after a violent event, with 17% having scores high enough to be considered probable for PTSD. In addition, there were significant indirect relationships between stress symptoms and work productivity. Workplace violence is a significant stressor for ED nurses. Results also indicate violence has an impact on the care ED nurses provide. Interventions are needed to prevent the violence and to provide care to the ED nurse after an event.
本研究的目的是探讨患者及访客的暴力行为与急诊科（ED）护士的工作效率及创伤后应激障碍（PTSD）症状之间的关系。研究人员发现，急诊科护士遭受患者及访客身体攻击的情况很普遍。然而，很少有研究考察暴力事件对护士工作效率的影响，尤其是他们提供安全且富有同情心的患者护理的能力。采用横断面设计从美国急诊护士协会的急诊科护士中收集数据。参与者被要求完成与一次应激性暴力事件相关的事件影响量表修订版和医疗保健生产力调查。94%的护士在暴力事件后至少出现一种创伤后应激障碍症状，其中17%的得分高到足以被认为可能患有创伤后应激障碍。此外，应激症状与工作效率之间存在显著的间接关系。工作场所暴力是急诊科护士的一个重要压力源。结果还表明，暴力行为会影响急诊科护士提供的护理。需要采取干预措施来预防暴力行为，并在事件发生后为急诊科护士提供护理。
