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沙特公立医院医护人员遭受暴力情况。一项初步调查。

Violence exposure among health care professionals in Saudi public hospitals. A preliminary investigation.

作者信息

Algwaiz Waleed M, Alghanim Saad A

机构信息

Department of Public Administration, College of Business Administration, King Saud University, Riyadh, Kingdom of Saudi Arabia.

出版信息

Saudi Med J. 2012 Jan;33(1):76-82.

Abstract

OBJECTIVE

To identify the prevalence, causes, types, and sources of workplace violence among health professionals in public hospitals in the Kingdom of Saudi Arabia.

METHODS

This exploratory cross-sectional survey employed self-administered questionnaires to collect data on aspects of workplace violence against physicians and nurses in Saudi hospitals. The questionnaires were distributed randomly to 600 physicians and nurses, of which 383 (63.8%) completed the questionnaires at 2 public hospitals in Riyadh city between May and July 2011.

RESULTS

More than two-thirds (67.4%) of respondents reported they were victims of violence in the previous 12 months. Nurses were more likely to be exposed to violent incidents than physicians (p<0.001). Males, less experienced, and younger respondents were more likely to encounter violent episodes than their counterparts. Respondents reported that excessive waiting time, shortage of staff, and unmet patients' demands were the most common reasons for violence. Verbal abuse was the most common type encountered. The assailants were mostly the patients' relatives or friends, followed by the patients themselves. Reasons for not reporting violent events included: feel it is a part of the job, previous experience of no action, and fear of consequences.

CONCLUSION

Physicians and nurses are at high risk of violent incidents. Health decision makers need to be aware of the potential consequences of such events. Appropriate preventive measures are needed to make hospitals safer environments.

摘要

目的

确定沙特阿拉伯王国公立医院医护人员工作场所暴力的发生率、原因、类型及来源。

方法

本探索性横断面调查采用自填式问卷收集沙特医院针对医生和护士的工作场所暴力相关方面的数据。问卷随机分发给600名医生和护士,2011年5月至7月期间,利雅得市两家公立医院的383名(63.8%)人员完成了问卷。

结果

超过三分之二(67.4%)的受访者报告称在过去12个月里他们是暴力受害者。护士比医生更易遭受暴力事件(p<0.001)。男性、经验较少及较年轻的受访者比其同行更易遭遇暴力事件。受访者称等待时间过长、人员短缺及患者需求未满足是暴力最常见的原因。言语辱骂是最常遇到的暴力类型。攻击者大多是患者的亲属或朋友,其次是患者本人。不报告暴力事件的原因包括:觉得这是工作的一部分、以往无处理行动的经历以及害怕后果。

结论

医生和护士面临暴力事件的高风险。卫生决策者需意识到此类事件的潜在后果。需要采取适当的预防措施以使医院环境更安全。

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