Division of Nursing and Midwifery, La Trobe University, Mental Health Professional Development & Research Unit, Austin Health, Melbourne, Australia.
Int J Nurs Stud. 2012 Nov;49(11):1423-31. doi: 10.1016/j.ijnurstu.2012.06.007. Epub 2012 Jul 6.
Workplace aggression remains an important source of distress among nurses and midwives and has negative effects on staff health, patient care and organisations' reputation and fiscal health.
To report on the nature and extent of workplace aggression, including bullying experienced by nurses and midwives in Victoria, Australia.
A descriptive study design was chosen.
The Nurses Board of Victoria posted 5000 surveys to the randomly selected registered nurses and midwives in Victoria, Australia, in 2010. The participants were asked about their experiences of violence (from clients) and bullying (from colleagues) within their most recent four working weeks. In addition, the study investigated staff actions following incidents, staff training and safety at work, and what staff believe contribute to incidents. Data analysis involved descriptive statistics, including frequencies and percentages. Chi square tests and P value were used to assess differences in categorical data.
1495 returned questionnaires were included in the study (30% response rate). Over half of the participants (52%) experienced some form of workplace aggression. Thirty-six percent experienced violence mostly from patients or their visitors/relatives and 32% experienced bullying mostly from colleagues or from their managers/supervisors. Significant differences were found between those who experienced aggression from patients and those who were bullied in respect to handling of incidents; factors thought to contribute to incidents; and organisations' handling of incidents.
The study suggests that staff are less worried by patient initiated aggression compared to bullying from colleagues. For all types of aggression, respondents clearly wanted better/more realistic training, as well as enforcement of policies and support when incidents arise.
工作场所的侵犯行为仍然是护士和助产士的一个重要困扰源，对员工的健康、患者护理以及组织的声誉和财政健康都有负面影响。
报告澳大利亚维多利亚州护士和助产士所经历的工作场所侵犯行为（包括欺凌）的性质和程度。
选择描述性研究设计。
2010 年，维多利亚州护士委员会向澳大利亚维多利亚州随机选择的注册护士和助产士寄出了 5000 份调查问卷。参与者被要求报告他们在最近四周内经历的暴力（来自客户）和欺凌（来自同事）的情况。此外，该研究还调查了员工在事件发生后的行动、员工培训和工作安全，以及员工认为哪些因素会导致事件发生。数据分析包括描述性统计，包括频率和百分比。卡方检验和 P 值用于评估分类数据的差异。
共有 1495 份问卷被纳入研究（响应率为 30%）。超过一半的参与者（52%）经历过某种形式的工作场所侵犯。36%的人经历过主要来自患者或其访客/亲属的暴力，32%的人经历过主要来自同事或经理/主管的欺凌。在处理事件、导致事件发生的因素以及组织处理事件方面，经历过患者侵犯和遭受欺凌的人之间存在显著差异。
研究表明，与来自同事的欺凌相比，员工对患者发起的侵犯行为的担忧较小。对于所有类型的侵犯，受访者显然希望获得更好/更现实的培训，以及在事件发生时执行政策和获得支持。
