Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Management and Economics, School of Public Health and Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Int J Health Policy Manag. 2014 Oct 4;3(6):301-5. doi: 10.15171/ijhpm.2014.98. eCollection 2014 Nov.
Workplace violence is one of the factors which can strongly reduce job satisfaction and the quality of working life of nurses. The aim of this study was to measure nurses' exposure to workplace violence in one of the major teaching hospitals in Tehran in 2010.
We surveyed the nurses in a cross-sectional design in 2010. The questionnaire was adapted from a standardized questionnaire designed collaboratively by the International Labor Office (ILO), the International Health Organization (IHO), the International Council of Nurses (ICN), and the Public Services International (PSI). Finally, in order to analyze the relationships among different variables in the study, T-test and Chi-Square test were used.
Three hundred and one nurses responded to the questionnaire (a response rate of 73%). Over 70% of the nurses felt worried about workplace violence. The participants reported exposure to verbal abuse (64% CI: 59-70%), bullying-mobbing (29% CI: 24-34%) and physical violence (12% CI: 9-16%) at least once during the previous year. Relatives of hospital patients were responsible for most of the violence. Nurses working in the emergency department and outpatient clinics were more likely to report having experienced violence. Nurses were unlikely to report violence to hospital managers, and 40% of nurses were unaware of any existing policies within the hospital for reducing violence.
We observed a considerable level of nurse exposure to workplace violence. The high rate of reported workplace violence demonstrates that the existing safeguards that aim to protect the staff from abusive patients and relatives are inadequate.
工作场所暴力是强烈降低护士工作满意度和工作生活质量的因素之一。本研究的目的是在 2010 年测量德黑兰一家主要教学医院的护士所经历的工作场所暴力。
我们在 2010 年采用横断面设计调查了护士。调查问卷改编自国际劳工组织（ILO）、国际卫生组织（IHO）、国际护士理事会（ICN）和公共服务国际（PSI）合作设计的标准化问卷。最后，为了分析研究中不同变量之间的关系，使用了 T 检验和卡方检验。
301 名护士回答了问卷（应答率为 73%）。超过 70%的护士对工作场所暴力感到担忧。参与者报告在过去一年中至少经历过一次言语虐待（64%CI：59-70%）、欺凌-骚扰（29%CI：24-34%）和身体暴力（12%CI：9-16%）。医院患者的亲属是大多数暴力行为的责任人。在急诊科和门诊工作的护士更有可能报告曾经历过暴力。护士不太可能向医院管理人员报告暴力行为，并且 40%的护士不知道医院内有任何旨在减少暴力的现行政策。
我们观察到护士经历工作场所暴力的程度相当高。报告的工作场所暴力率很高，表明旨在保护工作人员免受虐待患者和亲属侵害的现有保障措施不足。
