Ramacciati Nicola, Ceccagnoli Andrea, Addey Beniamino
Emergency Department, Perugia Hospital, Loc. S. Andrea delle Fratte, 06132 Perugia, Italy.
Emergency Department, Perugia Hospital, Loc. S. Andrea delle Fratte, 06132 Perugia, Italy.
Int Emerg Nurs. 2015 Oct;23(4):274-80. doi: 10.1016/j.ienj.2015.02.004. Epub 2015 Feb 26.
This qualitative study aims to investigate the feelings experienced by nurses following episodes of violence in the workplace.
Numerous studies show that healthcare professionals are increasingly finding themselves victims of violence; of all professionals, nurses in the Emergency Department and especially those performing triage are one of the staff categories which most frequently experience these episodes during their work.
In Italy, this phenomenon has been studied very little in comparison to other countries but has recently been gaining increasing attention. Few studies have investigated the feelings experienced by nurses following episodes of violence in the workplace.
For this study a phenomenological approach was used. Assumptions and previous findings were set aside (bracketing). A purposive sample of 9 nurses coming from 7 different Emergency Department in the region of Tuscany, Italy was interviewed during a focus group meeting. The data analysis was carried out using the Colaizzi method.
Data analysis revealed 10 significant themes/responses. The quality of reporting was guaranteed by adopting the COREQ criteria.
Data analysis revealed that nurses feel that violent episodes are "inevitable" and that they feel they have grown accustomed to high levels of violence, that they suffer feelings of "inadequacy" but also that they are aware that they themselves can trigger conflict with patients, and again suffer the feeling of "being alone" in facing these problems and a sense of "being left on their own" by the institution and feeling "hurt", "scared", "angry" and have a sense that "it is not fair". Last but not least, "the gender difference" appears to play an important role in the emotional response.
To suffer episodes of violence has serious and severe "hidden costs" which are just as important as the direct, tangible costs.
本定性研究旨在调查护士在工作场所遭受暴力事件后的感受。
大量研究表明，医护人员越来越多地成为暴力行为的受害者；在所有职业中，急诊科护士，尤其是那些进行分诊的护士，是在工作中最常遭遇此类事件的员工类别之一。
在意大利，与其他国家相比，对这一现象的研究很少，但最近越来越受到关注。很少有研究调查护士在工作场所遭受暴力事件后的感受。
本研究采用现象学方法。摒弃假设和先前的研究结果（加括号）。在一次焦点小组会议期间，对来自意大利托斯卡纳地区7个不同急诊科的9名护士进行了有目的抽样访谈。使用柯莱齐方法进行数据分析。
数据分析揭示了10个重要主题/回应。通过采用COREQ标准保证了报告质量。
数据分析表明，护士们认为暴力事件“不可避免”，他们觉得自己已经习惯了高度暴力，他们会产生“不足感”，但也意识到自己可能引发与患者的冲突，并且在面对这些问题时会感到“孤独”，觉得机构“将他们弃之不顾”，感到“受伤”“害怕”“愤怒”，并有一种“不公平”的感觉。最后但同样重要的是，“性别差异”似乎在情绪反应中起着重要作用。
遭受暴力事件会产生严重且巨大的“隐性成本”，这些成本与直接的、有形的成本同样重要。
