Small Charlene R, Porterfield Susan, Gordon Glenna
Florida State University, College of Nursing, 129 Royal Oaks Court, Crawfordville, FL 32327, USA.
Florida State University, RM 445, 98 Varsity Way, Duxbury Hall, Tallahassee, FL 32306-4310, USA.
Appl Nurs Res. 2015 May;28(2):67-71. doi: 10.1016/j.apnr.2014.12.002. Epub 2014 Dec 18.
The aim of this study was to determine the incidence of disruptive behavior among nurses in the healthcare workplace, the details that are associated with its occurrence, and the organizational procedures utilized when disruptive incidents occur.
Healthcare workers have a higher risk of experiencing disruptive behavior among staff in the workplace compared to other industries, and nurses are more susceptible than other healthcare workers.
A quantitative, descriptive, survey design asked nurses if they had experienced disruptive behavior within the past 12 months and how this was handled by their organization. Disruptive behavior included any type of verbal abuse, electronic or e-mail abuse, or physical abuse within the work environment.
There were 2,821 participants that validated the occurrence of verbal, electronic, and physical disruptive behavior, and the majority rated their overall work environment to be at high risk of experiencing disruptive behavior at least once every 6 months.
Twenty-four statistically significant relationships were found with strongest associations (<0.001) between: age and electronic abuse; position and verbal abuse; position and physical abuse; years of experience and electronic abuse; susceptibility of the organization to workplace violence and position as well as education; missing work due to disruptive behavior and position; and feeling comfortable reporting the abuse and position as well as education.
It is evident that disruptive behavior exists verbally, electronically, and physically, and that the overall work environment is felt to be at high risk of experiencing repeated disruptive behavior.
本研究旨在确定医疗保健工作场所护士中破坏性行为的发生率、与其发生相关的细节，以及破坏事件发生时所采用的组织程序。
与其他行业相比，医护人员在工作场所遭遇破坏性行为的风险更高，而护士比其他医护人员更容易受到影响。
采用定量、描述性调查设计，询问护士在过去12个月内是否经历过破坏性行为，以及其所在组织是如何处理的。破坏性行为包括工作环境中的任何形式的言语辱骂、电子或电子邮件辱骂或身体虐待。
有2821名参与者证实发生了言语、电子和身体方面的破坏性行为，大多数人认为他们的整体工作环境至少每6个月就有一次遭受破坏性行为的高风险。
发现了24种具有统计学意义的关系，其中年龄与电子辱骂、职位与言语辱骂、职位与身体虐待、工作年限与电子辱骂、组织对工作场所暴力的易感性与职位以及教育程度、因破坏性行为而缺勤与职位、以及对举报虐待行为感到自在与职位以及教育程度之间的关联最为强烈（<0.001）。
显然，破坏性行为在言语、电子和身体方面都存在，并且整体工作环境被认为面临反复出现破坏性行为的高风险。
