Itzhaki Michal, Peles-Bortz Anat, Kostistky Hava, Barnoy Dor, Filshtinsky Vivian, Bluvstein Irit
Department of Nursing, Tel Aviv University, Tel Aviv, Israel.
Sha'ar Menashe Mental Health Center, Emeq Hefer, Israel.
Int J Ment Health Nurs. 2015 Oct;24(5):403-12. doi: 10.1111/inm.12151. Epub 2015 Aug 7.
Workplace violence towards health workers in hospitals and in mental health units in particular is increasing. The aim of the present study was to explore the effects of exposure to violence, job stress, staff resilience, and post-traumatic growth (PTG) on the life satisfaction of mental health nurses. A descriptive, cross-sectional design was used. The sample consisted of mental health nurses (n = 118) working in a large mental health centre in Israel. Verbal violence by patients was reported by 88.1% of the nurses, and 58.4% experienced physical violence in the past year. Physical and verbal violence towards nurses was correlated with job stress, and life satisfaction was correlated with PTG and staff resilience. Linear regression analyses indicated that life satisfaction was mainly affected by PTG, staff resilience, and job stress, and less by exposure to verbal and physical violence. The present study is the first to show that, although mental health nurses are frequently exposed to violence, their life satisfaction is affected more by staff resilience, PTG, and job stress than by workplace violence. Therefore, it is recommended that intervention programmes that contribute to PTG and staff resilience, as well as those that reduce job stress among mental health nurses, be explored and implemented.
医院尤其是精神卫生机构针对医护人员的职场暴力正在增加。本研究的目的是探讨遭受暴力、工作压力、员工心理韧性以及创伤后成长(PTG)对精神科护士生活满意度的影响。采用了描述性横断面设计。样本包括在以色列一家大型精神卫生中心工作的精神科护士(n = 118)。88.1%的护士报告曾遭受患者的言语暴力,58.4%的护士在过去一年中经历过身体暴力。针对护士的身体和言语暴力与工作压力相关,生活满意度与创伤后成长及员工心理韧性相关。线性回归分析表明,生活满意度主要受创伤后成长、员工心理韧性和工作压力的影响,受言语和身体暴力暴露的影响较小。本研究首次表明,尽管精神科护士经常遭受暴力,但相比职场暴力,他们的生活满意度更多地受到员工心理韧性、创伤后成长和工作压力的影响。因此,建议探索并实施有助于创伤后成长和员工心理韧性的干预项目,以及减轻精神科护士工作压力的项目。