Al-Ali Nahla Mansour, Al Faouri Ibrahim, Al-Niarat Tahany Fareed
Faculty of Nursing/Community and Mental Health Dept., Jordan University of Science & Technology, P.O. Box:3030, Irbid, 22110, Jordan.
Faculty of Nursing/Community and Mental Health Dept., Jordan University of Science and Technology, CNO-King Abdullah University Hospital, Irbid-Jordan.
Appl Nurs Res. 2016 May;30:83-9. doi: 10.1016/j.apnr.2015.11.001. Epub 2015 Nov 14.
Nurses' attitudes toward workplace violence are still inadequately explored, and possess an impact in preventing, and managing the violent incidents and the quality of nursing care. Creating a demand for an effective intervention program to improve nurses' knowledge of and attitudes toward workplace violence.
To study the impact of the training program on nurses' attitudes toward workplace violence in a military hospital in Jordan.
One group before-after design was employed. A stratified random sample of 100 nurses working in three shifts was recruited. Data were collected earlier and after the preparation program using the Attitudes Toward Patient Physical Assault Questionnaire. "The Framework Guidelines for addressing workplace violence in the health sector", was adopted in this work. The preparation sessions were for one day each week over five weeks. The post-test assessment was over five weeks using the same questionnaire.
A total of 97 nurses completed the survey. The outcomes demonstrated the significant impact of the training program on nurses' attitudes towards workplace violence (t=6. 62, df=96, p=0.000). The prevalence of verbal abuse by patients and visitors was 63.9% and for physical abuse, 7.2% were from patients and 3.1% of visitors. Most violent incidents occurred during day duty and during delivering nursing care (40.2% and 32%, respectively). Major source of emotional support for abused nurses was from the nursing team (88.7%), while the legal support was from nursing management (48.5%).
The study highlights a general concern among nursing staff about workplace violence. Confirming that violence prevention education for staff is a necessary step forward to deescalate the problem. A significant effect of the training program was evident in this study.
护士对工作场所暴力的态度仍未得到充分研究,且对预防和管理暴力事件以及护理质量有影响。因此需要制定一个有效的干预计划,以提高护士对工作场所暴力的认识和态度。
研究培训计划对约旦一家军事医院护士对工作场所暴力态度的影响。
采用单组前后测设计。选取在三个班次工作的100名护士作为分层随机样本。在准备计划之前和之后,使用《对患者身体攻击的态度问卷》收集数据。本研究采用了《卫生部门应对工作场所暴力的框架指南》。准备课程每周进行一天,共持续五周。后测评估使用相同问卷,为期五周。
共有97名护士完成了调查。结果表明培训计划对护士对工作场所暴力的态度有显著影响(t = 6.62,自由度 = 96,p = 0.000)。患者和访客言语虐待的发生率为63.9%,身体虐待方面,患者的发生率为7.2%,访客为3.1%。大多数暴力事件发生在白天值班期间和提供护理服务时(分别为40.2%和32%)。受虐护士的主要情感支持来源是护理团队(88.7%),而法律支持来自护理管理层(48.5%)。
该研究凸显了护理人员对工作场所暴力的普遍担忧。证实对工作人员进行暴力预防教育是缓解该问题的必要举措。本研究中培训计划的显著效果显而易见。