Fasanya Bankole K, Dada Emmanuel A
Department of Built Environment (Environmental Health and Occupational Safety), North Carolina Agricultural and Technical State University, Greensboro, NC, USA.
Saf Health Work. 2016 Jun;7(2):97-101. doi: 10.1016/j.shaw.2015.11.002. Epub 2015 Dec 1.
Workplace violence (WPV) is becoming an issue that needs immediate attention in the United States, especially during this period as more states are adopting the "stand your ground laws to promote worker protection." This study was conducted to investigate how WPV has contributed to an unsafe environment for nurses and nursing assistants who work in long-term medical care facilities.
A structure questionnaire was used to collect data for the study. Three facilities were sampled and 80 nurses and certified nursing assistants participated in the study. Ninety-two percent (n = 74) were female and 8% (n = 6) were male. Approximately 62% were black or African American, approximately 33% were Caucasians, and only 2% were from other ethnicities.
We found that 65% of the participants had experienced WPV while 41% believed that management shows little or no concern for their safety. Approximately 23% of respondents believed that reporting supervisor's WPV act is an unsafe action. In addition, 22% of those who reported that they have experienced WPV believed that the work environment is not safe to perform their duties. This significant difference in perception of workplace safety between those who had experienced WPV and those who had not was significant (t = 3.95, df = 158, p < 0.0001).
WPV is an epidemic problem that affects all health-care professionals. The findings of this study could help long-term medical care facilities' management identify the areas to focus on mitigating, controlling, and/or eliminating incidents of WPV.
工作场所暴力（WPV）在美国正成为一个需要立即关注的问题，尤其是在此期间，因为越来越多的州正在采用“坚守阵地法”来促进对工人的保护。本研究旨在调查工作场所暴力如何导致长期医疗护理机构中护士和护理助理的工作环境不安全。
使用结构化问卷收集研究数据。抽取了三个机构，80名护士和持证护理助理参与了研究。92%（n = 74）为女性，8%（n = 6）为男性。约62%为黑人或非裔美国人，约33%为白种人，只有2%来自其他种族。
我们发现65%的参与者曾经历过工作场所暴力，而41%的人认为管理层对他们的安全几乎不关心或根本不关心。约23%的受访者认为向主管报告工作场所暴力行为是不安全的行为。此外，22%报告曾经历过工作场所暴力的人认为工作环境不安全，无法履行职责。经历过工作场所暴力的人和未经历过的人在工作场所安全认知上的显著差异具有统计学意义（t = 3.95，df = 158，p < 0.0001）。
工作场所暴力是一个影响所有医疗保健专业人员的普遍性问题。本研究结果有助于长期医疗护理机构的管理层确定需要重点关注的领域，以减轻、控制和/或消除工作场所暴力事件。
