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香港针对护士的工作场所暴力:发生率及相关因素

Workplace violence towards nurses in Hong Kong: prevalence and correlates.

作者信息

Cheung Teris, Yip Paul S F

机构信息

School of Nursing, Hong Kong Polytechnic University, Hung Hom, Hong Kong.

Centre for Suicide Research and Prevention, University of Hong Kong, Pok Fu Lam, Hong Kong.

出版信息

BMC Public Health. 2017 Feb 14;17(1):196. doi: 10.1186/s12889-017-4112-3.

Abstract

BACKGROUND

Nurses are especially vulnerable to violent and other forms of aggression in the workplace. Nonetheless, few population-based studies of workplace violence have been undertaken among working-age nurse professionals in Hong Kong in the last decade.

METHODS

The study estimates the prevalence and examines the socio-economic and psychological correlates of workplace violence (WPV) among professional nurses in Hong Kong. The study uses a cross-sectional survey design. Multivariate logistic regression examines the weighted prevalence rates of WPV and its associated factors for a population of nurses.

RESULTS

A total of 850 nurses participated in the study. 44.6% had experienced WPV in the preceding year. Male nurses reported more WPV than their female counterparts. The most common forms of WPV were verbal abuse/bullying (39.2%), then physical assault (22.7%) and sexual harassment (1.1%). The most common perpetrators of WPV were patients (36.6%) and their relatives (17.5%), followed by colleagues (7.7%) and supervisors (6.3%). Clinical position, shift work, job satisfaction, recent disturbances with colleagues, deliberate self-harm (DSH) and symptoms of anxiety were significantly correlated with WPV for nurses.

CONCLUSIONS

WPV remains a significant concern for healthcare worldwide. Hong Kong's local health authority should put in place a raft of zero-tolerance measures to prevent WPV in healthcare settings.

摘要

背景

护士在工作场所特别容易遭受暴力及其他形式的攻击。然而,在过去十年中,香港针对在职护士专业人员开展的基于人群的工作场所暴力研究很少。

方法

本研究估计了香港专业护士工作场所暴力(WPV)的患病率,并研究了其社会经济和心理相关因素。该研究采用横断面调查设计。多变量逻辑回归分析了护士群体中WPV的加权患病率及其相关因素。

结果

共有850名护士参与了该研究。44.6%的护士在前一年经历过WPV。男性护士报告的WPV比女性护士更多。WPV最常见的形式是言语辱骂/欺凌(39.2%),其次是身体攻击(22.7%)和性骚扰(1.1%)。WPV最常见的肇事者是患者(36.6%)及其亲属(17.5%),其次是同事(7.7%)和上级(6.3%)。临床职位、轮班工作、工作满意度、近期与同事的纠纷、蓄意自伤(DSH)和焦虑症状与护士的WPV显著相关。

结论

工作场所暴力仍是全球医疗保健领域的一个重大问题。香港地方卫生当局应制定一系列零容忍措施,以预防医疗环境中的工作场所暴力。

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