冈比亚针对护士的工作场所暴力：混合方法设计。
Workplace violence against nurses in the Gambia: mixed methods design.
作者信息
Sisawo Ebrima J, Ouédraogo Saide Yacine Y Arsène, Huang Song-Lih
机构信息
The University of the Gambia, Brikama, The Gambia.
International Health Program, National Yang-Ming University, Taipei, Taiwan.
出版信息
BMC Health Serv Res. 2017 Apr 28;17(1):311. doi: 10.1186/s12913-017-2258-4.
BACKGROUND
The aim of this study was to assess the prevalence, perpetrators and factors associated with workplace violence against nurses in public secondary health care facilities from two health regions in the Gambia.
METHODS
Data was collected from 219 nurses using self-administered questionnaire and 35 face-to-face interviews. The data collection was conducted between July and September 2014 in 14 public secondary health care facilities.
RESULTS
A sizable majority of respondents (62.1%) reported exposure to violence in the 12 months prior to the survey; exposure to verbal abuse, physical violence, and sexual harassment was 59.8%, 17.2%, and 10% respectively. The perpetrators were mostly patients' escorts/relatives followed by patients themselves. Perceived reasons of workplace violence were mainly attributed to nurse-client disagreement, understaffing, shortage of drugs and supplies, security vacuum, and lack of management attention to workplace violence.
CONCLUSIONS
Nurses in the Gambia are at a relatively high risk of violent incidents at work. Policies and strategies that are sensitive to local circumstances and needs should be developed for the prevention of workplace violence.
背景
本研究旨在评估冈比亚两个卫生区域的公立二级医疗机构中针对护士的工作场所暴力的发生率、施暴者及相关因素。
方法
采用自填式问卷对219名护士进行数据收集，并进行了35次面对面访谈。2014年7月至9月期间，在14家公立二级医疗机构开展了数据收集工作。
结果
绝大多数受访者（62.1%）报告在调查前12个月内遭受过暴力；遭受言语虐待、身体暴力和性骚扰的比例分别为59.8%、17.2%和10%。施暴者大多是患者的陪护人员/亲属，其次是患者本人。工作场所暴力的感知原因主要归因于护士与患者的分歧、人员不足、药品和物资短缺、安全真空以及管理层对工作场所暴力缺乏关注。
结论
冈比亚的护士在工作中遭受暴力事件的风险相对较高。应制定针对当地情况和需求的政策与策略，以预防工作场所暴力。
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