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韩国针对护士的工作场所暴力及其对职业生活质量和离职意愿的影响。

Workplace violence against nurses in Korea and its impact on professional quality of life and turnover intention.

作者信息

Choi Seung-Hye, Lee Haeyoung

机构信息

Research Institute of Nursing Science, Seoul National University, College of Nursing, Seoul, South Korea.

Department of Nursing, Hoseo University, Asan, South Korea.

出版信息

J Nurs Manag. 2017 Oct;25(7):508-518. doi: 10.1111/jonm.12488. Epub 2017 May 25.

Abstract

AIM

To inform countermeasures against nurses' workplace violence by reviewing the experience of violence.

BACKGROUND

Violence is an important issue in medical settings that influences turnover intention of nurses. However, few studies have dealt with the effects of violence experienced by nurses on professional quality of life and turnover intention.

METHOD

A descriptive study using a structured questionnaire and data were analysed using t-test, one-way anova and hierarchical multiple regression analysis.

RESULTS

Of 358 nurses 95.5% reported that they had experienced workplace violence during the previous 1 year. Findings indicated that turnover intention was positively associated with years worked as a nurse, functional nursing delivery system, exposure types of violence with physical threats, and mild or severe burnout.

CONCLUSIONS

Nurses experienced diverse workplace violence, which could decrease their professional quality of life and be a factor affecting their turnover intention.

IMPLICATIONS FOR NURSING MANAGEMENT

Role of leadership in creating a positive work environment is needed. Prevention of workplace violence should focus on at-risk groups to reduce workplace violence. Workplace violence should be communicated regularly and feedback should be given if there is unintentional non-physical violence. In particular it is important to investigate post-violence management in nurses who have experienced violence to reduce secondary trauma.

摘要

目的

通过回顾暴力经历,为应对护士工作场所暴力提供对策。

背景

暴力是医疗环境中的一个重要问题,会影响护士的离职意愿。然而,很少有研究探讨护士所经历的暴力对职业生活质量和离职意愿的影响。

方法

采用结构化问卷进行描述性研究,并使用t检验、单因素方差分析和分层多元回归分析对数据进行分析。

结果

在358名护士中,95.5%的人报告称在过去1年中经历过工作场所暴力。研究结果表明,离职意愿与护士工作年限、功能护理提供系统、身体威胁等暴力暴露类型以及轻度或重度倦怠呈正相关。

结论

护士经历了多种工作场所暴力,这可能会降低他们的职业生活质量,并成为影响其离职意愿的一个因素。

对护理管理的启示

需要发挥领导作用来营造积极的工作环境。预防工作场所暴力应关注高危群体以减少暴力发生。应定期沟通工作场所暴力情况,对于无意的非身体暴力应给予反馈。特别是,调查经历过暴力的护士的暴力后管理情况以减少二次创伤非常重要。

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