Li Zhe, Yan Chun-Mei, Shi Lei, Mu Hui-Tong, Li Xin, Li An-Qi, Zhao Cheng-Song, Sun Tao, Gao Lei, Fan Li-Hua, Mu Yi
Department of Health Management, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, People's Republic of China.
Department of Customer Service, Beijing Children's Hospital, Capital Medical University, Beijing, People's Republic of China.
PLoS One. 2017 Jun 13;12(6):e0179373. doi: 10.1371/journal.pone.0179373. eCollection 2017.
In China, medical staff of children's hospitals are commonly exposed to violence. However, few studies on medical violence are conducted in the settings of children's hospitals. The aim of this study is to assess the incidence, magnitude, consequences, and potential risk factors of workplace violence (WPV) against medical staff of children's hospitals.
A retrospective cross-sectional design was used. A self-administered questionnaire was utilized to collect data on 12 children's hospitals. The questionnaires were distributed to a stratified proportional random sample of 2,400 medical staff; 1,932 valid questionnaires were collected. A chi-square test and multiple logistic regression analysis were conducted.
A total of 68.6% of respondents had experienced at least one WPV incident involving non-physical and/or physical violence in the past year. The perpetrators were mainly family members of patients (94.9%). Most of the WPV occurred during the day shift (70.7%) and in wards (41.8%). Males were 1.979 times (95% CI, 1.378 to 2.841) more likely than females to experience physical violence. Emergency departments were more exposed to physical violence than other departments. Oncology was 2.733 times (95% CI, 1.126 to 6.633) more exposed to non-physical violence than the emergency department. As a result of WPV, victims felt aggrieved and angry, work enthusiasm declined, and work efficiency was reduced. However, only 5.6% of the victims received psychological counseling.
Medical staff are at high risk of violence in China's children's hospitals. Hospital administrators and related departments should pay attention to the consequences of these incidents. There is a need for preventive measures to protect medical staff and provide a safer workplace environment. Our results can provide reference information for intervention strategies and safety measures.
在中国，儿童医院的医护人员经常面临暴力威胁。然而，针对儿童医院环境下的医疗暴力研究却很少。本研究旨在评估针对儿童医院医护人员的工作场所暴力（WPV）的发生率、严重程度、后果及潜在风险因素。
采用回顾性横断面设计。通过自填式问卷收集12家儿童医院的数据。问卷发放给2400名医护人员的分层比例随机样本；共收集到1932份有效问卷。进行了卡方检验和多元逻辑回归分析。
共有68.6%的受访者在过去一年中至少经历过一次涉及非身体和/或身体暴力的WPV事件。施暴者主要是患者家属（94.9%）。大多数WPV事件发生在白班（70.7%）和病房（41.8%）。男性遭受身体暴力的可能性是女性的1.979倍（95%置信区间，1.378至2.841）。急诊科比其他科室更容易遭受身体暴力。肿瘤科遭受非身体暴力的可能性是急诊科的2.733倍（95%置信区间，1.126至6.633）。WPV事件导致受害者感到委屈和愤怒，工作热情下降，工作效率降低。然而，只有5.6%的受害者接受了心理咨询。
在中国的儿童医院，医护人员面临着很高的暴力风险。医院管理人员和相关部门应关注这些事件的后果。需要采取预防措施来保护医护人员，并提供更安全的工作环境。我们的研究结果可为干预策略和安全措施提供参考信息。
