Copeland Darcy, Henry Melissa
University of Northern Colorado, Greeley, CO 80631, USA; St Anthony Hospital, Lakewood, CO 80228, USA.
University of Northern Colorado, Greeley, CO 80631, USA.
Int Emerg Nurs. 2018 Jul;39:26-32. doi: 10.1016/j.ienj.2018.01.006. Epub 2018 May 7.
Emergency department staff members are frequently exposed to workplace violence which may have physical, psychological, and workforce related consequences. The purpose of this study was to examine the relationships between exposure to workplace violence, tolerance to violence, expectations of violence, perceptions of workplace safety, and Professional Quality of Life (compassion satisfaction - CS, burnout - BO, secondary traumatic stress - STS) among emergency department staff members.
A cross-sectional design was used to survey all emergency department staff members from a suburban Level 1 Trauma Centre in the western United States.
All three dimensions of Professional Quality of Life were associated with exposure to non-physical patient violence including: general threats (CS p = .012, BO p = .001, STS p = .035), name calling (CS p = .041, BO p = .021, STS p = .018), and threats of lawsuit (CS p = .001, BO p = .001, STS p = .02). Tolerance to violence was associated with BO (p = .004) and CS (p = .001); perception of safety was associated with BO (p = .018).
Exposure to non-physical workplace violence can significantly impact staff members' compassion satisfaction, burnout and secondary traumatic stress. Greater attention should be paid to the effect of non-physical workplace violence. Additionally, addressing tolerance to violence and perceptions of safety in the workplace may impact Professional Quality of Life.
急诊科工作人员经常暴露于工作场所暴力之中,这可能会带来身体、心理以及与劳动力相关的后果。本研究的目的是探讨急诊科工作人员遭受工作场所暴力、对暴力的容忍度、对暴力的预期、对工作场所安全的认知与职业生活质量(同情满足感 - CS、职业倦怠 - BO、继发性创伤压力 - STS)之间的关系。
采用横断面设计对美国西部一家郊区一级创伤中心的所有急诊科工作人员进行调查。
职业生活质量的所有三个维度都与遭受非身体性患者暴力有关,包括:一般威胁(CS p = 0.012,BO p = 0.001,STS p = 0.035)、辱骂(CS p = 0.041,BO p = 0.021,STS p = 0.018)以及诉讼威胁(CS p = 0.001,BO p = 0.001,STS p = 0.02)。对暴力的容忍度与职业倦怠(p = 0.004)和同情满足感(p = 0.001)有关;对安全的认知与职业倦怠(p = 0.018)有关。
遭受非身体性工作场所暴力会显著影响工作人员的同情满足感、职业倦怠和继发性创伤压力。应更加关注非身体性工作场所暴力的影响。此外,解决对暴力的容忍度以及工作场所安全认知问题可能会影响职业生活质量。