Health Sciences Department, University of Florence, Florence, Italy; Emergency Department, S. Maria della Misericordia Hospital, Perugia, Italy.
Emergency Department, S. Maria della Misericordia Hospital, Perugia, Italy.
Int J Nurs Stud. 2018 May;81:21-29. doi: 10.1016/j.ijnurstu.2018.01.017. Epub 2018 Feb 2.
Physical and verbal aggression against health professionals, particularly nurses, is globally serious and widespread, with the most vulnerable being nurses working in the Accident and Emergency Department. Most international research into this issue focused on quantifying aggression, describing its nature, identifying perpetrators, stratifying risk and implementing preventive or mitigating interventions. Few studies investigated the nurses' subjective perceptions. As part of the 2016 Italian National Survey on Violence against Accident and Emergency Nurses, our research team collected qualitative data to explore their perceptions of Workplace Violence.
From 19th July 2016 to 19th March 2017 we distributed online a 39-item validated questionnaire to 15,618 Emergency Nurses working in 668 Italian National Health Service Accident and Emergency Departments in all 20 Italian Regions. Answers were analysed using van Kaan's method.
1100 Emergency Nurses responded to the survey and 265 replied to our focus question. There were 144 Females, 119 Males, 2 not stated, average age 42 ± 9 years, average work experience 18 ± 9 years, average Accident and Emergency Department experience 11 ± 8 years. Four major themes emerged: the nurses' perception of physical and verbal aggression, precipitating factors, consequences, and solutions.
These themes confirmed previous findings and showed that Italian nursing staff's perceptions of physical and verbal aggression is the same as emergency nurses working worldwide.
How Italian Accident and Emergency nurses perceive Workplace Violence adds to our knowledge of the issue and contributes to finding shared solutions.
针对医疗保健专业人员（尤其是护士）的身体和言语攻击在全球范围内普遍且严重，在急诊科工作的护士是最脆弱的群体。大多数针对这一问题的国际研究都集中在量化攻击行为、描述其性质、确定肇事者、分层风险以及实施预防或减轻干预措施上。很少有研究调查护士的主观感受。作为 2016 年意大利全国急诊护士暴力调查的一部分，我们的研究团队收集了定性数据，以探讨他们对工作场所暴力的看法。
从 2016 年 7 月 19 日至 2017 年 3 月 19 日，我们向意大利全国 20 个大区的 668 家意大利国家卫生服务机构急诊科的 15618 名急诊护士在线分发了一份 39 项内容已验证的问卷。使用 van Kaan 的方法对答案进行分析。
1100 名急诊护士对调查做出了回应，其中 265 人回答了我们的重点问题。其中有 144 名女性、119 名男性、2 名未说明性别，平均年龄 42±9 岁，平均工作经验 18±9 年，平均急诊科工作经验 11±8 年。四个主要主题出现：护士对身体和言语攻击的看法、促成因素、后果和解决方案。
这些主题证实了先前的发现，并表明意大利护理人员对身体和言语攻击的看法与全球范围内的急诊护士相同。
意大利急诊科护士对工作场所暴力的看法增加了我们对这一问题的了解，并有助于找到共同的解决方案。
