医疗机构工作人员遭受工作场所暴力的组织决定因素。
Organizational Determinants of Workplace Violence Against Hospital Workers.
机构信息
Department of Family Medicine, Michigan State University, East Lansing, Michigan.
出版信息
J Occup Environ Med. 2018 Aug;60(8):693-699. doi: 10.1097/JOM.0000000000001345.
OBJECTIVE
To identify organizational factors contributing to workplace violence in hospitals.
METHODS
A questionnaire survey was conducted in 2013 among employees in a Midwestern hospital system (n = 446 respondents). Questions concerned employees' experiences of violence at work in the previous year and perceptions of the organizational safety climate. Logistic regressions examined staff interaction and safety climate factors associated with verbal and physical violence, respectively.
RESULTS
Interpersonal conflict was a risk factor for verbal violence (OR 1.49, 95% CI 1.04 to 2.12, P < 0.05) and low work efficiency was a risk factor for physical violence (OR .98, 0.97 to 0.99). A poor violence prevention climate was a risk factor for verbal (OR 0.48, 0.36 to 0.65, P < .001) and physical (OR 0.60, 0.45 to 0.82, P < .05) violence.
CONCLUSIONS
Interventions should aim at improving coworker relationships, work efficiency, and management promotion of the hospital violence prevention climate.
目的
识别导致医院工作场所暴力的组织因素。
方法
2013 年，对中西部医院系统的员工（446 名受访者）进行了问卷调查。问题涉及员工在过去一年中工作场所暴力的经历以及对组织安全氛围的看法。逻辑回归分别考察了与言语和身体暴力相关的员工互动和安全氛围因素。
结果
人际冲突是言语暴力的危险因素（OR 1.49，95%CI 1.04 至 2.12，P<0.05），工作效率低下是身体暴力的危险因素（OR.98，0.97 至 0.99）。不良的暴力预防氛围是言语暴力（OR 0.48，0.36 至 0.65，P<.001）和身体暴力（OR 0.60，0.45 至 0.82，P<.05）的危险因素。
结论
干预措施应旨在改善同事关系、工作效率和医院暴力预防氛围的管理促进。
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