Fujimoto Hirokazu, Greiner Chieko, Hirota Misato, Yamaguchi Yuko, Ryuno Hirochika, Hashimoto Takeshi
J Psychosoc Nurs Ment Health Serv. 2019 Apr 1;57(4):40-48. doi: 10.3928/02793695-20181023-04. Epub 2018 Nov 1.
Home visit nurses (HVNs) are crucial in psychiatric home visit nursing (PHVN) in Japan. However, little is known about violence toward HVNs in PHVN and non-PHVN settings. The current study aimed to clarify nurses' experiences of violence in these settings, their implementation of preventive measures, and related associations. Questionnaires were distributed to HVNs who provided PHVN and non-PHVN services. Sixty-nine (38%) of 184 participants had experienced at least one form of violence during the past 12 months, and 87 (47%) had experienced violence during their PHVN career. In non-PHVN settings, violence was experienced by 94 (51%) participants in the past 12 months and 119 (65%) participants during their career. Low use of preventive measures was found. The management of visiting schedules and confirmation of HVNs' locations during visits were negatively associated with exposure to violence in PHVN settings. It is important to promote measures to prevent high exposure to violence, emphasize the monitoring of visits, and have nursing agencies clarify HVNs' concerns in PHVN settings. [Journal of Psychosocial Nursing and Mental Health Services, 57(4), 40-48.].
家访护士在日本的精神科家访护理(PHVN)中至关重要。然而,对于在PHVN和非PHVN环境中针对家访护士的暴力行为,人们了解甚少。当前的研究旨在阐明护士在这些环境中的暴力经历、预防措施的实施情况以及相关关联。对提供PHVN和非PHVN服务的家访护士进行了问卷调查。在184名参与者中,69名(38%)在过去12个月中至少经历过一种形式的暴力,87名(47%)在其PHVN职业生涯中经历过暴力。在非PHVN环境中,94名(51%)参与者在过去12个月中经历过暴力,119名(65%)参与者在其职业生涯中经历过暴力。研究发现预防措施的使用率较低。家访时间表的管理以及家访期间对家访护士位置的确认与PHVN环境中的暴力暴露呈负相关。促进预防高暴力暴露的措施、强调对家访的监测以及让护理机构澄清PHVN环境中家访护士的担忧非常重要。[《心理社会护理与精神卫生服务杂志》,57(4),40 - 48。]