Pi Interim Director, Hadassah Hebrew University School of Nursing, Jerusalem, Israel.
Director Clalit Nursing Academy, Rabin Campus (Dina), Rabin Medical Center, Petah Tikva, Israel.
J Nurs Scholarsh. 2019 May;51(3):281-288. doi: 10.1111/jnu.12466. Epub 2019 Feb 18.
The purpose of this study was to determine the willingness of Israeli registered nurses to work under threatening conditions, their perceived level of threat, and perceptions of peer willingness to report to work.
This descriptive study was based on a convenience sample of registered nurses working in four hospitals throughout Israel from internal medicine, surgical, emergency, and intensive care units.
A questionnaire designed by the investigators was administered to registered nurses while on duty. The questionnaire consisted of three sections: personal characteristics, perceived level of personal threat from five situations (caring for a patient with a dangerous infection, terror attack, war, radiation or chemical disaster, or natural disaster), and perceived personal and peer willingness to work under these threats.
A convenience sample of 249 registered nurses from four hospitals responded. The highest level of perceived threat was a natural disaster (earthquake; M = 2.15, SD = 0.9). Terror (M = 0.83, SD = 0.6) and war (M = 1.01, SD = 0.6) received the lowest mean perceived threat scores. Most respondents were not willing to work during a natural disaster but were willing to care for patients with dangerous infections and during times of war. Weak positive statistically significant correlations were found between the level of perceived threat and willingness to work for all of the threats, except for terror (Spearman rank correlation = .16-.35).
Local culture, perceptions of the level of threat, and perceived peer responsiveness are associated with registered nurses' willingness to work under threat.
When faced with a threat to personal safety or security, many registered nurses might not be willing to work as usual. What is perceived as threatening is influenced by the local culture and environment. Therefore, managers should be aware of potential cultural and peer influences on this possible conflict of values.
本研究旨在确定以色列注册护士在威胁环境下工作的意愿、他们感知到的威胁程度以及对同行报告工作意愿的看法。
这是一项基于便利样本的描述性研究，研究对象为以色列四家医院内科、外科、急诊和重症监护病房的注册护士。
研究人员设计的问卷在注册护士值班时发放。问卷分为三个部分：个人特征、对五种情况（照顾患有危险感染的患者、恐怖袭击、战争、辐射或化学灾难或自然灾害）的个人威胁的感知程度，以及对在这些威胁下工作的个人和同行的意愿的感知。
来自四家医院的 249 名注册护士作为便利样本做出了回应。感知到的最高威胁水平是自然灾害（地震；M = 2.15，SD = 0.9）。恐怖袭击（M = 0.83，SD = 0.6）和战争（M = 1.01，SD = 0.6）的平均感知威胁得分最低。大多数受访者不愿意在自然灾害期间工作，但愿意照顾患有危险感染的患者，并在战争期间工作。除了恐怖袭击（Spearman 等级相关系数为.16-.35）外，所有威胁的感知威胁水平和工作意愿之间都存在弱的正统计学显著相关性。
当地文化、对威胁程度的感知以及对同行响应能力的感知与注册护士在威胁下工作的意愿有关。
当个人安全或保障受到威胁时，许多注册护士可能不愿意像往常一样工作。感知到的威胁受到当地文化和环境的影响。因此，管理人员应该意识到这种潜在的文化和同行影响可能会对价值观产生冲突。
