Honarvar Behnam, Ghazanfari Nima, Raeisi Shahraki Hadi, Rostami Sara, Lankarani Kamran Bagheri
Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Epidemiology and Biostatistics, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Int J Occup Environ Med. 2019 Jul;10(3):111-123. doi: 10.15171/ijoem.2019.1556.
Nurses are more likely to be exposed to violence at their workplace in comparison with other employees.
To determine various aspects of violence against nurses in Shiraz public hospitals.
This cross-sectional study was conducted from 2017 to 2018, using a multistage random sampling method. Violence including verbal threats, verbal abuse, physical and sexual abuse as well as ethnical types, violence from patients, patients' companions and coworkers, and causes of violence were investigated using a checklist.
405 nurses with a mean age of 30.2 (SD 7.1) years and female to male ratio of 4.2 were interviewed. 363 (89.6%) nurses had experienced at least one kind of violence; 68.4% suffered from more than one type of violence. Verbal abuse (83.9%), verbal threats (27.6%), physical violence (21.4%), sexual abuse (10.8%), and ethnical harassment (6.1%) were the most common types of violence experienced by the nurses. Patients' companions, patients, and physicians were reported as the sources of violence in 70.6%, 43.1%, and 4.1% of cases, respectively. Nurses with non-official employment status and non-Farsi ethnicity, having a disease, with non-evening shift work, and those with short or long employment period were more affected. Unrealistic expectations by patients' companions and long working hours were the most common attributing factors.
Violence against nurses, as a strenuous and health-threatening crisis, has become epidemic in public hospitals in our region. Effective interventions are warranted to sort out these problems.
与其他员工相比，护士在工作场所更易遭受暴力。
确定设拉子公立医院针对护士的暴力行为的各个方面。
本横断面研究于2017年至2018年进行，采用多阶段随机抽样方法。使用一份清单调查暴力行为，包括言语威胁、言语辱骂、身体和性虐待以及种族类型、来自患者、患者同伴和同事的暴力行为以及暴力原因。
对405名护士进行了访谈，他们的平均年龄为30.2（标准差7.1）岁，女性与男性的比例为4.2。363名（89.6%）护士至少经历过一种暴力行为；68.4%遭受过不止一种类型的暴力。言语辱骂（83.9%）、言语威胁（27.6%）、身体暴力（21.4%）、性虐待（10.8%）和种族骚扰（6.1%）是护士经历的最常见的暴力类型。分别有70.6%、43.1%和4.1%的案例报告患者同伴、患者和医生为暴力来源。非正式雇佣状态、非波斯族裔、患有疾病、非夜班工作以及工作时间短或长的护士受影响更大。患者同伴的不切实际期望和工作时间长是最常见的归因因素。
针对护士的暴力行为，作为一种严重且威胁健康的危机，在我们地区的公立医院已成为普遍现象。需要有效的干预措施来解决这些问题。
