Silwal Kalpana, Joshi Sarala
Chitwan Medical College, Bharatpur, Chitwan, Nepal.
Om Health Institute, Nursing College, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2019 Jul-Aug;57(218):243-247. doi: 10.31729/jnma.4571.
Verbal abuse against nurses who are major working force can affect the work performance and productivity in hospital. Verbal abuse is epidemic in tertiary care hospitals though it is most preventable with healthcare professions. The study aims to identify the prevalence of verbal abuse among nurses in a Tertiary Care Hospital.
A descriptive cross-sectional study was conducted among nurses in two tertiary care hospitals in Chitwan using self-administered questionnaire from August-December, 2018. The researcher used the convenient sampling technique and total 331 nurses were taken for the study.
Prevalence of verbal abuse was found to be 122 (36.9 %) [34.25%-39.55% at 95% CI] among nurses. Perpetrators of the verbal abuse were relatives of the patients 64 (48.9%) followed by staff member 29 ( 23.77%), patient 23 (17.6%), management or supervisor 4 (3.1%) and from colleague 2 (1.5%). Frequency of verbal abuse as sometimes, once and all the times were 95 (77.86%), 20 (16.03%) and 7 (5.7 %) respectively. Study showed that verbal abuse was mostly done by relatives of the patient. Consequence of verbal abuse was disturbing memories, thoughts or an image ultimately reducing the job satisfaction. No any action was taken except verbal warning for 20 (58.8%) perpetrators.
Verbal abuse is frequently prevalent in nurses and mostly from patient's visitors. Hence, nurses should maintain their respect and authority otherwise it will lead to decrease in their performance that shows direct impact on patient care and consequently the effectiveness of the health care system.
辱骂作为主要劳动力的护士会影响医院的工作表现和生产力。尽管在医疗行业中辱骂是最可预防的，但在三级护理医院中辱骂现象却很普遍。本研究旨在确定一家三级护理医院中护士遭受辱骂的患病率。
2018年8月至12月，在奇旺的两家三级护理医院对护士进行了一项描述性横断面研究，采用自填式问卷。研究者采用便利抽样技术，共选取331名护士进行研究。
在护士中发现辱骂的患病率为122人（36.9%）[95%置信区间为34.25%-39.55%]。辱骂的实施者中患者亲属有64人（48.9%），其次是工作人员29人（23.77%）、患者23人（17.6%）、管理层或主管4人（3.1%）以及同事2人（1.5%）。辱骂频率为有时、一次和一直存在的分别为95人（77.86%）、20人（16.03%）和7人（5.7%）。研究表明辱骂大多由患者亲属实施。辱骂的后果是令人不安的记忆、想法或画面，最终降低了工作满意度。除了对20名（58.8%）实施者进行口头警告外，没有采取任何其他行动。
辱骂在护士中经常普遍存在，且大多来自患者访客。因此，护士应维护自己的尊严和权威，否则会导致其工作表现下降，这将直接影响患者护理，进而影响医疗系统的有效性。
