College of Nursing, Seoul National University, Seoul 03080, Korea.
Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea.
Int J Environ Res Public Health. 2020 Jun 13;17(12):4222. doi: 10.3390/ijerph17124222.
Visiting nurses are commonly exposed to workplace violence, but there is a lack of research on violence against these nurses. The purpose of this study was to identify visiting nurses' workplace violence experiences during home visits. This study used a mixed method design. Survey data of 357 home visiting nurses from public health centers were collected for the quantitative data, and a focus group interview was conducted with six visiting nurses for the qualitative data. The quantitative data were analyzed using logistic regression, and the qualitative data were analyzed using content analysis. Younger, temporary visiting nurses and those who had previously been exposed to violent clients had a higher risk of workplace violence. The violence visiting nurses faced included not only violence during the visits but also unpredicted danger and harassment after the visit. After experiencing a violent event, visiting nurses' attitudes and emotions changed toward nursing services. Visiting nurses were likely to deal with violence at the individual level given the insufficient organizational support system. An organizational-level safety management system should be established based on the characteristics of workplace violence risks and the nurses' experiences in this study.
访视护士通常会暴露在工作场所暴力之下,但针对这些护士遭受暴力的研究却很少。本研究旨在确定访视护士在居家访视期间所经历的工作场所暴力情况。本研究采用混合方法设计。对来自公共卫生中心的 357 名居家访视护士进行了问卷调查,以收集定量数据,并对 6 名访视护士进行了焦点小组访谈,以获取定性数据。使用逻辑回归分析定量数据,使用内容分析方法分析定性数据。年轻、临时访视护士以及曾遭遇过暴力客户的访视护士面临更高的工作场所暴力风险。访视护士所面临的暴力不仅包括访视期间的暴力,还包括访视结束后的意外危险和骚扰。在经历暴力事件后,访视护士对护理服务的态度和情绪发生了变化。由于组织支持系统不足,访视护士可能会在个人层面上应对暴力。应根据工作场所暴力风险的特点以及本研究中护士的经历,建立组织层面的安全管理系统。