Hollywood Lauren, Phillips Kathryn E
Continuum Integrated Behavioral Health, 109 Legion Ave. New Haven, CT 06519 United States of America.
Marion Peckham Egan School of Nursing and Health Studies, Fairfield University, 1073 N. Benson Rd., Fairfield, CT 06824, United States of America.
Appl Nurs Res. 2020 Aug;54:151321. doi: 10.1016/j.apnr.2020.151321. Epub 2020 Jun 15.
Nurses experience high rates of violence on the job, which is a significant stressor. Stress can alter nurses' care of patients, but stress can be mitigated by resilience. The purpose of this study was to examine the relationship between nurses' resilience levels and their reports of patient care following episodes of workplace violence. Six themes emerged from nurses' (n = 57) responses to workplace violence: vigilance, cautious yet individualized with care, part of the job, growth, jaded, and no effect. Low resilience levels were found in nurses with themes of feeling jaded, cautious yet individualized with care, and vigilance. High resilience levels were found in nurses with themes of no effect, growth, cautious yet individualized with care, and vigilance. Nurses' resilience scores were related to their patient care descriptions after episodes of workplace violence. Raising nurses' resilience levels through training might help them to positively overcome the effects of workplace violence, limiting impacts to patient care.
护士在工作中遭受暴力的比例很高，这是一个重大的压力源。压力会改变护士对患者的护理，但韧性可以缓解压力。本研究的目的是探讨护士的韧性水平与工作场所暴力事件后他们对患者护理报告之间的关系。护士（n = 57）对工作场所暴力的回应中出现了六个主题：警惕、谨慎但个性化护理、工作的一部分、成长、疲惫和无影响。在有疲惫、谨慎但个性化护理和警惕主题的护士中发现韧性水平较低。在有无影响、成长、谨慎但个性化护理和警惕主题的护士中发现韧性水平较高。护士的韧性得分与工作场所暴力事件后的患者护理描述有关。通过培训提高护士的韧性水平可能有助于他们积极克服工作场所暴力的影响，限制对患者护理的影响。
