Gravante Francesco, Lombardi Andrea, Cecere Luciano, Russo Giovanni, De Rosa Filomena, Gagliardi Anna Maria, Gili Alessio, Ramacciati Nicola
MSN, RN, Infermiere, Terapia Intensiva, Azienda Sanitaria Locale, Caserta, P.O. Aversa (CE).
MSN, RN, Infermiere, Camera Operatoria, Azienda Ospedaliera Universitaria San Leonardo Ruggi d'Aragona di Salerno.
Prof Inferm. 2020 Apr-Jun;73(2):89-97. doi: 10.7429/pi.2020.732089.
To determine the characteristics of workplace violence towards emergency nurses in Campania, South Italy.
In Italy, workplace violence is a severe and widespread problem. A national survey describes that, working in South Italy significantly increases the probability of being exposed. However, available data in Campania workplace violence towards nurse emergency department (ED) is lacking.
We used a cross-sectional design, in two emergency department. Between April and May 2019, we distributed a questionnaire (QIN16VIPs). Three types of violence have been investigated: verbal/physical violence, verbal violence and physical violence. The data were analyzed using procedures of descriptive statistics.
A total of 83 questionnaires (response rate 92.3%), 48.2% of emergency nurses experienced verbal violence, 21.7% both verbal and physical violence and only 28.9% denied having experienced either. Nurses feeling at risk in emergency setting were more exposed to workplace violence (p=0.001). Anxiety (p=0.023) and anger (p=0.001) were perceived feeling with significant repercussions on the degree of evidence working in ED (p=0.043) and on trust in management (p=0.001).
Workplace violence turns out to be a serious and widespread problem that generates negative feelings in the attacked subject that affect the personal and work dimension. The promotion of simple and anonymous reporting systems would help nurses to be more aware of the importance of reporting the event, which is still in deficit today, thus preventing a true and proper estimate of the phenomenon. Future research should be focused for preventive measures could be drawn up to reduce the problem.
确定意大利南部坎帕尼亚地区针对急诊护士的工作场所暴力的特征。
在意大利，工作场所暴力是一个严重且普遍存在的问题。一项全国性调查表明，在意大利南部工作会显著增加遭受暴力的可能性。然而，坎帕尼亚地区针对急诊科护士的工作场所暴力的现有数据匮乏。
我们采用横断面设计，在两个急诊科进行研究。2019年4月至5月期间，我们发放了一份问卷（QIN16VIPs）。调查了三种暴力类型：言语/身体暴力、言语暴力和身体暴力。数据采用描述性统计方法进行分析。
共收集到83份问卷（回复率92.3%），48.2%的急诊护士经历过言语暴力，21.7%经历过言语和身体暴力，只有28.9%否认经历过任何一种暴力。在急诊环境中感到有风险的护士更容易遭受工作场所暴力（p = 0.001）。焦虑（p = 0.023）和愤怒（p = 0.001）被认为是有显著影响的情绪，对在急诊科工作的证据程度（p = 0.043）和对管理层的信任（p = 0.001）都有影响。
工作场所暴力是一个严重且普遍存在的问题，会在受攻击对象中产生负面情绪，影响个人和工作层面。推广简单且匿名的报告系统将有助于护士更加意识到报告此类事件的重要性，而目前此类报告仍存在不足，从而有助于对这一现象进行真实和恰当的评估。未来的研究应聚焦于制定预防措施以减少这一问题。
