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[针对急诊护士的工作场所暴力:一项综合综述 针对急诊服务护士的工作场所暴力:综合综述]

[Workplace violence against emergency service nurses: an integrative reviewViolência no trabalho contra os profissionais de enfermagem em serviços de emergência: revisão integrativa].

作者信息

Contreras Jofre Pia, Valenzuela Solís Ámbar, Pinto Soto Jessica, Mendoza Ponce Natalia, López-Alegría Fanny

机构信息

Escuela de Enfermería Facultad de Enfermería Universidad Andres Bello Santiago Chile Escuela de Enfermería Facultad de Enfermería Universidad Andres Bello, Santiago, Chile.

出版信息

Rev Panam Salud Publica. 2020 Dec 17;44:e173. doi: 10.26633/RPSP.2020.173. eCollection 2020.

DOI:10.26633/RPSP.2020.173
PMID:33346247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7745999/
Abstract

OBJECTIVE

Learn the worldwide frequency of physical and verbal violence against emergency service nurses, and its health and occupational impact.

METHODS

An integrative review study was conducted in February 2020 of the MEDLINE, LILACS, CINAHL, and SciELO bibliographic databases, using the descriptors "Nurses," "Workplace Violence," "Physical Aggression," "Psychological Aggression," "Stress, Psychological," "Psychological Trauma," "Aggression," "Health Impact Assessment," "Health Impact," "Impacts on Health," "Impact Assessment, Health," and "Occupational Health."

RESULTS

Of the articles located, 18 were included in the analysis. The studies confirmed that the health workers most affected by violence were nurses, and the most common types of violence were verbal aggression, followed by physical violence. In the hospital, these assaults most often occurred in the emergency service. The correlated impact on nurses' health included stress, emotional exhaustion, anxiety, and fear, among other symptoms. With regard to occupational impact, significant indirect accounts related to the reduction in productivity were evident. All these aspects led nurses to consider leaving their jobs in emergency services.

CONCLUSIONS

The results enabled identifying a risk profile for violence against nurses in emergency services, seen in the high incidence of physical and verbal violence that led to reduced productivity on the job and the onset of symptoms of burnout syndrome.

摘要

目的

了解全球范围内针对急救护士的身体暴力和言语暴力的发生频率,及其对健康和职业的影响。

方法

2020年2月,利用“护士”“工作场所暴力”“身体攻击”“心理攻击”“心理压力”“心理创伤”“攻击行为”“健康影响评估”“健康影响”“对健康的影响”“健康影响评估”及“职业健康”等描述词,对MEDLINE、LILACS、CINAHL和SciELO书目数据库进行了综合综述研究。

结果

在所检索到的文章中,有18篇纳入分析。研究证实,受暴力影响最严重的医护人员是护士,最常见的暴力类型是言语攻击,其次是身体暴力。在医院里,这些攻击行为最常发生在急救科室。对护士健康的相关影响包括压力、情绪耗竭、焦虑和恐惧等症状。在职业影响方面,与生产力下降相关的重大间接影响明显。所有这些因素导致护士考虑辞去急救科室的工作。

结论

研究结果有助于确定急救科室护士遭受暴力的风险特征,表现为身体暴力和言语暴力的高发生率,这导致工作效率下降和职业倦怠综合征症状的出现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f0c/7745999/bba019c6030a/rpsp-44-e173_Figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f0c/7745999/bba019c6030a/rpsp-44-e173_Figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f0c/7745999/bba019c6030a/rpsp-44-e173_Figure1.jpg

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本文引用的文献

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Workplace violence against emergency department nurses in Oman: a cross-sectional multi-institutional study.阿曼急诊科护士遭受工作场所暴力:一项横断面多机构研究。
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Psychological depletion in physicians and nurses exposed to workplace violence: A cross-sectional study using propensity score analysis.医护人员遭受工作场所暴力后的心理耗竭:使用倾向评分分析的横断面研究。
Int J Nurs Stud. 2020 Mar;103:103493. doi: 10.1016/j.ijnurstu.2019.103493. Epub 2019 Dec 4.
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Addressing Risks of Violence against Healthcare Staff in Emergency Departments: The Effects of Job Satisfaction and Attachment Style.
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Biomed Res Int. 2019 May 28;2019:5430870. doi: 10.1155/2019/5430870. eCollection 2019.
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[Tutorial for performing systematic review and meta-analysis with interventional anesthesia studies].[介入麻醉研究的系统评价与Meta分析实施教程]
Braz J Anesthesiol. 2019 May-Jun;69(3):299-306. doi: 10.1016/j.bjan.2018.11.007. Epub 2019 Feb 2.
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[Workplace violence among health care workers].[医护人员遭受的工作场所暴力]
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Violence toward health workers in Bahrain Defense Force Royal Medical Services' emergency department.巴林国防军皇家医疗服务急诊科针对医护人员的暴力行为。
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Association among components of resilience and workplace violence-related depression among emergency department nurses in Taiwan: a cross-sectional study.台湾急诊科护士心理弹性各维度与工作场所暴力相关抑郁之间的关联:一项横断面研究
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A Systematic Literature Review: Workplace Violence Against Emergency Medical Services Personnel.一项系统文献综述:针对紧急医疗服务人员的工作场所暴力行为
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