Lyndsay Dean, MSN, APRN-NP, University of Nebraska Medical Center, Omaha, NE, USA.
Amanda Butler, RN, BSN, University of Nebraska Medical Center, Omaha, NE, USA;Lasting Hope Recovery Center-CHI Health, Omaha, NE, USA.
J Am Psychiatr Nurses Assoc. 2021 May-Jun;27(3):189-202. doi: 10.1177/10783903211010945.
When compared with all other health care professions, the psychiatric nursing profession has the highest prevalence of workplace violence. The effects of workplace violence can be psychologically and physically devastating. Supportive resources are not always available or fully utilized when available. The purpose of this study is to explore the true impact of workplace violence toward psychiatric mental health nurses, as well as their personal perspectives on the types of supportive resources necessary for future implementation. Additionally, this study strives to identify the facilitators and barriers to acquiring supportive resources. A qualitative descriptive study design was utilized. The theory of cognitive adaptation provided an underlying conceptual framework. Data were collected using REDCap software to identify the nature and extent of workplace violence in the study setting (Survey 1) and solicit detailed responses to focus group questions designed to address the study aims (Survey 2). Six pertinent themes were discovered: frequent exposure to workplace violence, attempt to understand workplace violence, the need for supportive means, barriers to accessing supportive means, increase administrative support, and workplace violence has a detrimental impact on various aspects of life. Although psychiatric mental health nurses express a desire for more psychological support postassault, the underlying meaning and cognitive adaptation following the workplace violence experience is not well understood, and there are barriers to the acquisition of services. The findings from this study are being used to inform a multifaceted program to effectively support psychiatric mental health nurses experiencing workplace violence.
与所有其他医疗保健专业相比，精神科护理专业的工作场所暴力发生率最高。工作场所暴力的影响可能会在身心上造成毁灭性的打击。在有支持资源时，并不总是能够充分利用或完全利用这些资源。本研究旨在探讨工作场所暴力对精神科心理健康护士的真正影响，以及他们对未来实施所需的支持资源类型的个人看法。此外，本研究还旨在确定获取支持资源的促进因素和障碍。本研究采用了定性描述性研究设计。认知适应理论提供了一个潜在的概念框架。使用 REDCap 软件收集数据，以确定研究环境中的工作场所暴力的性质和程度（调查 1），并征求详细回应，以解决研究目的的焦点小组问题（调查 2）。发现了六个相关主题：频繁接触工作场所暴力、试图理解工作场所暴力、对支持手段的需求、获取支持手段的障碍、增加行政支持以及工作场所暴力对生活的各个方面都有不利影响。尽管精神科心理健康护士表示希望在遭受攻击后获得更多的心理支持，但对工作场所暴力经历后的潜在意义和认知适应了解不足，并且获取服务存在障碍。本研究的结果将用于为有效支持遭受工作场所暴力的精神科心理健康护士提供一个多方面的计划。
