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突破桥梁:对巴勒斯坦医疗工作者遭受暴力这一现象中,医患沟通不畅这一重要因素的调查。

Breaching the Bridge: An Investigation into Doctor-Patient Miscommunication as a Significant Factor in the Violence against Healthcare Workers in Palestine.

机构信息

Language Centre/Faculty of Human Science, An-Najah National University, Nablus, State of Palestine.

Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, State of Palestine.

出版信息

Biomed Res Int. 2021 Jul 23;2021:9994872. doi: 10.1155/2021/9994872. eCollection 2021.

DOI:10.1155/2021/9994872
PMID:34337070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8324345/
Abstract

BACKGROUND

Workplace violence is a common issue worldwide that strikes all professions, and healthcare is one of the most susceptible ones. Verbal and nonverbal miscommunications between healthcare workers and patients are major inducers for violent attacks.

AIM

To study the potential impact of verbal and nonverbal miscommunications between the patients and healthcare workers upon workplace violence from the patients' perspectives.

METHODS

A descriptive cross-sectional study was performed from November to December 2020. Patients and previously hospitalized patients were asked to complete a self-reported questionnaire that involved items of verbal and nonverbal miscommunication. With the use of a suitable available sample composed of 550 participants, 505 had completed the questionnaire and were included in the study. The data were analyzed by using SPSS version 22 software.

RESULTS

7.2% of the study population reported participating in nonverbal violence and 19.6% participated in verbal violence against healthcare workers. The nonverbal and verbal violence was characteristically displayed by the patients who are male, younger than 30 years old, and bachelor's degree holders. The results of the study demonstrated that the verbal and nonverbal miscommunications between the patients and healthcare workers were the major factors in provoking violent responses from patients. Factors, such as age, gender, and level of education, were significant indicators of the type of patients who were more likely to respond with violence.

CONCLUSION

Workplace violence, either verbal or nonverbal, in the health sector is a public health concern in Palestine. The verbal and nonverbal communication skills of healthcare workers should be developed well enough to overcome the effect of miscommunication provoking violent acts from patients and their relatives as well.

摘要

背景

工作场所暴力是一个全球性的普遍问题,影响着所有职业,而医疗保健行业是最易受影响的行业之一。医护人员与患者之间的言语和非言语交流失误是暴力攻击的主要诱因。

目的

从患者的角度研究患者与医护人员之间的言语和非言语交流失误对来自患者的工作场所暴力的潜在影响。

方法

本研究于 2020 年 11 月至 12 月进行了一项描述性的横断面研究。患者和之前住院的患者被要求填写一份自我报告的问卷,其中包括言语和非言语交流失误的项目。使用由 550 名参与者组成的合适的现有样本,其中 505 名完成了问卷并被纳入研究。数据采用 SPSS 版本 22 软件进行分析。

结果

研究人群中有 7.2%的人报告参与了非言语暴力,19.6%的人参与了针对医护人员的言语暴力。非言语和言语暴力主要发生在男性、年龄在 30 岁以下和拥有学士学位的患者身上。研究结果表明,患者与医护人员之间的言语和非言语交流失误是引发患者暴力反应的主要因素。年龄、性别和教育程度等因素是患者更有可能以暴力回应的重要指标。

结论

在巴勒斯坦,医疗保健部门的工作场所暴力,无论是言语还是非言语暴力,都是公共卫生关注的问题。医护人员的言语和非言语沟通技巧应该得到充分发展,以克服沟通失误对患者及其亲属的暴力行为的影响。

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