Healthcare Profession Department, Padua University Hospital, Padova, Italy.
Dipartimento di Scienze Cardio-Toraco-Vascolari e Sanità Pubblica, University of Padua, Padova, Italy.
J Ren Care. 2022 Sep;48(3):207-214. doi: 10.1111/jorc.12417. Epub 2022 Mar 24.
Nursing is considered the healthcare profession at most risk of violence. Violence in the workplace is a complex construct difficult to manage and against health workers has implications for the entire health system. A limited number of studies have evaluated this phenomenon in renal units, and there has been little related work since Zampieron's study of 2010.
To describe prevention and management strategies 10 years after the last survey of Zampieron and to identify what has changed in the management of violence.
An observational, cross-sectional study.
A convenience sample including all nurses participating in the European Dialysis and Transplant Nurses Association/European Renal Care Association Conference of 2019, who understand the English language and have a smartphone or tablet.
A questionnaire developed by Zampieron was used. The first part collected data concerning the characteristics of the participants' workplace; the second part included closed questions focused on the strategies of management and prevention of violence.
Violence is still a frequent event in renal units, despite measures adopted as education, training, formal incident reporting procedures and indoor safety measures. Much more has been invested in recent years in the prevention of violence in the workplace through specific courses, which have led to greater complaints and reporting of episodes.
This study shows how actions regarding prevention and management of violence towards nurses have been implemented in renal units over the last 10 years and it suggests the greatest investment in recent years has been made in terms of staff training and education.
护理工作被认为是最容易遭受暴力的医疗保健职业。工作场所暴力是一个难以管理的复杂概念，对卫生工作者的暴力行为会对整个卫生系统产生影响。只有少数研究评估了肾脏科的这种现象，自 2010 年 Zampieron 的研究以来，相关工作很少。
描述 Zampieron 最后一次调查后的十年中预防和管理策略，并确定在暴力管理方面发生了哪些变化。
观察性、横断面研究。
一个方便的样本，包括所有参加 2019 年欧洲透析和移植护士协会/欧洲肾脏护理协会会议的护士，他们理解英语，并拥有智能手机或平板电脑。
使用 Zampieron 开发的问卷。第一部分收集参与者工作场所特征的数据；第二部分包括关注管理和预防暴力策略的封闭问题。
尽管采取了教育、培训、正式事件报告程序和室内安全措施，但肾脏科的暴力事件仍然频繁发生。近年来，通过专门的课程，更多地投入到预防工作场所暴力方面，导致更多的投诉和报告事件。
本研究表明，在过去的 10 年中，肾脏科针对护士的暴力预防和管理措施是如何实施的，并表明近年来在员工培训和教育方面投入最多。
