Ebrahimi Rigi Zahra, Mangolian Shahrbabaki Parvin, Ahmadi Fazlollah, Ravari Ali
Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Nursing Research Center, Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Front Psychiatry. 2022 May 17;13:848059. doi: 10.3389/fpsyt.2022.848059. eCollection 2022.
The stress and mental pressure resulting from the challenges posed by the COVID-19 crisis exacerbated occupational stressors such as workplace violence against nurses even though nurses were endangering their lives to provide high-quality care and reduce patients' suffering. Therefore, the present study aimed to explain Iranian nurses' experiences of workplace violence during the COVID-19 crisis.
This study was conducted using a qualitative approach. Twenty-five semi-structured interviews were conducted with nurses who had experienced workplace violence at COVID-19 referral centers in Kerman during the COVID-19 crisis. Conventional content analysis was used to analyze the data, and the research was reported the COREQ checklist.
Analysis of the findings led to one main category, "nurses' self-sacrifice in a distressful and threatening environment," and four subcategories, which included "omitting entertainment and fun activities," "having challenging duties in unsafe conditions," "receiving insufficient support," and "nurses' toleration of disrespect."
Crises can exacerbate workplace violence toward nurses. Thus, it is necessary to design educational programs and prevention strategies to manage the destructive psychological and occupational impact of the crises on nurses. Nurses should receive training in crisis management to cope with the intensified aggressive behavior of managers, colleagues, patients, and patient companions during the crisis. Policy-makers must be prepared to deal with crises, and they should take measures to improve nurses' mental health and quality of care.
尽管护士冒着生命危险提供高质量护理并减轻患者痛苦，但新冠疫情危机带来的挑战所产生的压力和精神负担加剧了诸如针对护士的工作场所暴力等职业压力源。因此，本研究旨在阐释伊朗护士在新冠疫情危机期间遭遇工作场所暴力的经历。
本研究采用定性研究方法。对在新冠疫情危机期间于克尔曼的新冠转诊中心经历过工作场所暴力的护士进行了25次半结构化访谈。采用常规内容分析法对数据进行分析，并依据COREQ清单报告研究情况。
对研究结果的分析得出一个主要类别，即“护士在充满压力和威胁的环境中的自我牺牲”，以及四个子类别，包括“放弃娱乐和有趣活动”“在不安全条件下承担具有挑战性的职责”“获得的支持不足”和“护士对不尊重行为的容忍”。
危机可能会加剧针对护士的工作场所暴力。因此，有必要设计教育项目和预防策略，以应对危机对护士造成的破坏性心理和职业影响。护士应接受危机管理培训，以应对危机期间管理人员、同事、患者及患者陪伴者加剧的攻击性行为。政策制定者必须做好应对危机的准备，应采取措施改善护士的心理健康状况和护理质量。
