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社会支持对精神科护士工作场所暴力和压力的调节作用。

The moderating role of social support on workplace violence and stress among psychiatric nurses.

机构信息

Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.

Department of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

出版信息

Nurs Forum. 2022 Nov;57(6):1281-1288. doi: 10.1111/nuf.12792. Epub 2022 Aug 27.

DOI:10.1111/nuf.12792
PMID:36030384
Abstract

Exposure to violent acts is considered one of the major stressful events psychiatric nurses are exposed to. Social support has been found to reduce nurses' stress and alleviate their experience of workplace violence; however, no accounts are available on whether social support moderates the relationship between workplace violence and stress. Therefore, the aim of this study was to examine the moderating role of social support on workplace violence and stress among psychiatric nurses. A cross-sectional descriptive and predictive design was utilized. A total of 195 psychiatric nurses were recruited from two governmental mental health hospitals. The results showed that psychiatric nurses were frequently exposed to violence, both verbally and physically, whether during their entire career or within the past 12 months. Verbal violence was more common among participants than physical abuse. Male nurses and nurses working mix-shift were more likely to experience violent acts. Regression analysis showed that only workplace violence and social support predicted psychiatric nurses' stress. On the other hand, social support did not moderate the relationship between workplace violence and stress. Further research is needed to investigate whether similar findings will conform with the results of this study. Meanwhile, healthcare institutions need to implement strategies to reduce or prevent nurses' exposure to workplace violence and lower their stress levels. Mobilizing and activating social support resources at work are considered other avenues to reduce stress experienced by psychiatric nurses.

摘要

暴露于暴力行为被认为是精神科护士面临的主要应激事件之一。社会支持已被发现可减轻护士的压力并缓解其遭受工作场所暴力的经历;然而,尚无关于社会支持是否调节工作场所暴力与压力之间关系的报道。因此,本研究旨在探讨社会支持在精神科护士工作场所暴力与压力之间的调节作用。采用了横断面描述性和预测性设计。共招募了来自两家政府精神卫生医院的 195 名精神科护士。结果表明,精神科护士经常遭受暴力,无论是在整个职业生涯中还是在过去 12 个月内,无论是言语暴力还是身体暴力。言语暴力比身体虐待更常见。男护士和轮班混合工作的护士更容易遭受暴力行为。回归分析表明,只有工作场所暴力和社会支持预测了精神科护士的压力。另一方面,社会支持并没有调节工作场所暴力与压力之间的关系。需要进一步的研究来调查类似的发现是否与本研究的结果一致。同时,医疗机构需要实施策略来减少或预防护士遭受工作场所暴力并降低其压力水平。调动和激活工作场所的社会支持资源被认为是减轻精神科护士压力的另一种途径。

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