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中国精神科护士遭受工作场所暴力的发生率及其相关影响因素:系统评价和 Meta 分析。

Incidence and related influencing factors of workplace violence among psychiatric nurses in China: A systematic review and Meta-analysis.

机构信息

Shanxi Medical University, Department of Psychiatric, The First Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China.

Shanxi Medical University; Vascular Surgery, Shanxi Bethune Hospital, Taiyuan, 030001, Shanxi, China.

出版信息

Arch Psychiatr Nurs. 2022 Oct;40:68-76. doi: 10.1016/j.apnu.2022.04.005. Epub 2022 Apr 26.

Abstract

AIM

To analyze and integrate the incidence and its influencing factors on workplace violence among psychiatric nurses in China.

BACKGROUND

Despite the fact that an increasing number of studies in China and elsewhere have focused on workplace violence among psychiatric nurses, there is presently no research to thoroughly explain the determining variables of violence faced by psychiatric nurses.

DESIGN

A systematic review and meta-analysis was conducted.

METHOD

PubMed, Embase, Cohrane Library, CNKI database, Wanfang database, and VIP database were used to search for English-language literature. The search deadline is June 15, 2021. The quality of the included literature was assessed, data was retrieved, and the meta-analysis was performed using Stata 16.0 software.

RESULTS

A total of 19 works of literature, including 5926 patients, were included. Meta-analysis results showed that the incidence of workplace violence was about 78%[ES = 0.78, 95%CI(0.65,0.88)]. The possible factors for Chinese psychiatric nurses suffering from violence include gender, education, working years, whether they are an only child, age, height, working hours, and the form of employment.

CONCLUSIONS

The incidence of workplace violence incidence among psychiatric nurses in China is high, and managers should employ individualized intervention methods based on the variables that influence it.

IMPLICATIONS FOR NURSING MANAGEMENT

Managers should attach great importance to the occurrence of workplace violence. In training to prevent workplace violence, we should pay attention to the disparities in age and working abilities of nurses. Nurses should be trained in recognizing violent conduct, early warning indications, communication skills, and emergency response tactics. Managers should be able to schedule shifts in a flexible manner. Various techniques to enhance the nurse's working environment.

摘要

目的

分析和整合中国精神科护士工作场所暴力的发生率及其影响因素。

背景

尽管越来越多的中国和其他国家的研究都集中在精神科护士的工作场所暴力上,但目前还没有研究能彻底解释精神科护士所面临暴力行为的决定因素。

设计

系统回顾和荟萃分析。

方法

使用 PubMed、Embase、Cochrane Library、CNKI 数据库、万方数据库和 VIP 数据库搜索英文文献。搜索截止日期为 2021 年 6 月 15 日。评估纳入文献的质量,提取数据,并使用 Stata 16.0 软件进行荟萃分析。

结果

共纳入 19 篇文献,包括 5926 例患者。荟萃分析结果显示,工作场所暴力的发生率约为 78%[ES=0.78,95%CI(0.65,0.88)]。中国精神科护士遭受暴力的可能因素包括性别、教育程度、工作年限、是否独生子女、年龄、身高、工作时间和就业形式。

结论

中国精神科护士工作场所暴力发生率较高,管理者应根据影响因素采用个体化干预方法。

对护理管理的意义

管理者应重视工作场所暴力的发生。在预防工作场所暴力的培训中,我们应注意护士年龄和工作能力的差异。应培训护士识别暴力行为、预警迹象、沟通技巧和应急反应策略。管理者应能够灵活安排轮班。采用各种技术来改善护士的工作环境。

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