J Emerg Nurs. 2023 May;49(3):441-449. doi: 10.1016/j.jen.2022.09.002. Epub 2022 Oct 25.
Violence against nurses working in the emergency department is a serious problem worldwide.
This descriptive study used a participant questionnaire and was conducted in-person, using semi-structured interviews with 120 emergency nurses (69 female, 51 male) working in the emergency department between September 1 and November 30, 2017.
Overall, 90% of the study participants were exposed to workplace violence at least once while working in the emergency department, and 94.4% experienced verbal abuse, including insults, shouting, threats, and swearing. Most of such workplace violence came from the patients relatives. Most workplace violence incidents occurred during the 4 pm to midnight time slot and in the triage area. The most important perceived reasons for workplace violence were the long waiting period for treatment and care (79.6%) and not being prioritized for treatment (68.5%). The top 3 coping methods used were reporting to the nurse in charge (78.1%), followed by reaching out to the security personnel (72.8%) and filing lawsuits if exposed to physical violence (65.8%).
Most emergency nurses had experienced workplace violence. Hospital administration should take more effective security measures, hospitals should provide education and training programs for dealing with workplace violence, and programs to support staff members on encountering workplace violence should be implemented.
在急诊科工作的护士遭受暴力侵害是一个全球性的严重问题。
这是一项描述性研究,采用参与者问卷调查,于 2017 年 9 月 1 日至 11 月 30 日期间对在急诊科工作的 120 名急诊护士(69 名女性,51 名男性)进行了面对面的半结构式访谈。
总体而言,90%的研究参与者在急诊科工作时至少经历过一次工作场所暴力,94.4%的人经历过言语虐待,包括侮辱、大喊大叫、威胁和咒骂。大多数此类工作场所暴力来自患者的亲属。大多数工作场所暴力事件发生在下午 4 点到午夜时段和分诊区。工作场所暴力的最重要的感知原因是治疗和护理的等待时间长(79.6%)和没有得到优先治疗(68.5%)。用于应对工作场所暴力的前三种方法是向主管护士报告(78.1%),其次是联系安保人员(72.8%)和在遭受身体暴力时提起诉讼(65.8%)。
大多数急诊护士都经历过工作场所暴力。医院管理部门应采取更有效的安全措施,医院应为应对工作场所暴力提供教育和培训计划,并应实施支持工作人员应对工作场所暴力的计划。