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影响急诊科针对护士暴力行为的因素。

The factors that affect violence against nurses in emergency departments.

作者信息

Ras Ibrahim Abu

机构信息

Arab American University of Jenin,Palestine.

出版信息

Heliyon. 2023 Mar 7;9(3):e14306. doi: 10.1016/j.heliyon.2023.e14306. eCollection 2023 Mar.

DOI:10.1016/j.heliyon.2023.e14306
PMID:36950614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10025084/
Abstract

BACKGROUND

Violence against nurses within healthcare setting is a serious issue of concern within the global healthcare sector. A considerably large percentage of nurses, 30%, in particular, have experienced or witnessed cases of violence in the workplace.

OBJECTIVE

To conduct a scoping review on the factors influencing violence against nurses in emergency departments.

DESIGN

Literature review.

SETTINGS

The SLR was performed in various academic databases namely SpringerLink, Google Scholar, Science Direct, ERIC, and Academic Search Elite.

PARTICIPANTS

A total of N = 10 articles were included in the study.

METHODS

A scoping/mapping review (SR) was performed in adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis recommendations.

RESULTS

The literature review consisted of 10 articles published in the English language within the last 10 yrs (between 2013 and 2022). The studies reviewed utilized various designs. Cross-sectional were 7, Case study was 1, while Qualitative retrospective descriptive studies were 2. The total sample size of all the studies recruited was N = 38, 031 participants. The reviewed literature revealed various factors that contribute to violence against nurses namely the level of a nurse's experience, low quality of service, unmet expectations, patient or colleague disruptive behaviors, delay in care or waiting time, mistakes in care/errors, degree of pain of the patient, death of a patient, class in roles among colleagues, and high workload and overcrowding.

CONCLUSIONS

Violence against nurses is a major problem in the healthcare sector due to its adverse consequences; however, it remains persistent. This study reveals that the main factors of violence against nurses are fewer years of experience as a nurse, level of pain of patients, quality of healthcare service, waiting time, unmet patient expectation, and disagreements among nurses in the workplace.

摘要

背景

医疗机构内针对护士的暴力行为是全球医疗行业严重关切的问题。相当大比例的护士,尤其是30%,曾在工作场所经历或目睹暴力事件。

目的

对影响急诊科护士遭受暴力行为的因素进行范围综述。

设计

文献综述。

场所

在多个学术数据库中进行系统文献回顾,即施普林格在线、谷歌学术、科学Direct、教育资源信息中心和学术搜索精英。

参与者

本研究共纳入N = 10篇文章。

方法

按照系统评价和Meta分析的首选报告项目建议进行范围/图谱综述(SR)。

结果

文献综述包括过去10年(2013年至2022年)以英文发表的10篇文章。所综述的研究采用了各种设计。横断面研究7篇,案例研究1篇,定性回顾性描述性研究2篇。所有研究招募的总样本量为N = 38,031名参与者。所综述的文献揭示了导致护士遭受暴力行为的各种因素,即护士的经验水平、服务质量低、期望未得到满足、患者或同事的破坏性行为、护理延误或等待时间、护理失误/差错、患者的疼痛程度、患者死亡、同事间的角色等级以及高工作量和过度拥挤。

结论

由于其不良后果,针对护士的暴力行为是医疗行业的一个主要问题;然而,它仍然持续存在。本研究表明,针对护士暴力行为的主要因素是护士工作年限较少、患者的疼痛程度、医疗服务质量、等待时间、患者期望未得到满足以及工作场所护士之间的分歧。

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