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2022年埃塞俄比亚东北部公立医院护士遭受工作场所暴力的患病率及相关因素

Prevalence of Workplace Violence and Associated Factors Against Nurses Working in Public Hospitals in Northeastern Ethiopia, 2022.

作者信息

Bekalu Yemane Eshetu, Wudu Muluken Amare

机构信息

Department of Public Health, ALKAN Health Science Business Technology College, Dessie, Ethiopia.

Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

出版信息

SAGE Open Nurs. 2023 May 22;9:23779608231171776. doi: 10.1177/23779608231171776. eCollection 2023 Jan-Dec.

DOI:10.1177/23779608231171776
PMID:37250765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10210530/
Abstract

BACKGROUND

Workplace violence against nurses is a burgeoning public health issue affecting developing countries' healthcare industries. Medical staff, particularly nursing staff, have been subjected to a high level of violence from patients, visitors, and coworkers.

OBJECTIVE

Aimed to assess the magnitude and associated factors of workplace violence among nurses working in public hospitals in northeast Ethiopia.

METHODS

A multicenter hospital-based cross-sectional study was employed among 568 nurses using census method among public hospitals in Northeast Ethiopia in 2022. The data was gathered using a pretested structured questionnaire and entered into Epi Data version 4.7 before being exported to SPSS version 26 for analysis. Furthermore, at 95% CI, multivariable binary logistic regression was used, and variables with -values of <.05 were found to be significant.

RESULT

Out of the total 534 respondents, 56% had been exposed to workplace violence in the past 12 months, with verbal abuse accounting for 264 (49.4%), physical abuse 112 (21%), bullying 93 (17.2%), and sexual harassment 40 (7.5%). Being female nurses (adjusted odds ratio [AOR = 4.85, 95% CI (3.178, 7.412)]), having an age  > 41 [AOR = 2.27, 95% CI (1.101, 4.701)], nurses who had drunk alcohol in the past 30 days [AOR = 7.94, 95% CI (3.027, 20.86)], nurses who drink alcohol in their lifetime [AOR = 3.14, 95% CI (1.328, 7.435)], and male patients [AOR = 4.84, 95% CI (2.496, 9.415)] were positive predictors of workplace violence.

CONCLUSION AND RECOMMENDATION

In this study, the magnitude of workplace violence among nurses was relatively higher. Nurses' sex, age, alcohol habit, and sex of patients were associated with workplace violence. Therefore, intensive facility-based and community-based behavioral change health promotion activities on workplace violence should be done, with particular focus on nurses and patients.

摘要

背景

针对护士的工作场所暴力是一个新兴的公共卫生问题,影响着发展中国家的医疗行业。医务人员,尤其是护理人员,遭受了来自患者、访客和同事的高度暴力。

目的

旨在评估埃塞俄比亚东北部公立医院护士工作场所暴力的严重程度及相关因素。

方法

2022年在埃塞俄比亚东北部的公立医院中,采用普查法对568名护士进行了一项基于多中心医院的横断面研究。数据通过预先测试的结构化问卷收集,并录入Epi Data 4.7版本,然后导出到SPSS 26版本进行分析。此外,在95%置信区间下,使用多变量二元逻辑回归,p值<0.05的变量被认为具有统计学意义。

结果

在总共534名受访者中,56%在过去12个月中遭受过工作场所暴力,其中言语虐待占264例(49.4%),身体虐待112例(21%),欺凌93例(17.2%),性骚扰40例(7.5%)。女性护士(调整后的优势比[AOR = 4.85,95%置信区间(3.178,7.412)])、年龄>41岁[AOR = 2.27,95%置信区间(1.101,4.701)]、在过去30天内饮酒的护士[AOR = 7.94,95%置信区间(3.027,20.86)]、一生中饮酒的护士[AOR = 3.14,95%置信区间(1.328,7.435)]以及男性患者[AOR = 4.84,95%置信区间(2.496,9.415)]是工作场所暴力的阳性预测因素。

结论与建议

在本研究中,护士工作场所暴力的严重程度相对较高。护士的性别、年龄、饮酒习惯以及患者的性别与工作场所暴力有关。因此,应开展基于机构和社区的强化行为改变健康促进活动,以应对工作场所暴力,尤其要关注护士和患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7a/10210530/3b27c8fd33ee/10.1177_23779608231171776-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7a/10210530/2491dc7c75a5/10.1177_23779608231171776-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7a/10210530/3b27c8fd33ee/10.1177_23779608231171776-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7a/10210530/2491dc7c75a5/10.1177_23779608231171776-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e7a/10210530/3b27c8fd33ee/10.1177_23779608231171776-fig2.jpg

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