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土耳其患者对针对医护人员暴力行为的看法及其在急诊科的满意度:一项横断面研究。

Patients' opinion on violence against healthcare workers and their level of satisfaction in emergency department in Turkey: A cross-sectional study.

作者信息

Ipek Muhammet, Özlük Bilgen

机构信息

Emergency Unit Nurse, Konya Numune Hospital, Konya, Turkey.

Necmettin Erbakan University, Faculty of Nursing, Department of Nursing Management, Konya, Turkey.

出版信息

Int Emerg Nurs. 2023 Nov;71:101350. doi: 10.1016/j.ienj.2023.101350. Epub 2023 Sep 12.

Abstract

BACKGROUND

Violence, with an increasing rate of cases in the health care system which adversely affects the quality of provision of services, has become a social health issue that also has negative impacts both on healthcare workers and patients. This study was conducted to determine the opinion of patients, who had been admitted to the emergency department, towards violence against healthcare workers, and their level of satisfaction with health services.

METHODS

The study employed a cross-sectional design and was conducted with 348 patients who had received healthcare services in the adult emergency department in Turkey. The Emergency Department Patient Satisfaction Survey and An eight-item questionnaire prepared by the researchers consisting of the patient's characteristics and their statements on violence were used to collect the data.

RESULTS

Among the patients, 26.7% stated that they had been violent toward healthcare workers. It was determined that 91.4% of the cases were verbal and 8.6% were physical. Among the patients, 82.2% had not known about the legal sanctions for violence against healthcare workers. The low level of propensity for violence in patients who were satisfied with the emergency department service was statistically significant (p < 0.05).

CONCLUSIONS

As a result of the study, it was found that one in four patients had been violent to healthcare workers, and the vast majority had a lack of information about legal sanctions. Policymakers should take deterrent measures to prevent the occurrence of violence and develop more critical sanctions.

摘要

背景

暴力事件在医疗系统中的发生率不断上升,对服务质量产生了不利影响,已成为一个社会健康问题,对医护人员和患者都有负面影响。本研究旨在确定急诊科收治的患者对暴力侵害医护人员行为的看法,以及他们对医疗服务的满意度。

方法

本研究采用横断面设计,对在土耳其成人急诊科接受医疗服务的348名患者进行了调查。使用急诊科患者满意度调查问卷以及研究人员编制的一份包含患者特征及其对暴力行为陈述的八项问卷来收集数据。

结果

在患者中,26.7%表示曾对医护人员实施暴力。经确定,91.4%的暴力行为为言语暴力,8.6%为身体暴力。在患者中,82.2%不知道暴力侵害医护人员行为的法律制裁措施。对急诊科服务满意的患者暴力倾向较低,差异具有统计学意义(p < 0.05)。

结论

研究结果表明,四分之一的患者曾对医护人员实施暴力,而且绝大多数人对法律制裁缺乏了解。政策制定者应采取威慑措施以防止暴力事件的发生,并制定更严厉的制裁措施。

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