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护理人员间横向暴力的影响因素:一项定性系统综述。

Influencing factors of inter-nursing lateral violence: A qualitative systematic review.

作者信息

Xie Qiulin, Xu Honglin, Luo Zongting, Gong Aiping, Wang Li, Zhou Jian

机构信息

Health Science Center, Yangtze University, Jingzhou, China.

Department of Critical Care Medicine, Jingzhou Hospital Affiliated to Yangtze University, Jingzhou, China.

出版信息

J Clin Nurs. 2024 Mar 18. doi: 10.1111/jocn.17120.

Abstract

BACKGROUND

Lateral violence is a global social problem that has attracted considerable attention in the field of public health. This has seriously affected the quality of care, the safety of patients' lives and the career development of nurses.

OBJECTIVE

To systematically evaluate the factors influencing of nursing lateral violence and provide evidence for preventing and reducing inter-nursing lateral violence.

METHODS

A systematic review of qualitative study was performed in accordance with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines. We collected qualitative studies on the factors influencing of inter-nursing lateral violence by searching PubMed, EMbase, The Cochrane Library, Web of Science, CINAHL, Science Direct, WanFang Data, China National Knowledge Infrastructure (CNKI), Chinese Scientific Journal Database (VIP) and Chinese Biomedical Literature Database (CBM). Data from inception to September 2023. Literature screening and data extraction were independently conducted by two reviewers. The Critical Appraisal Skills Program (CASP) scale was employed to assess the quality of the studies, including objectives, methodologies, designs, results and contributions.

RESULTS

A total of 25 studies involving 882 participants were included. The results of the thematic analysis indicated that inter-nursing lateral violence was influenced by hospital management, perpetrators, victims and sociodemographic factors.

CONCLUSION

Inter-nursing lateral violence was influenced by multidimensional factors. To reduce the occurrence of horizontal violence among nurses, hospitals need to explore the establishment and improvement of a horizontal violence resolution mechanism, and schools should pay attention to the joint support and education of nursing students, create a good working environment and harmonious nursing culture, and promote mutual respect among nurses.

RELEVANCE TO CLINICAL PRACTICE

This review emphasises the importance of the influencing factors of horizontal violence among nurses, analyses the importance of influencing factors from different perspectives, and proposes corresponding measures to reduce inter-nursing lateral violence.

NO PATIENT OR PUBLIC CONTRIBUTION

This study was mostly a literature review; neither patients nor pertinent staff were involved in either the design or conduct of the investigation.

摘要

背景

职场暴力是一个全球性社会问题,在公共卫生领域已引起相当大的关注。这严重影响了护理质量、患者生命安全以及护士的职业发展。

目的

系统评价影响护理职场暴力的因素,为预防和减少护理人员之间的职场暴力提供依据。

方法

按照《提高定性研究综合报告透明度》(ENTREQ)指南进行定性研究的系统评价。通过检索PubMed、EMbase、Cochrane图书馆、科学引文索引、护理学与健康领域数据库、科学Direct、万方数据、中国知网、维普中文科技期刊数据库和中国生物医学文献数据库,收集关于影响护理人员之间职场暴力因素的定性研究。检索时间从建库至2023年9月。由两名研究者独立进行文献筛选和数据提取。采用批判性评估技能计划(CASP)量表评估研究质量,包括研究目的、方法、设计、结果和贡献。

结果

共纳入25项研究,涉及882名参与者。主题分析结果表明,护理人员之间的职场暴力受医院管理、施暴者、受害者和社会人口学因素的影响。

结论

护理人员之间的职场暴力受多维度因素影响。为减少护士之间横向暴力的发生,医院需探索建立和完善横向暴力解决机制,学校应重视对护生的联合支持与教育,营造良好的工作环境与和谐的护理文化,促进护士之间的相互尊重。

与临床实践的相关性

本综述强调了护士横向暴力影响因素的重要性,从不同角度分析了影响因素的重要性,并提出了减少护理人员之间职场暴力的相应措施。

无患者或公众参与

本研究主要是文献综述;患者和相关工作人员均未参与调查的设计或实施。

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