Yenealem Dawit Getachew, Mengistu Avier Mesfin
Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Hygiene and Sanitation Office, Gondar University Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia.
Heliyon. 2024 Mar 8;10(6):e27536. doi: 10.1016/j.heliyon.2024.e27536. eCollection 2024 Mar 30.
Violence is recognized as an extreme expression of aggressive behavior and physical violence is most recognized type among victims. Patients always come to the hospitals looking for a cure, remedy, or assurance; however, incompatibility of demand and service often results in violent incidents that become statuesque in health facilities. This study aims to investigate physical violence and associated factors among nurses in health facilities in Gondar town, Ethiopia.
The study was an institutional-based cross-sectional study among nurses in Gondar town from April to May 2017. Data were collected using a pretested modified version of the standard [ILO/ICN/WHO/PSI] questionnaire by trained data collectors among 339 nurses across health facilities. Multivariable logistic regression analysis with 95% confidence interval (CI) was used to identify the factors significantly associated with physical violence at p-value ≤0.05.
Over one fourth (28.9%) [95% CI: (24.8, 33.9)] of nurses were victims of violence in the past 12 months. Level of verbal abuse (AOR = 2.35; 95%CI, 1.26-4.40), working in emergency (AOR = 4.58; 95%CI, 1.47-14.30) and inpatient (AOR = 3.33; 95%CI, 1.15-9.66)departments; having moderate (AOR = 0.41; 95%CI, 0.18-0.90),high (AOR = 0.41; 95%CI, 0.18-0.90), optimal (AOR = 0.41; 95%CI, 0.18-0.90) level of concern of violence were significantly associated with physical violence.
This study underlines findings nurses are at high-risk of physical violence and it is ranked second highest only to psychiatric and trauma facilities in Gondar town. Exposure to verbal abuse, working in emergency and inpatient departments and perceived level of concern are the precursors of experiencing physical violence. Therefore, investing time and capital in training like restraining and de-escalation, structural measures that deter the assailants are important.
暴力被视为攻击行为的极端表现形式，身体暴力是受害者中最常见的类型。患者总是前往医院寻求治疗、补救或安心；然而，需求与服务的不匹配常常导致暴力事件在医疗机构中屡见不鲜。本研究旨在调查埃塞俄比亚贡德尔镇医疗机构中护士遭受身体暴力的情况及其相关因素。
该研究是一项基于机构的横断面研究，于2017年4月至5月对贡德尔镇的护士进行调查。数据由经过培训的数据收集人员使用经过预测试的标准[国际劳工组织/国际护士理事会/世界卫生组织/公共服务国际组织]问卷的修改版，在339名跨医疗机构的护士中收集。采用95%置信区间（CI）的多变量逻辑回归分析来确定在p值≤0.05时与身体暴力显著相关的因素。
在过去12个月中，超过四分之一（28.9%）[95%CI：（24.8，33.9）]的护士曾遭受暴力侵害。言语虐待程度（优势比[AOR]=2.35；95%CI，1.26 - 4.40）、在急诊科（AOR = 4.58；95%CI，1.47 - 14.30）和住院部（AOR = 3.33；95%CI，1.15 - 9.66）工作；对暴力的关注程度为中等（AOR = 0.41；95%CI，0.18 - 0.90）、高（AOR = 0.41；95%CI，0.18 - 0.90）、最佳（AOR = 0.41；95%CI，0.18 - 0.90）与身体暴力显著相关。
本研究强调了护士遭受身体暴力的风险很高，在贡德尔镇仅次于精神病科和创伤科。遭受言语虐待、在急诊科和住院部工作以及感知到的关注程度是遭受身体暴力的先兆。因此，投入时间和资金进行如约束和降级处理等培训，以及采取威慑攻击者的结构性措施非常重要。
