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[心理暴力、骚扰和网络欺凌与女护士抑郁及离职意愿的关联]

[Association of psychological violence, harassment, and cyberbullying with depression and turnover intentions in female nurses].

作者信息

Hori Asuka, Sankai Tomoko, Miki Akiko

机构信息

Master's Program for Nursing, Graduate School of Comprehensive Human Sciences, University of Tsukuba.

Faculty of Medicine, University of Tsukuba.

出版信息

Sangyo Eiseigaku Zasshi. 2024 Sep 25;66(5):181-191. doi: 10.1539/sangyoeisei.2022-037-E. Epub 2024 Jul 11.

Abstract

PURPOSE

Psychological violence and harassment have been reported to be associated with mental health problems and turnover intention among nurses. Cyberbullying, a hidden form of harassment using information and communication technology, is attracting attention as a factor that threatens the mental health of nurses. This study aimed to add coping characteristics, social support, and workplace social capital to psychological violence, harassment, and cyberbullying in female nurses and determine their association with depression and turnover intention.

PARTICIPANTS AND METHODS

An anonymous, self-administered questionnaire survey was conducted, targeting 2,158 female nurses working in four domestic hospitals, excluding those in management positions. The analysis included 1,151 nurses who responded (valid response rate: 53.3%). Multiple regression analysis was performed with depression and turnover intention as dependent variables and psychological violence and harassment, cyberbullying, the brief scales for coping profile (BSCP) and social support scale scores, and social capital (SC) as independent variables.

RESULTS

Depression was positively correlated with psychological violence and harassment, cyberbullying, and the BSCP subscale "avoidance and suppression" and negatively correlated with the BSCP subscale "changing the point of view" and social support subscales "support from supervisors" and "support from co-workers." Turnover intention was positively correlated with psychological violence and harassment and the BSCP subscale "avoidance and suppression" and negatively correlated with the BSCP subscale "changing the point of view," social support subscale "support from supervisors," and vertical SC.

DISCUSSION AND CONCLUSION

The results suggest that work environments should prevent psychological violence and harassment in nurses to promote a sense of security and eliminate mental health problems. Cyberbullying was inferred as a factor that could lead to mental health problems among nurses. Therefore, each nurse should raise their awareness of information literacy, besides attending more to their words and attitudes.

摘要

目的

据报道,心理暴力和骚扰与护士的心理健康问题及离职意愿有关。网络欺凌是一种利用信息通信技术的隐蔽骚扰形式,作为威胁护士心理健康的一个因素正受到关注。本研究旨在将应对特征、社会支持和工作场所社会资本纳入女性护士的心理暴力、骚扰和网络欺凌研究中,并确定它们与抑郁和离职意愿的关联。

参与者与方法

对四家国内医院的2158名女性护士(不包括管理岗位人员)进行了匿名的自填式问卷调查。分析纳入了1151名有回复的护士(有效回复率:53.3%)。以抑郁和离职意愿为因变量,心理暴力和骚扰、网络欺凌、应对概况简表(BSCP)得分、社会支持量表得分以及社会资本(SC)为自变量进行多元回归分析。

结果

抑郁与心理暴力和骚扰、网络欺凌以及BSCP分量表“回避与压抑”呈正相关,与BSCP分量表“改变观点”以及社会支持分量表“上级支持”和“同事支持”呈负相关。离职意愿与心理暴力和骚扰以及BSCP分量表“回避与压抑”呈正相关,与BSCP分量表“改变观点”、社会支持分量表“上级支持”以及纵向社会资本呈负相关。

讨论与结论

结果表明,工作环境应防止护士遭受心理暴力和骚扰,以增强安全感并消除心理健康问题。网络欺凌被推断为可能导致护士出现心理健康问题的一个因素。因此,除了注意自己的言行和态度外,每位护士都应提高信息素养意识。

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