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护士报告的工作场所暴力事件:一项重复全州范围的调查结果。

Nurse-reported workplace violent events: Results from a repeated statewide survey.

机构信息

Center for Improving Patient and Population Health, School of Nursing, University of Michigan, Ann Arbor, MI; Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI.

Center for Improving Patient and Population Health, School of Nursing, University of Michigan, Ann Arbor, MI.

出版信息

Nurs Outlook. 2024 Sep-Oct;72(5):102265. doi: 10.1016/j.outlook.2024.102265. Epub 2024 Aug 28.

Abstract

BACKGROUND

Workplace violence significantly affects registered nurses, contributing to burnout and intention to leave.

METHODS

The Michigan Nurses Study conducted surveys in 2022 and 2023, examining the prevalence of verbal, physical, and sexual violence, and coworker bullying. Personal and workplace factors associated with reporting any violent event were examined using multivariable logistic regression.

RESULTS

There was a decline in overall workplace violence from 50.2% to 43.4%, despite a rise in sexual harassment from 9.9% to 11.8%. Over half of the events were patient-sourced. Underreporting remained a problem. Factors associated with increased likelihood of reporting any violent event included younger age, employment in acute care and long-term care settings, unfavorable practice environments, less confidence in management, inadequate support for workplace stress, and understaffing on the past shift.

CONCLUSION

Despite a decrease in reported violent events, incidents remain common. Improvements in working conditions, management of understaffing, and support systems are crucial to mitigate workplace violence against nurses.

摘要

背景

工作场所暴力对注册护士影响重大,可导致其 burnout(职业枯竭)和离职意愿增加。

方法

密歇根护士研究于 2022 年和 2023 年进行了调查,调查了言语、身体和性暴力以及同事欺凌的发生率。使用多变量逻辑回归分析了与报告任何暴力事件相关的个人和工作场所因素。

结果

尽管性骚扰从 9.9%上升到 11.8%,但总体工作场所暴力从 50.2%下降到 43.4%。超过一半的事件源自患者。漏报仍然是一个问题。与报告任何暴力事件可能性增加相关的因素包括年龄较小、在急性护理和长期护理机构工作、工作环境不利、对管理层的信心不足、对工作场所压力的支持不足以及上一班人手不足。

结论

尽管报告的暴力事件有所减少,但此类事件仍很常见。改善工作条件、管理人员短缺和支持系统对于减轻护士遭受的工作场所暴力至关重要。

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Registered Nurses' Well-Being, Michigan, 2022.注册护士的健康状况,密歇根州,2022 年。
Am J Public Health. 2024 Feb;114(S2):180-188. doi: 10.2105/AJPH.2023.307376.

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