Patient Safety Research Center, Clinical Research Institute, Nursing & Midwifery School, Urmia University of Medical Sciences, Urmia, Iran.
Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran.
Int Emerg Nurs. 2024 Sep;76:101507. doi: 10.1016/j.ienj.2024.101507. Epub 2024 Aug 28.
Workplace violence (WPV) can have adverse psychological, physical, and emotional effects on emergency department (ED) personnel. Adaptive strategies can help them better adapt to WPV. The study aimed to explore ED personnel's experiences with adaptive strategies used in the face of WPV.
In this qualitative study, 22 ED personnel (nurses, doctors, services patient care assistants, and security guards) were selected using purposive sampling from Urmia city hospitals. Deep semi-structured individual face-to-face interviews were used to collect data. After recording and implementing interviews, conventional content analysis was used to extract concepts.
Data analysis led to extracting an overarching theme of "mastering the situation and avoiding harm." Two categories that supported the main theme were: "effort to avoid violence" and "effort to escape suffering." The seven subcategories supported main categories included "managing patients and companions, "self-control," "seeking support, "emotional discharge," "thought diversion, "tendency to spirituality," and "seeking medical assistance."
Given the experiences of ED personnel regarding strategies used, health managers and policymakers are recommended to develop and implement comprehensive programs to reduce violence and empower nurses before and after dealing with violence. The following programs will help: developing and implementing guidelines such as zero-tolerance WPV policy, criminalizing violence against personnel and punishing perpetrators; holding classes related to communication skills, self-control skills, and deviant thinking skills for ED personnel; raising public awareness of the prevailing conditions in the emergency through mass media, and counseling and treating violent ED personnel.
工作场所暴力（WPV）会对急诊科（ED）人员造成心理、身体和情绪上的不良影响。适应策略可以帮助他们更好地应对 WPV。本研究旨在探讨 ED 人员在面对 WPV 时使用的适应策略的经验。
在这项定性研究中，我们使用目的抽样法从乌尔米亚市的医院中选择了 22 名 ED 人员（护士、医生、服务患者护理助理和保安）。使用深度半结构化的个人面对面访谈收集数据。在记录和实施访谈后，我们使用常规内容分析法提取概念。
数据分析得出了一个总体主题，即“掌握局势并避免伤害”。两个支持主要主题的类别是：“避免暴力的努力”和“避免痛苦的努力”。支持主要类别的七个亚类包括“管理患者和同伴”、“自我控制”、“寻求支持”、“情绪宣泄”、“思维转移”、“倾向于灵性”和“寻求医疗援助”。
鉴于 ED 人员在使用策略方面的经验，建议卫生管理人员和政策制定者制定和实施全面的计划，以减少暴力行为，并在处理暴力前后赋予护士权力。以下方案将有所帮助：制定和实施零容忍 WPV 政策等准则，将针对人员的暴力行为定为犯罪并惩罚犯罪者；为 ED 人员举办与沟通技巧、自我控制技巧和异常思维技巧相关的课程；通过大众媒体提高公众对紧急情况的认识，并为暴力 ED 人员提供咨询和治疗。
