Department of Nursing Sciences, Faculty of Social and Community Sciences, Ruppin Academic Center , Emeq Hefer, Israel.
Community Nurse, Maccabi Healthcare Services, HaSharon District, Israel.
Isr J Health Policy Res. 2024 Sep 27;13(1):53. doi: 10.1186/s13584-024-00640-w.
Home care provides an excellent opportunity for personalizing treatment as nurses see patients in their natural environment. Along with its many advantages, the home care environment carries unique risks, as nurses are usually alone, without the protection and security provided by primary care clinics. There are no accurate data in Israel on the scope and characteristics of client violence against nurses during home visits. We conducted a qualitative study to investigate the nature of client violence faced by Israeli nurses during home visits, to gain insights into their perceptions and experiences, and to contribute to the development of effective policies and strategies to combat client violence in the healthcare sector.
Twenty-seven female nurses from primary care clinics, who were exposed to client violence during a home visit, were interviewed using a semi-structured interview guide. The interviews were transcribed and analyzed, and categories and themes were extracted.
Most nurses interviewed experienced at least three incidents of client violence, the most common of which was verbal abuse. The nurses perceived that the location of the encounter between the nurse and the patient in the patient's natural surroundings, rather than within the controlled boundaries of a clinic, contributes to the risk of violence. Violence affected the nurses' professional decisions. The nurses reported that their organization had no established guidelines or instructions for safely conducting home visits, they were not provided with protective or security measures for emergencies, nor did they perceive that they had sufficient training to deal with client violence in clients' homes.
Nurses encounter a range of challenges that make it difficult for them to deal with client violence during home visits, affecting their personal safety and professional decisions. Their ability to manage such situations is shaped by a complex interplay of personal and organizational factors and requires a range of strategies and resources to effectively address them.
家庭护理为个性化治疗提供了极好的机会，因为护士可以在患者的自然环境中看到患者。尽管家庭护理环境有许多优势，但它也存在独特的风险，因为护士通常是独自一人，没有初级保健诊所提供的保护和安全。以色列没有关于客户在家庭访问中对护士暴力行为的范围和特征的准确数据。我们进行了一项定性研究，旨在调查以色列护士在家庭访问中面临的客户暴力的性质，了解他们的看法和经验，并为制定有效的政策和策略以打击医疗保健部门的客户暴力做出贡献。
对 27 名在家庭访问中遭受客户暴力的初级保健诊所女护士进行半结构化访谈指南访谈。对访谈进行转录和分析，并提取类别和主题。
大多数接受采访的护士至少经历过三次客户暴力事件，最常见的是言语虐待。护士们认为，护士和患者在患者自然环境中的相遇地点，而不是在诊所的控制范围内，会增加暴力风险。暴力影响了护士的专业决策。护士报告说，他们的组织没有为安全进行家庭访问制定既定的指导方针或说明，没有为紧急情况提供保护或安全措施，也没有意识到他们有足够的培训来处理客户在客户家中的暴力行为。
护士在家庭访问中遇到了一系列挑战，这些挑战使他们难以应对客户暴力，影响了他们的个人安全和专业决策。他们处理这种情况的能力受到个人和组织因素的复杂相互作用的影响，需要一系列策略和资源来有效地解决这些问题。
