Wang Tsu-Chi, Kuo Ting-Ya, Tung Tao-Hsin, Chen Peter Y, Chen Fu-Li
New Taipei City Hospital, No. 3, Sec. 1, New Taipei Blvd., Sanchong Dist, New Taipei City, 241204, Taiwan.
Department of Public Health, Fu Jen Catholic University, No.510, Zhongzheng Rd., Xinzhuang Dist, New Taipei City, 242062, Taiwan.
BMC Nurs. 2024 Oct 8;23(1):726. doi: 10.1186/s12912-024-02367-0.
Workplace violence is a serious safety hazard in the healthcare sector and has attracted much attention worldwide, especially for nursing staff. Equipping nursing personnel with protective capabilities for workplace violence can reduce the risk they face in work settings. This study explored scenarios of common violent patient-nurse conflicts in the workplace of hospital nursing staff and their capabilities for de-escalating such conflicts.
We used a qualitative content analysis for this study. Qualitative interviews were conducted with 21 nurses in two teaching hospitals in New Taipei City, Taiwan, until data saturation was reached. The data were transcribed, encoded, and analyzed and similar concepts were grouped under the same category.
Four categories of workplace violence scenarios common to hospital nursing staff were identified: unreasonable requests, caring for high-risk patients, long waiting times for medical consultation, and close contact when caring for patients. Two protective capabilities were recognized: communication and interpersonal capabilities and problem-solving skills. Each scenario may require a different combination of abilities.
Our findings suggest that a violence-prevention training program could be designed for various workplace violence scenarios to enhance nurses' abilities to de-escalate workplace violence in hospitals.
工作场所暴力是医疗保健部门严重的安全隐患，在全球范围内备受关注，尤其是对护理人员而言。使护理人员具备应对工作场所暴力的防护能力可降低他们在工作环境中面临的风险。本研究探讨了医院护理人员工作场所中常见的医患暴力冲突场景以及他们化解此类冲突的能力。
本研究采用定性内容分析法。对台湾新北市两家教学医院的21名护士进行了定性访谈，直至达到数据饱和。对数据进行转录、编码和分析，并将相似概念归为同一类别。
确定了医院护理人员工作场所常见的四类暴力场景：不合理要求、护理高危患者、长时间等待会诊以及护理患者时的密切接触。识别出两种防护能力：沟通和人际能力以及解决问题的技能。每种场景可能需要不同的能力组合。
我们的研究结果表明，可以针对各种工作场所暴力场景设计一个预防暴力培训项目，以提高护士在医院化解工作场所暴力的能力。
