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护士对工作场所暴力风险因素及控制策略的看法:越南全国性调查

Nurses' Perspectives on Risk Factors and Strategies to Control Workplace Violence: A National Survey in Vietnam.

作者信息

Do Sinh Minh, Nguyen Nguyet Thi, Mai Anh Thi Lan, Vu Mai Thi Thuy

机构信息

Department of Public Health, Nam Dinh University of Nursing, Nam Dinh, Vietnam.

Department of Nursing, University of Medicine and Pharmacy, Vietnam National University Hanoi, Hanoi, Vietnam.

出版信息

Iran J Public Health. 2024 Aug;53(8):1805-1814. doi: 10.18502/ijph.v53i8.16286.

Abstract

BACKGROUND

We aimed to describe nurses' perspectives on risk factors and strategies to control workplace violence.

METHODS

To accomplish the study objectives, an online cross-sectional questionnaire-based investigation was conducted. The scales were developed in accordance with the guidelines provided by reputable organizations such as the International Labour Office (ILO), International Council of Nurses (ICN), WHO, and Public Services International (PSI), as well as previous scholarly works. Prior to implementation, the validity and reliability of the Likert scales were rigorously tested. The survey, conducted from March to May 2022, encompassed 163 public hospitals in Vietnam and was completed by 2,280 nurses employed in these institutions.

RESULTS

According to nurses' perceptions, several key risk factors contribute to workplace violence (WPV). These include low socio-cultural awareness among patients and their family members, overcrowding in hospitals, non-compliance with hospital regulations, unrealistic expectations regarding treatment outcomes, communication issues among staff members. To effectively control WPV, nurses propose a range of strategies. These include enhancing the quality of hospital services and the hospital environment, fostering a positive workplace culture, establishing a comprehensive system for reporting and responding to incidents of WPV and developing patient care protocols. These strategies are believed to mitigate the occurrence and impact of WPV, ensuring a safer and more secure work environment for nurses.

CONCLUSION

Workplace violence in healthcare settings is influenced by organizational, clinical, and environmental risk factors. Nurses adopt a multi-component approach to manage workplace violence. This study provides valuable insights for developing effective strategies to combat workplace violence in Vietnam.

摘要

背景

我们旨在描述护士对工作场所暴力的风险因素和控制策略的看法。

方法

为实现研究目标,开展了一项基于在线横断面问卷的调查。这些量表是根据国际劳工组织(ILO)、国际护士理事会(ICN)、世界卫生组织(WHO)和国际公共服务组织(PSI)等知名组织提供的指南以及先前的学术著作制定的。在实施之前,对李克特量表的有效性和可靠性进行了严格测试。该调查于2022年3月至5月进行,涵盖越南的163家公立医院,由这些机构雇佣的2280名护士完成。

结果

根据护士的看法,有几个关键风险因素导致工作场所暴力(WPV)。这些因素包括患者及其家属的社会文化意识淡薄、医院过度拥挤、不遵守医院规定、对治疗结果的不切实际期望、工作人员之间的沟通问题。为有效控制工作场所暴力,护士们提出了一系列策略。这些策略包括提高医院服务质量和医院环境、营造积极的工作场所文化、建立一个全面的工作场所暴力事件报告和应对系统以及制定患者护理方案。这些策略被认为可以减轻工作场所暴力的发生和影响,为护士确保一个更安全的工作环境。

结论

医疗环境中的工作场所暴力受到组织、临床和环境风险因素的影响。护士采用多方面的方法来管理工作场所暴力。本研究为制定有效的越南工作场所暴力应对策略提供了宝贵的见解。

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本文引用的文献

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Workplace violence in nursing: A concept analysis.护理工作场所暴力:一项概念分析。
J Occup Health. 2021 Jan;63(1):e12226. doi: 10.1002/1348-9585.12226.

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