Koyuncu Aynur, Akman Uğur, Yava Ayla, Elagöz İslam
J Emerg Nurs. 2025 Mar;51(2):294-304. doi: 10.1016/j.jen.2024.10.020. Epub 2024 Nov 26.
Information regarding the factors influencing the intention of family members of patients admitted to the emergency department to commit violence against health care professionals is limited. This study aimed to determine the factors affecting the intention of family members of patients admitted to the emergency department to commit violence against health care professionals.
This multicenter cross-sectional study, conducted in 3 Turkish hospitals from December 2023 to May 2024, involved 872 family members of emergency department patients. Ethical approval was obtained (approval no: 2023/83). Data were collected through face-to-face surveys using the Intention to Commit Violence Against Healthcare Workers Scale and the Healthcare Access Experience Form. Analysis was performed with SPSS 22.0 using both parametric and nonparametric tests, with significance set at P<.05.
The participants' average age was 35.60 SD = 10.89, with 56.8% male and 61.5% having completed secondary education. Significant factors increasing the intention to commit violence included younger age (P = .001), lower education (P = .001), unemployment (P = .001), and being single (P = .001). Although the overall intention to commit violence was low, negative perceptions regarding health care access, such as lack of information about their relative's condition (P = .001), inability to see their relative during treatment (P = .001), and exclusion from care (P = .001), significantly heightened this intention.
This study reveals that the strongest factors influencing the intention to commit violence among family members of patients admitted to the emergency department are the lack of information about their relative and inadequate communication.
关于影响急诊科患者家属对医护人员实施暴力意图的因素的信息有限。本研究旨在确定影响急诊科患者家属对医护人员实施暴力意图的因素。
这项多中心横断面研究于2023年12月至2024年5月在3家土耳其医院进行,涉及872名急诊科患者的家属。获得了伦理批准(批准号:2023/83)。通过使用针对医护人员的暴力意图量表和医疗服务获取体验表进行面对面调查收集数据。使用SPSS 22.0进行参数和非参数检验分析,显著性设定为P<0.05。
参与者的平均年龄为35.60(标准差=10.89),56.8%为男性,61.5%完成了中等教育。增加暴力意图的显著因素包括年龄较小(P = 0.001)、教育程度较低(P = 0.001)、失业(P = 0.001)和单身(P = 0.001)。尽管总体暴力意图较低,但对医疗服务获取的负面看法,如对亲属病情缺乏信息(P = 0.001)、在治疗期间无法见到亲属(P = 0.001)以及被排除在护理之外(P = 0.001),显著增加了这种意图。
本研究表明,影响急诊科患者家属暴力意图的最主要因素是对其亲属情况缺乏信息以及沟通不足。