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职场暴力与女护士的健康状况:一项横断面研究。

Workplace Violence and Health Status of Female Nurses: A Cross-Sectional Study.

作者信息

Alhalal Eman

机构信息

Community and Mental Health Nursing Department, Nursing College, King Saud University, Riyadh, Saudi Arabia.

出版信息

Res Nurs Health. 2025 Apr;48(2):121-132. doi: 10.1002/nur.22434. Epub 2024 Dec 16.

Abstract

As a female-dominant profession, nurses are at risk of workplace violence. However, the health outcomes of workplace violence among female nurses have been mostly studied in isolation from their history of lifetime violence experiences. Although social and organizational factors shape workplace violence, our understanding of its effects on female nurses' health is limited in different cultural contexts. This study examined how workplace violence affects the physical and mental health and the frequency of medication intake and sick leave of nurses employed in the Saudi healthcare system while controlling for the effect of lifetime violence experiences. A cross-sectional study was conducted with 340 female nurses working in tertiary hospitals in Saudi Arabia. Among the female nurses, 67.6% had experienced at least one act of workplace violence during the last 12 months. The highest level of workplace violence was recorded in nurses employed in psychiatric units. After controlling for the effect of child abuse and partner violence, workplace violence is associated with female nurses' physical health (  = 0.335, t(336) = 6.73, p < 0.001), mental health (  = 0.224, t(336) = 4.09, p < 0.001), medication intake (  = 0.240, t(336) = 4.45, p < 0.001), and frequency of sick leave days (  = 0.206, t(336) = 3.82, p < 0.001). The results indicate a need for a zero-tolerance policy against workplace violence and multidimensional strategies to address the issue. Additionally, gender and multi-component health interventions for female nurses who are survivors of violence are needed.

摘要

作为一个以女性为主的职业,护士面临着工作场所暴力的风险。然而,女性护士工作场所暴力的健康后果大多是与她们一生的暴力经历历史分开进行研究的。尽管社会和组织因素塑造了工作场所暴力,但我们对其在不同文化背景下对女性护士健康影响的理解是有限的。本研究在控制一生暴力经历影响的同时,考察了工作场所暴力如何影响沙特医疗系统中护士的身心健康、药物摄入频率和病假情况。对沙特阿拉伯三级医院工作的340名女性护士进行了横断面研究。在这些女性护士中,67.6%在过去12个月中至少经历过一次工作场所暴力行为。精神病科护士的工作场所暴力发生率最高。在控制了儿童期虐待和伴侣暴力的影响后,工作场所暴力与女性护士的身体健康(r = 0.335,t(336) = 6.73,p < 0.001)、心理健康(r = 0.224,t(336) = 4.09,p < 0.001)、药物摄入(r = 0.240,t(336) = 4.45,p < 0.001)和病假天数频率(r = 0.206,t(336) = 3.82,p < 0.001)相关。结果表明需要对工作场所暴力采取零容忍政策和多维策略来解决这一问题。此外,还需要为遭受暴力的女性护士提供性别和多成分健康干预措施。

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