Shohani Masoumeh, Tavan Hamed
Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Department of Nursing, Clinical Research Development Unit, Shahid Mostafa Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran.
Syst Rev. 2024 Dec 21;13(1):311. doi: 10.1186/s13643-024-02721-y.
Cultural violence includes any offensive behavior regarding ethnicity, race, language, religion, and place of birth devaluing human dignity. The purpose of this study was to investigate workplace cultural violence against nurses by systematic review and meta-analysis.
The guideline of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was followed. The search was independently conducted in ISI, Cochrane Library, Google Scholar, PubMed, and Scopus by two researchers. We used mesh keywords to recruit publications from different regions of the world between 2002 and 2017. Data was analyzed using meta-analysis and STATA software. To determine the heterogeneity, Q and I indices were used.
A total of 50 articles were found from which 8 were ultimately included in the systematic review process. The overall rate of workplace cultural violence among nurses was 17.25% (95% CI 16.83-17.66, I = 99.7%, P = 0.0001). Also, the rate of workplace cultural violence against nurses and patients' relatives and companions was 8.21% (95% CI 7.61-8.81, I = 99.7%, P = 0.0001). The meta-regression of cultural violence in terms of sample size and year of study rendered a significant decrease in the violence rate by increasing years and sample size (P < 0.001).
Although not all cases of cultural violence are reported and recorded, the rate of cultural violence against nurses is decreasing according to the results of our study. Nevertheless, by providing good services and appropriate education to patients, the overall incidence of cultural violence is expected to be further reduced.
文化暴力包括任何涉及种族、民族、语言、宗教和出生地等贬低人类尊严的冒犯性行为。本研究的目的是通过系统评价和荟萃分析来调查工作场所针对护士的文化暴力情况。
遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南。由两名研究人员独立在ISI、Cochrane图书馆、谷歌学术、PubMed和Scopus中进行检索。我们使用主题词从2002年至2017年期间世界不同地区招募出版物。使用荟萃分析和STATA软件进行数据分析。为确定异质性，使用了Q和I指数。
共找到50篇文章，最终8篇被纳入系统评价过程。护士工作场所文化暴力的总体发生率为17.25%（95%可信区间16.83 - 17.66，I = 99.7%，P = 0.0001）。此外，针对护士以及患者亲属和陪伴者的工作场所文化暴力发生率为8.21%（95%可信区间7.61 - 8.81，I = 99.7%，P = 0.0001）。根据样本量和研究年份对文化暴力进行的荟萃回归显示，随着年份和样本量的增加，暴力发生率显著下降（P < 0.001）。
尽管并非所有文化暴力案件都被报告和记录，但根据我们的研究结果，针对护士的文化暴力发生率正在下降。然而，通过为患者提供优质服务和适当教育，预计文化暴力的总体发生率将进一步降低。
