Tang Lingyu, Yu Xingli, Liu Yanshu, Zhou Jie, Zhang Daiying, Wang Juan, Liu Qingyan
Department of Operating Room, Affiliated Hospital of Southwest Medical University, No.25 Taiping Street, Jiangyang District, Luzhou City, Sichuan Province, China.
Neurosurgery, Affiliated Hospital of Southwest Medical University, Lu Zhou, China.
BMC Nurs. 2024 Dec 25;23(1):951. doi: 10.1186/s12912-024-02606-4.
The purpose of this study was to investigate the prevalence of sexual harassment among operating room nurses, and to analyze the influencing factors.
Sexual harassment in the healthcare field has a high incidence and nurses are the main victims; sexual harassment not only leads to physical and mental problems, but also undermines nurses' performance and affects the quality of medical care.
A multi-center cross-sectional study was conducted using an online survey to investigate the sexual harassment experiences of 483 operating room nurses. The survey included demographic information, personality traits (Ten-Item Personality Inventory), sexual harassment experiences (Workplace Sexual Harassment Questionnaire), negative consequences, coping strategies, and social support status.
63% of operating room nurses experienced sexual harassment in the past 12 months, with gender harassment predominating (56.7%), followed by unwanted sexual attention (28.6%) and sexual coercion (13.6%). Surgeons (81.20%) and married ones (66.7%) were the most common perpetrators. Most victims possess limited knowledge regarding sexual harassment laws and exhibit weak awareness of their rights protection. 47.8% remained silent after being sexually harassed; most of nurse employed passive coping strategies. Sexual harassment had the most prominent impact on the work of operating room nurses, mainly in the form of decreased work quality and efficiency (87.3%), as well as decreased work engagement (77.0%) and negative workplace pressure experience (72.2%); emotional disturbances, such as anxiety (76.6%), stigma (71.8%), and fear (71.5%); and was accompanied by sleep disorders (74.9%), headaches (56.0%) and nausea and vomiting (54.3%); as well as reduced trust in the opposite sex (83.8%) and disruption of family life (82.1%).Only 39.2% of the hospitals had sexual harassment reporting channels or methods, 30.7% had departments to deal with sexual harassment in the workplace, and 46.8% had communication discussions about psychological safety after sexual harassment. Personality traits, drinking behaviour, age, marriage, and social support were associated with sexual harassment behavior in the operating room.
The high incidence of sexual harassment in the operating room affects nurses' productivity and physical and mental health. Operating room nurses had insufficient legal knowledge about sexual harassment and lacked hospital organizational support. agreeableness and openness personality traits, alcohol consumption, age, being married, and lack of social support were influential factors of sexual harassment in the operating room.
Healthcare organizations should encourage reporting, care for victims, and join with the police department, judiciary, and women's federation to develop reporting procedures and training programs on sexual harassment knowledge to create a safe and comfortable professional environment.
本研究旨在调查手术室护士遭受性骚扰的发生率，并分析其影响因素。
医疗领域性骚扰发生率高，护士是主要受害者；性骚扰不仅导致身心问题，还会损害护士的工作表现，影响医疗质量。
采用在线调查进行多中心横断面研究，以调查483名手术室护士的性骚扰经历。该调查包括人口统计学信息、人格特质（十项人格量表）、性骚扰经历（工作场所性骚扰问卷）、负面后果、应对策略和社会支持状况。
63%的手术室护士在过去12个月中遭受过性骚扰，其中性别骚扰占主导（56.7%），其次是不必要的性关注（28.6%）和性胁迫（13.6%）。外科医生（81.20%）和已婚者（66.7%）是最常见的肇事者。大多数受害者对性骚扰法律的了解有限，维权意识淡薄。47.8%的人在遭受性骚扰后保持沉默；大多数护士采用消极应对策略。性骚扰对手术室护士的工作影响最为突出，主要表现为工作质量和效率下降（87.3%）、工作投入度降低（77.0%）和负面工作压力体验（72.2%）；情绪困扰，如焦虑（76.6%）、耻辱感（71.8%）和恐惧（71.5%）；并伴有睡眠障碍（74.9%）、头痛（56.0%）和恶心呕吐（54.3%）；以及对异性信任度降低（83.8%）和家庭生活受到干扰（82.1%）。只有39.2%的医院设有性骚扰举报渠道或方式，30.7%设有处理工作场所性骚扰的部门，46.8%进行过性骚扰后心理安全方面的沟通讨论。人格特质、饮酒行为、年龄、婚姻状况和社会支持与手术室性骚扰行为相关。
手术室性骚扰发生率高，影响护士的工作效率和身心健康。手术室护士对性骚扰的法律知识不足，缺乏医院组织支持。宜人性和开放性人格特质、饮酒、年龄较大、已婚以及缺乏社会支持是手术室性骚扰的影响因素。
医疗机构应鼓励举报，关爱受害者，并与警察局、司法机构和妇联合作，制定性骚扰举报程序和知识培训项目，营造安全舒适的职业环境。
