Atta Mohamed Hussein Ramadan, Elsayed Shimmaa Mohamed, El-Gazar Heba Emad, Abdelhafez Naglaa Gamal Eldien, Zoromba Mohamed Ali
Nursing Department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Wadi Addawasir, Saudi Arabia.
Department of Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria City, Egypt.
Int Nurs Rev. 2025 Mar;72(1):e13086. doi: 10.1111/inr.13086.
To explore the effect of violence exposure on altruistic behavior and grit among emergency nurses in 103-bed emergency departments in rural hospitals in Egypt.
Workplace violence is a pervasive issue in emergency departments. Nurses in rural hospitals, facing limited resources and isolation, may be even more vulnerable to the adverse effects of workplace violence. Altruism, characterized by a selfless concern for the well-being of others, and grit, known as persistence and dedication toward long-term aspirations, are fundamental attributes that significantly influence the quality of care nurses provide. In high-stress environments like emergency departments, these qualities are essential for maintaining patient safety and well-being; the presence of workplace violence can compromise these vital attributes.
A descriptive correlational design was undertaken in the intensive care units of rural hospitals. The research utilized three measurements: the workplace place violence questionnaire, the Short Grit Scale, and the altruistic behaviors scale.
Reporting of incidence, mitigation strategies, and the impact of violence are inversely related to altruism and grit. Altruism and grit were positively correlated. The regression indicates that while altruism is high, factors like mitigation strategies, years of experience, and perceived risk contribute negatively to altruistic behaviors.
IMPLICATIONS FOR NURSING PRACTICE, NURSING, AND HEALTH POLICY: This research underscores the significance of assessing personal assets and their relation to violence exposure. It highlights a critical need for resilience-building initiatives that empower nurses to build both altruism and grit among nurses while addressing the impact of workplace violence. In addition, nursing policies should include specific provisions for their protection, such as adjusting shift patterns to reduce their exposure to high-risk periods, ensuring adequate staffing levels, and implementing buddy systems.
探讨暴力暴露对埃及农村医院103张床位急诊科急诊护士利他行为和毅力的影响。
工作场所暴力是急诊科普遍存在的问题。农村医院的护士面临资源有限和孤立无援的状况，可能更容易受到工作场所暴力负面影响。利他主义以对他人幸福的无私关心为特征，而毅力是对长期目标的坚持和奉献，是显著影响护士提供护理质量的基本特质。在急诊科这样的高压力环境中，这些特质对于维护患者安全和福祉至关重要；工作场所暴力的存在可能会损害这些重要特质。
在农村医院的重症监护病房采用描述性相关性设计。该研究使用了三种测量工具：工作场所暴力问卷、简短毅力量表和利他行为量表。
暴力事件的报告、缓解策略以及暴力的影响与利他主义和毅力呈负相关。利他主义和毅力呈正相关。回归分析表明，虽然利他主义程度较高，但缓解策略、工作年限和感知风险等因素对利他行为有负面影响。
对护理实践、护理工作和卫生政策的启示：本研究强调了评估个人特质及其与暴力暴露关系的重要性。它突出了开展复原力建设举措的迫切需求，这些举措能使护士增强利他主义和毅力，同时应对工作场所暴力的影响。此外，护理政策应包括对护士的具体保护条款，如调整轮班模式以减少他们在高风险时段的暴露、确保充足的人员配备水平以及实施伙伴制度。
