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工作场所暴力:护士亲身经历的见解。

Workplace violence: Insights from nurses' lived experiences.

作者信息

Orewa Gregory N, Ajaiyeoba Ifeyimika O, Edevbie Nero, White Marla L

出版信息

Health Care Manage Rev. 2025;50(1):44-54. doi: 10.1097/HMR.0000000000000424.

Abstract

BACKGROUND

Workplace violence (WPV) against nurses is a growing concern within the health care industry, contributing to increased stress, burnout, and higher staff turnover.

PURPOSE

The purpose of this study is to understand the experiences of nurses with WPV and examine the scope and impact of this violence based on nurse's recollections.

METHODOLOGY/APPROACH: Using qualitative interpretive meta-synthesis and the job demands-resources framework, we examined patterns in nurses' experiences of WPV. Our analysis (N = 401) of nurses' accounts from diverse sources-patients, colleagues, and supervisors across various locations and health care settings-provides deep insights into WPV dynamics.

RESULTS

Four main themes were identified: (a) it comes with the job-patient and family violence are normal, (b) a vulnerability in nurse safety, (c) sexual harassment, and (d) poor treatment within the organization.

CONCLUSION

WPV against nurses is a deeply ingrained issue that impacts their psychological health and job performance. A stark need for health care systems to address and mitigate WPV is evident.

PRACTICE IMPLICATIONS

There are clear signals that health care organizations need to implement comprehensive strategies to prevent WPV, foster a safe and supportive work environment, and equip nurses with job resources to manage the high stress of their roles.

摘要

背景

针对护士的工作场所暴力(WPV)在医疗行业中日益受到关注,这导致压力增加、职业倦怠和员工离职率上升。

目的

本研究的目的是了解护士遭受WPV的经历,并根据护士的回忆审视这种暴力的范围和影响。

方法/途径:我们运用定性解释性元综合法和工作需求-资源框架,研究护士遭受WPV的经历模式。我们对来自不同来源(包括不同地点和医疗环境中的患者、同事及上级)的护士叙述进行分析(N = 401),深入洞察了WPV的动态情况。

结果

确定了四个主要主题:(a)这是工作的一部分——患者和家庭暴力很常见,(b)护士安全方面存在脆弱性,(c)性骚扰,以及(d)组织内待遇不佳。

结论

针对护士的WPV是一个根深蒂固的问题,影响着他们的心理健康和工作表现。显然,医疗系统迫切需要解决和减轻WPV问题。

实践意义

有明确迹象表明,医疗保健组织需要实施全面战略来预防WPV,营造安全且支持性的工作环境,并为护士提供工作资源以应对其工作角色带来的高压力。

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