三级医院中的工作场所暴力:揭示其对医护人员工作投入的有害影响

Workplace Violence in Tertiary Hospitals: Unraveling Its Detrimental Effects on Healthcare Workers' Job Engagement.

作者信息

Balsak Habip, Özel Mehmet

机构信息

Department of Midwifery, Batman University School of Health Sciences, Batman, Turkey.

Department of Emergency Medicine, Diyarbakır Gazi Yasargil Training and Research Hospital, University of Health Sciences, Diyarbakır, Turkey.

出版信息

Med Lav. 2025 Apr 17;116(2):16271. doi: 10.23749/mdl.v116i2.16271.

Abstract

BACKGROUND

Workplace (WPW) violence is a significant issue among healthcare workers (HCWs) in hospitals and negatively impacts the healthcare workforce. WPW can have more severe consequences, especially in tertiary hospitals with a concentrated, specialised workforce. In this regard, the study aimed to identify the dynamics of workplace violence exposure among HCWs in a tertiary hospital. It also investigated its impact on job engagement.

METHODS

The study was designed as a descriptive cross-sectional study conducted between June and September 2023. The study involved 3,526 HCWs at a tertiary hospital in Turkey, all invited, with 390 participating. The study examined healthcare workers' ability to handle WPV. It also examined their exposure to violence, their perception of safety against violence at work, and their engagement in their jobs.

RESULTS

Exposure to WPV among HCWs included in the study significantly predicts job engagement, with a negative relationship (β: -0.473). Additionally, as HCWs' skills in managing WPV increase, job engagement also increases (β: -0.279). Among younger and less experienced HCWs, WPV exposure and job engagement scores were significantly lower (p<0.05).

CONCLUSIONS

WPV, common among health workers, is an essential factor that reduces work engagement. Identifying and controlling the dynamics of WPV is critical to enhancing job engagement among healthcare workers and preventing related adverse outcomes.

摘要

背景

工作场所暴力是医院医护人员面临的一个重要问题,对医疗劳动力产生负面影响。工作场所暴力可能会产生更严重的后果,尤其是在拥有集中、专业劳动力的三级医院。在这方面,该研究旨在确定一家三级医院医护人员遭受工作场所暴力的动态情况。它还调查了其对工作投入的影响。

方法

该研究设计为一项描述性横断面研究,于2023年6月至9月进行。该研究涉及土耳其一家三级医院的3526名医护人员,所有人都收到邀请,其中390人参与。该研究考察了医护人员应对工作场所暴力的能力。它还考察了他们遭受暴力的情况、他们对工作场所暴力安全的认知以及他们的工作投入程度。

结果

纳入研究的医护人员遭受工作场所暴力显著预测工作投入,呈负相关关系(β:-0.473)。此外,随着医护人员管理工作场所暴力的技能提高,工作投入也会增加(β:-0.279)。在年轻和经验不足的医护人员中,遭受工作场所暴力和工作投入得分显著较低(p<0.05)。

结论

工作场所暴力在医护人员中很常见,是降低工作投入的一个重要因素。识别和控制工作场所暴力的动态情况对于提高医护人员的工作投入和预防相关不良后果至关重要。

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