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针对急诊医生的工作场所暴力:一项关于沟通技巧作用的横断面研究。

Workplace violence against emergency physicians: A cross-sectional study on the role of communication skills.

作者信息

Karpınar Mehmet Selim, Hakverdi Gülden, Çalışkan S Ayhan

机构信息

Ege University Faculty of Medicine, İzmir, Türkiye.

Department of Biostatistics, Sivas Cumhuriyet University, Faculty of Medicine, Sivas, Türkiye.

出版信息

Turk J Emerg Med. 2025 Apr 1;25(2):123-129. doi: 10.4103/tjem.tjem_215_24. eCollection 2025 Apr-Jun.

Abstract

OBJECTIVES

Workplace violence (WPV) is a critical issue affecting healthcare professionals, posing significant risks to their safety and well-being. This study investigates WPV among emergency physicians in Türkiye, examining the relationship between WPV and physicians' communication skills.

METHODS

A cross-sectional study was conducted from March to June 2023, involving 63 emergency physicians recruited through a convenience sampling method. Participants completed an online survey that included demographic questions, the Turkish version of the Health Professionals Communication Skills Scale (HP-CSS-TR), and self-evaluation items on communication skills.

RESULTS

The findings revealed high WPV prevalence, with 85.7% of participants reporting verbal aggression during their residency and 90.5% during their specialty period. Physical violence was reported by 31.7% of participants during residency and 27.0% during their specialty period. Participants' HP-CSS-TR scores averaged 86.08, indicating relatively high communication skills. No significant relationships were found between HP-CSS-TR scores and demographic characteristics such as gender, age, or years of experience. A moderate positive correlation was observed between participants' self-evaluations and their HP-CSS-TR scores in the dimensions of empathy and respect, suggesting alignment between perceived and actual communication skills in these areas. Weak correlations were found in informative communication and social skills, highlighting areas for improvement in communication training programs.

CONCLUSIONS

This study highlights the critical issue of WPV against emergency physicians and its association with communication skills, emphasizing the complexities of high-stress environments such as emergency departments. It underscores the need for continued research and systemic interventions to enhance workplace safety and the well-being of healthcare professionals.

摘要

目的

工作场所暴力(WPV)是影响医疗保健专业人员的一个关键问题,对他们的安全和福祉构成重大风险。本研究调查了土耳其急诊医生中的工作场所暴力情况,探讨了工作场所暴力与医生沟通技巧之间的关系。

方法

2023年3月至6月进行了一项横断面研究,通过便利抽样法招募了63名急诊医生。参与者完成了一项在线调查,其中包括人口统计学问题、土耳其语版的卫生专业人员沟通技能量表(HP-CSS-TR)以及沟通技能的自我评估项目。

结果

研究结果显示工作场所暴力的发生率很高,85.7%的参与者报告在住院医师培训期间遭受过言语攻击,在专科培训期间这一比例为90.5%。31.7%的参与者报告在住院医师培训期间遭受过身体暴力,在专科培训期间这一比例为27.0%。参与者的HP-CSS-TR得分平均为86.08,表明沟通技能相对较高。未发现HP-CSS-TR得分与性别、年龄或工作经验等人口统计学特征之间存在显著关系。在同理心和尊重维度上,参与者的自我评估与他们的HP-CSS-TR得分之间观察到中度正相关,表明在这些领域感知到的沟通技能与实际沟通技能相符。在信息性沟通和社交技能方面发现了弱相关性,突出了沟通培训项目中需要改进的领域。

结论

本研究突出了针对急诊医生的工作场所暴力这一关键问题及其与沟通技能的关联,强调了急诊科等高压力环境的复杂性。它强调了持续研究和系统性干预措施的必要性,以提高工作场所安全性和医疗保健专业人员的福祉。

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