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急诊科不再安全:护士们诉说着她们的痛苦。

Emergency department is not safe anymore: Nurses describing their suffering.

作者信息

Al-Natour Ahlam, Abuziad Lubna

机构信息

Community and Mental Health Department, School of Nursing, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

PLoS One. 2025 Apr 29;20(4):e0322704. doi: 10.1371/journal.pone.0322704. eCollection 2025.

DOI:10.1371/journal.pone.0322704
PMID:40299843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12040212/
Abstract

BACKGROUND

Workplace violence represents a critical and alarming crisis in healthcare settings around the globe. This study seeks to shed light on the experiences of Jordanian nurses working in emergency departments, focusing on the forms of workplace violence they encounter, their emotional responses, and their coping strategies.

METHODS

Utilizing a qualitative descriptive design, we engaged a purposive sample of 24 nurses from two public hospital emergency departments. Data were gathered through in-depth, semi-structured interviews, and analyzed using the seven-step Colaizzi method. Four main powerful themes emerged from the interviews:: (1) the shocking and harsh experience of nurses with WPV, (2) the negative consequences of WPV, (3) nurses feelings toward their experience of WPV, and (4) coping strategies for dealing with WPV.

CONCLUSION

The ramifications of workplace violence on nurses' physical and mental health are profound, significantly influencing their intentions to remain in their positions. It is imperative for nursing policymakers and hospital leaders to take decisive action against workplace violence. Effective anti-workplace violence policies must be rigorously enforced by hospital authorities to safeguard the health and well-being of emergency nurses, thereby fostering a safer and more supportive healthcare environment for all.

摘要

背景

工作场所暴力是全球医疗环境中一个严峻且令人担忧的危机。本研究旨在揭示约旦急诊科护士的经历,重点关注他们所遭遇的工作场所暴力形式、情绪反应及应对策略。

方法

采用定性描述性设计,我们从两家公立医院急诊科选取了24名护士作为有目的的样本。通过深入的半结构化访谈收集数据,并使用七步法Colaizzi方法进行分析。访谈中出现了四个主要有力主题:(1)护士遭受工作场所暴力的震惊和惨痛经历,(2)工作场所暴力的负面后果,(3)护士对其工作场所暴力经历的感受,以及(4)应对工作场所暴力的策略。

结论

工作场所暴力对护士身心健康的影响深远,极大地影响了他们留在岗位的意愿。护理政策制定者和医院领导必须果断采取行动应对工作场所暴力。医院当局必须严格执行有效的反工作场所暴力政策,以保障急诊护士的健康和福祉,从而为所有人营造一个更安全、更具支持性的医疗环境。

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本文引用的文献

1
Workplace Violence against Health Care Providers in Emergency Departments of Public Hospitals in Jordan: A Cross-Sectional Study.约旦公立医院急诊科医疗保健提供者遭受工作场所暴力:一项横断面研究。
Int J Environ Res Public Health. 2023 Feb 19;20(4):3675. doi: 10.3390/ijerph20043675.
2
The impact of workplace violence on medical-surgical nurses' health outcome: A moderated mediation model of work environment conditions and burnout using secondary data.工作场所暴力对内科-外科护士健康结果的影响:基于二次数据的工作环境条件与职业倦怠的调节中介模型
Int J Nurs Stud. 2020 Sep;109:103666. doi: 10.1016/j.ijnurstu.2020.103666. Epub 2020 Jun 4.
3
The Face of Workplace Violence: Experiences of Healthcare Professionals in Surgical Hospital Wards.职场暴力的面貌:外科医院病房医护人员的经历
Nurs Res Pract. 2020 May 28;2020:1854387. doi: 10.1155/2020/1854387. eCollection 2020.
4
Violence Against Nurses in the Triage Area: A Mixed-Methods Study.分诊区的护士遭受暴力:一项混合方法研究。
J Emerg Nurs. 2020 May;46(3):384-397. doi: 10.1016/j.jen.2020.02.013.
5
Violence against Emergency Department nurses; Can we identify the perpetrators?暴力侵害急诊室护士;我们能识别犯罪者吗?
PLoS One. 2020 Apr 2;15(4):e0230793. doi: 10.1371/journal.pone.0230793. eCollection 2020.
6
Sustainable Work Performance: The Roles of Workplace Violence and Occupational Stress.可持续工作绩效:工作场所暴力和职业压力的作用。
Int J Environ Res Public Health. 2020 Feb 1;17(3):912. doi: 10.3390/ijerph17030912.
7
Workplace Violence Against Emergency Nurses in Taiwan: A Cross-Sectional Study.台湾地区针对急诊护士的工作场所暴力:一项横断面研究。
J Emerg Nurs. 2020 Jan;46(1):66-71.e4. doi: 10.1016/j.jen.2019.09.004. Epub 2019 Nov 14.
8
Perception of Workplace Violence in the Emergency Department.急诊科对工作场所暴力的认知
J Emerg Trauma Shock. 2019 Jul-Sep;12(3):179-184. doi: 10.4103/JETS.JETS_81_18.
9
Identification of processes that mediate the impact of workplace violence on emergency department healthcare workers in the USA: results from a qualitative study.确定在美国介导工作场所暴力对急诊科医护人员影响的过程:一项定性研究的结果
BMJ Open. 2019 Aug 27;9(8):e031781. doi: 10.1136/bmjopen-2019-031781.
10
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Front Psychiatry. 2018 Feb 27;9:59. doi: 10.3389/fpsyt.2018.00059. eCollection 2018.