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急诊科护理质量与护士遭受暴力侵害数量之间的关联

Association between Nursing Care Quality and Amount of Violence against Nurses in Emergency Departments.

作者信息

Rasteh Mitra, Abdolrahimi Mahbobeh, Nasiri Maliheh, Ilkhani Mahnaz

机构信息

Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Nurs Midwifery Res. 2025 Jul 24;30(4):505-509. doi: 10.4103/ijnmr.ijnmr_316_23. eCollection 2025 Jul-Aug.

Abstract

BACKGROUND

Nursing care quality is among the most important criteria influencing patient satisfaction. Violence against nurses has been proposed as a global problem in health settings. Thus, we aimed to examine the association of nursing care quality with the amount of violence against nurses to provide authorities with information for planning the provision of higher-quality nursing care and reducing violence.

MATERIALS AND METHODS

This descriptive study analyzed descriptive and inferential statistics using demographic information, the Nursing Care Quality Questionnaire, and Workplace Violence in the Health Sector Questionnaire. Using the convenience sampling method, 120 nurses and 120 patients in emergency departments in 2022 were selected as the study participants.

RESULTS

The results showed that 56.70% of patients reported the nursing care quality level as "favorable," 40.80% as "somewhat favorable," and 2.50% as "unfavorable." The prevalence of nurses' exposure to verbal, physical, sexual, and racial violence was 96.70%, 50.00%, 12.50%, and 10.00%, respectively. The Mann-Whitney test showed a significant association between sexual violence and the physical dimension of nursing care quality ( < 0.05). However, nurses' and patients' demographic variables were not correlated with violence against nurses, and nursing care quality, respectively ( > 0.05).

CONCLUSIONS

Nurses who had faced sexual violence had a lower nursing care quality score in the physical dimension including education, safety, and pain control. Therefore, it is suggested that the impact of nurse training in the above-mentioned fields on the frequency of violence against nurses be investigated.

摘要

背景

护理质量是影响患者满意度的最重要标准之一。针对护士的暴力行为已被视为卫生机构中的一个全球性问题。因此,我们旨在研究护理质量与针对护士的暴力行为数量之间的关联,以便为当局提供信息,用于规划提供更高质量的护理服务并减少暴力行为。

材料与方法

这项描述性研究使用人口统计学信息、护理质量问卷和卫生部门工作场所暴力问卷对描述性和推断性统计数据进行了分析。采用便利抽样法,选取了2022年急诊科的120名护士和120名患者作为研究对象。

结果

结果显示,56.70%的患者将护理质量水平评为“良好”,40.80%评为“尚可”,2.50%评为“不佳”。护士遭受言语、身体、性和种族暴力的发生率分别为96.70%、50.00%、12.50%和10.00%。曼-惠特尼检验显示性暴力与护理质量的身体维度之间存在显著关联(<0.05)。然而,护士和患者的人口统计学变量分别与针对护士的暴力行为和护理质量均无相关性(>0.05)。

结论

遭受性暴力的护士在包括教育、安全和疼痛控制等身体维度的护理质量得分较低。因此,建议调查上述领域的护士培训对针对护士暴力行为发生率的影响。

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