急诊科护士工作场所暴力与职业压力之间的关联：一项横断面研究。
Association between workplace violence and occupational stress among emergency department nurses: a cross-sectional study.
作者信息
Long Lixi, Xie Nan, Chen Xiaoli, Zhang Hao, Zhong Luying, Diao Dongmei, Zhu Ling, Zhou Yue
机构信息
Department of Emergency Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Disaster Medical Center, Sichuan University, Chengdu, China.
出版信息
Front Public Health. 2025 Aug 7;13:1603651. doi: 10.3389/fpubh.2025.1603651. eCollection 2025.
BACKGROUND
Emergency department (ED) nurses suffer from workplace violence (WPV) and occupational stress (OS) due to the working environment. However, a relatively small number of studies on the relationship between WPV and OS among ED nurses have been conducted and its impact on nurse health or nursing quality.
METHODS
A cross-sectional study was conducted in 30 hospitals in China from December 26, 2023, to January 18, 2024 through questionnaire survey and stratified cluster sampling.
RESULTS
A total of 1,540 ED nurses were surveyed, 1,309 of whom had experienced WPV. OS score of these ED nurses was (55.55 ± 16.78). Correlation between WPV and OS was significant (rs = 0.577, < 0.01), and multivariate regression analysis revealed that an education level of bachelor's degree or higher; weekly working hours of 41-48, 49-58, and ≥59 h; physical violence experience; and psychological WPV were key influencing factors of OS among ED nurses.
CONCLUSION
A high proportion of ED nurses had experienced WPV, they had moderate to severe levels of OS, and WPV was a direct predictor of OS among them. This may be reduced by strengthening the management of violence in their workplace.
背景
由于工作环境的原因，急诊科护士遭受工作场所暴力（WPV）和职业压力（OS）。然而，针对急诊科护士中WPV与OS之间关系及其对护士健康或护理质量影响的研究相对较少。
方法
于2023年12月26日至2024年1月18日，通过问卷调查和分层整群抽样在中国30家医院开展了一项横断面研究。
结果
共调查了1540名急诊科护士，其中1309人曾经历过WPV。这些急诊科护士的OS得分为（55.55±16.78）。WPV与OS之间的相关性显著（rs = 0.577，<0.01），多因素回归分析显示，本科及以上学历；每周工作41 - 48小时、49 - 58小时和≥59小时；遭受身体暴力经历；以及心理WPV是急诊科护士OS的关键影响因素。
结论
很大比例的急诊科护士曾经历过WPV，他们的OS处于中度至重度水平，且WPV是其中OS的直接预测因素。加强工作场所暴力管理可能会降低这种情况。
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