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護理暨健康照護研究 Scopus

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篇名 醫院護理人員遭受職場暴力後情緒反應及調適處理
卷期 6:3
並列篇名 Workplace Violence (WPV): Emotional Reactions and Coping Among Hospital Nurses
作者 陳柑伴楊秀芬陳慧蘭楊美賞
頁次 163-171
關鍵字 調適情緒反應護理人員職場暴力workplace violence copingemotional reactionnurse
出刊日期 201009

中文摘要

背 景: 暴力是影響護理職場安全的重要因素,護理人員遭受暴力所產生的負向情緒,不僅影響其個人健康且影響護理照護品質。
目 的: 探討護理人員⑴遭受職場暴力後的情緒反應,⑵影響情緒反應的因素,⑶調適方式及處理。
方 法: 以南部某醫院直接照護病人之護理人員880位為對象,採結構式問卷匿名方式收集資料,有效回收率為89.8%。
結 果: ⑴護理人員遭受職場暴力後最常見情緒為生氣。⑵未婚之護理人員遭受職場暴力後較已婚者情緒反應得分顯著較高(p < .05),服務於外科(p < .001)及內科病房(p < .01)的護理人員遭受暴力後較服務於急診者情緒反應得分顯著較高。護理人員遭受源自病人(含親友)暴力其情緒反應得分顯著低於源自單純來自醫護同仁者(p < .01),也顯著低於源自病人及醫護同仁兩者皆有者(p < .001)。⑶645位護理人員認為遭受職場暴力後,最常採用之調適方法為找同事訴苦(85.7%)、其次為向家人訴苦(47.7%),遭受暴力之護理人員僅8.1%建立書面報告。
結 論/實務應用: 本研究之發現,可提供實證資料以幫助醫院與護理管理者處理職場暴力問題行政管理之參考。

英文摘要

Background: Workplace violence (WPV) is an important workplace safety issue for the nursing profession. Negative feelings that result from WPV impact upon the health of those nurses subjected to WPV and can compromise the qual-ity of nursing care they subsequently provide.
Purposes: Purposes of this study were to: (1) explore the emotional reactions of nurses who had previously encoun-tered WPV; (2) identify signifcant relationships between the emotional reaction of nurses and WPV; and (3) under-stand approaches adopted by nurses to cope with and manage their lives after WPV.
Method: Eight-hundred and eighty nurses currently responsible to provide direct patient care at a medical center in southern Taiwan were invited to complete a structured questionnaire anonymously. The response rate was 89.9%.
Results: Results found that: (1) anger was the most common emotional reaction of subjects to WPV; (2) unmarried nurses who experienced WPV registered emotional reaction scores that were signifcantly higher than registered by those who were married. Subjects working in medical or surgical wards were more likely to register emotional reaction
scores that were signifcantly higher than registered by those working in the emergency department. The emotional reaction scores of subjects experience WPV only from patients (inclusive of patient families) were signifcantly lower than those who experienced such from medical colleagues or from both patients and medical colleagues; (3) of the 645 nurses who reported encountering the WPV in this study, the most common coping strategy was to complain to their colleagues (85.7%) followed by complaining to their families (47.7%). Only 8.1% of nurses reported to authorities in writing after experiencing WPV.
Conclusion / Application: This study provides information to help hospital and nursing administrators deal with the problem of workplace violence.

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