مواجهه با خشونت شغلی و عوامل مرتبط با آن در پرستاران شاغل در بیمارستان های دانشگاه علوم پزشکی نیشابور

نویسندگان
1 کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی نیشابور، نیشابور، ایران
2 گروه اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی تهران، تهران، ایران
3 گروه هوشبری، دانشگاه علوم پزشکی نیشابور، نیشابور، ایران
چکیده
مقدمه

خشونت­‌های شغلی از علل مشکلات روانی و فیزیکی و کاهش رضایت و عملکرد شغلی پرستاران می‌­باشد. هدف از این مطالعه بررسی میزان بروز و منبع خشونت شغلی و عوامل مرتبط با آن در پرستاران بوده است.

مواد و روش­‌ها

این مطالعه توصیفی تحلیلی از نوع مقطعی، در سال 1397 با مشارکت 181 پرستار و به روش نمونه­‌گیری طبقه­‌بندی تصادفی ساده بر روی پرستاران شاغل در بیمارستان‌­های آموزشی دانشگاه علوم پزشکی نیشابور انجام شد. ابزار پژوهش شامل پرسشنامه خشونت شغلی در بخش بهداشت و درمان بود. اطلاعات با نرم­افزار SPSS v.19 تجزیه و تحلیل شد.

یافته‌­ها

میزان بروز خشونت فیزیکی، کلامی و جنسی علیه پرستاران در 12 ماه منتهی به انجام پژوهش به ترتیب
25/7 ،72/6 و 2/1 درصد گزارش شد. بیش از 66 درصد از پرستاران ابراز کردند که روشی برای گزارش­‌دهی خشونت در محل کار آنها وجود ندارد. پرستاران کمبود پرسنل و امکانات و شلوغی بخش را به عنوان مهم‌ترین علت خشونت علیه پرستاران اعلام کردند. نتایج آزمون‌­های آماری ارتباط معنی­‌داری بین بخش و خشونت کلامی، بین جنسیت و خشونت فیزیکی و بین تعداد شیفت کاری در هفته و خشونت فیزیکی و کلامی نشان داد.

نتیجه­‌گیری

خشونت کلامی علیه پرستاران بیشتـر توسط بیماران و همراهـان آنها و پزشـکان اتفـاق می‌افتد. خشونت فیزیکی بیشتر توسط همراهان بیماران اتفاق می‌­افتد. پرستاران معمولاً خشونت شغلی علیه خود را گزارش نمی­‌دهند و خشونت شغلی علیه پرستاران در حال تبدیل شدن به یک پدیده عادی در بیمارستان­هاست.

کلیدواژه‌ها

عنوان مقاله English

Workplace violence against nurses and related factors in Neyshabur University of Medical Science’s hospitals

نویسندگان English

Behnoosh Irvani 1
Mohammad Bidkhori 2
Zahra Alizadeh 1
Ali Movahedi 3
1 Students Research Committee, Neyshabur University of Medical Sciences, Neyshabur, Iran
2 Department of Epidemiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Anesthesia Nursing, Neyshabur University of Medical Sciences, Neyshabur, Iran
چکیده English

Introduction

Workplace violence leads to psychological and physical problems and reduces the satisfaction and performance of nurses. The aim of this study was to investigate the incidence rate and source of workplace violence against nurses.

Methods & Materials

A cross-sectional study was conducted using 181 nurses at Neyshabur University of Medical Science’s teaching hospitals in Neyshabur, Iran, from April 2016 to June 2018. Participants were selected through stratified random sampling. Workplace violence in the health sector questionnaire was used for data collection. SPSS Statistics for Windows version 19 was used for data analysis.

Results

The majority of participants (67.2%) were female and the mean age of the nurses was 28.8 years ± 5.3 SD. The incidence rate of physical, verbal, and sexual violence was 25.7%, 72.6%, and 1.2%, respectively. More than 66% of the nurses suggested that there is no procedures for reporting of violence in their workplace. Shortage of personnel and facilities and crowded wards was descript as most important causes of physical and non-physical violence against nurses. Statistical analysis showed a significant relationship between wards and verbal violence, sex and physical violence, and number of shifts per week and physical and verbal violence.

Conclusion

The verbal violence against nurses is very common and occurs more often by patients and their relatives and physicians. Hospital managers pay very little attention to this problem. Nurses usually do not report workplace violence against themselves and workplace violence against nurses is becoming a typical phenomenon in hospitals.

کلیدواژه‌ها English

workplace violence
physical abuse
domestic violence
sex offenses
Nurses
1. May DD, Grubbs LM. The extent, nature, and precipitating factors of nurse assault among three groups of registered nurses in a regional medical center. J Emerg Nurs 2002;28(1):11-7.
2. Gillespie GL, Gates DM, Miller M, Howard PK. Workplace violence in healthcare settings: risk factors and protective strategies. Rehabil Nurs 2010;35(5):177-84.
3. Boyle MJ, Wallis J. Working towards a definition for workplace violence actions in the health sector. Safety in health 2016;2(1):4.
4. Herschcovis M, Barling J. Towards a multi-foci approach to workplace aggression: A meta-analytic review of outcomes from different perpetrators. Journal of Organizational Behavior 2010;31(1):24-44.
5. Magnavita N, Heponiemi T. Workplace violence against nursing students and nurses: an Italian experience. J Nurs Scholarsh 2011;43(2):203-10.
6. Alyaemni A, Alhudaithi H. Workplace violence against nurses in the emergency departments of three hospitals in Riyadh, Saudi Arabia: a cross-sectional survey. NursingPlus Open 2016;2:35-41.
7. Boafo IM, Hancock P. Workplace violence against nurses: a cross-sectional descriptive study of Ghanaian nurses. Sage open. 2017;7(1):2158244017701187.
8. Zhang L, Wang A, Xie X, Zhou Y, Li J, Yang L, et al. Workplace violence against nurses: A cross-sectional study. Int J Nurs Stud 2017;72:8-14.
9. Abualrub RF, Al-Asmar AH. Physical violence in the workplace among Jordanian hospital nurses. J Transcult Nurs 2011;22(2):157-65.
10. Gacki-Smith J, Juarez AM, Boyett L, Homeyer C, Robinson L, MacLean SL. Violence against nurses working in US emergency departments. J Nurs Adm 2009;39(7-8):340-9.
11. Joa TS, Morken T. Violence towards personnel in out-of-hours primary care: a cross-sectional study. Scand J Prim Health Care 2012;30(1):55-60.
12. Sato K, Wakabayashi T, Kiyoshi-Teo H, Fukahori H. Factors associated with nurses’ reporting of patients’ aggressive behavior: A cross-sectional survey. Int J Nurs Stud 2013;50(10):1368-76.
13. Warren B. Workplace violence in hospitals: safe havens no more. J Healthc Prot Manage 2011;27(2):9-17.
14. Harrell, E. (2011). Workplace Violence, 1993-2009: National Crime Victimization Survey and the Census of Fatal Occupational Injuries [Electronic version]. Washington, DC: U.S. Department of Justice. Available from: http://digitalcommons.ilr.cornell.edu/key_workplace/809
15. St‐Pierre I, Holmes D. Managing nurses through disciplinary power: a Foucauldian analysis of workplace violence. J Nurs Manag 2008;16(3):352-9.
16. Hahn S, Müller M, Hantikainen V, Kok G, Dassen T, Halfens RJ. Risk factors associated with patient and visitor violence in general hospitals: Results of a multiple regression analysis. Int J Nurs Stud 2013;50(3):374-85.
17. Hahn S, Müller M, Needham I, Dassen T, Kok G, Halfens RJ. Factors associated with patient and visitor violence experienced by nurses in general hospitals in Switzerland: a cross‐sectional survey. J Clin Nurs 2010;19(23‐24):3535-46.
18. Spector PE, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. Int J Nurs Stud 2014;51(1):72-84.
19. Schat AC, Frone MR. Exposure to psychological aggression at work and job performance: The mediating role of job attitudes and personal health. Work Stress 2011;25(1):23-40.
20. Jiao M, Ning N, Li Y, Gao L, Cui Y, Sun H, et al. Workplace violence against nurses in Chinese hospitals: a cross-sectional survey. BMJ Open 2015;5(3):e006719.
21. Roche M, Diers D, Duffield C, Catling‐Paull C. Violence toward nurses, the work environment, and patient outcomes. J Nurs Scholarsh 2010;42(1):13-22.
22. Speroni KG, Fitch T, Dawson E, Dugan L, Atherton M. Incidence and cost of nurse workplace violence perpetrated by hospital patients or patient visitors. J Emerg Nurs 2014;40(3):218-28.
23. Gates DM, Gillespie GL, Succop P. Violence against nurses and its impact on stress and productivity. Nurs Econ 2011;29(2):59-66.
24. Shahzad A, Malik R. Workplace Violence: An extensive issue for nurses in Pakistan- A qualitative investigation. J Interpers Violence 2014;29(11):2021-34.
25. Najafi F, Fallahi-Khoshknab M, Dalvandi A, Ahmadi F, Rahgozar M. Workplace violence against Iranian nurses: A systematic review. JHPM 2014;3(2):72-85. [Persian]
26. ILO I, WHO P. Workplace Violence in the Health Sector Country Case Study–Questionnaire. Geneva: WHO. 2003.
27. Ezzat AHA, Bakheet AMF. Workplace violence against nursing staff in a Saudi university hospital. International Nursing Review. 2016;63(2):226-32.
28. Duncan SM, Hyndamn K, Estabrooks CA, Hesketh K, Humphrey CK, Wong JS, et al. Nurses' experience of violence in Alberta and British Columbia hospitals. Can J Nurs Res 2016;32(4):57-78.
29. Choi SH, Lee H. Workplace violence against nurses in Korea and its impact on professional quality of life and turnover intention. J Nurs Manag 2017;25(7):508-18.
30. Bae Y, Lee T. Relationship of experience of violence and professional quality of life for hospital nurses'. J Korean Acad Nurs Adm 2015;21(5):489-500.
31. Al-Omari H. Physical and verbal workplace violence against nurses in Jordan. Int Nurs Rev 2015;62(1):111-8.
32. Park M, Cho SH, Hong HJ. Prevalence and perpetrators of workplace violence by nursing unit and the relationship between violence and the perceived work environment. J J Nurs Scholarsh 2015;47(1):87-95.
33. Fasanya BK, Dada EA. Workplace violence and safety issues in long-term medical care facilities: nurses' perspectives. Saf Health Work. 2016;7(2):97-101.
34. Abou-ElWafa HS, El-Gilany A-H, Abd-El-Raouf SE, Abd-Elmouty SM, El-Sayed Hassan El-Sayed R. Workplace violence against emergency versus non-emergency nurses in Mansoura university hospitals, Egypt. J Interpers Violence 2015;30(5):857-72.