华南预防医学 ›› 2023, Vol. 49 ›› Issue (11): 1402-1406.doi: 10.12183/j.scjpm.2023.1402

• 论著 • 上一篇    下一篇

新疆维吾尔自治区护理人员遭受工作场所暴力现状与影响因素研究

陈霞1, 李丞1, 汪惠才1, 张晓英2, 许晓岚3, 赵计春4, 邬荣蓉5, 杨益1   

  1. 1.新疆医科大学第一附属医院,新疆 乌鲁木齐 830054;
    2.乌鲁木齐市第四人民医院;
    3.巴音郭楞蒙古自治州人民医院;
    4.哈密中心医院;
    5.伊犁哈萨克自治州友谊医院
  • 收稿日期:2023-02-19 出版日期:2023-11-20 发布日期:2024-01-04
  • 通讯作者: 杨益,E‐mail:yangyi2671@163.com
  • 作者简介:陈霞(1977—),女,大学本科,主任护师,研究方向:精神科护理及心理干预
  • 基金资助:
    新疆维吾尔自治区自然科学基金资助项目(2020D01C241)

Status and influencing factors of workplace violence suffered by nursing staff in Xinjiang

CHEN Xia1, LI Cheng1, WANG Huicai1, ZHANG Xiaoying2, XU Xiaolan3, ZHAO Jichun4, WU Rongrong5, YANG Yi1   

  1. 1. The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China;
    2. The Fourth People’s Hospital of Urumqi;
    3. People’s Hospital of Bayingolin Mongol Autonomous Prefecture;
    4. Hami Central Hospital;
    5. Friendship Hospital of Ili Kazakh Autonomous Prefecture
  • Received:2023-02-19 Online:2023-11-20 Published:2024-01-04

摘要: 目的 调查新疆维吾尔自治区护理人员遭受工作场所暴力现状,分析影响因素。方法 使用《医疗部门工作场所暴力国家案例研究工具—调查问卷》对新疆地区4个行政区域共16所医疗卫生机构的1 600名护理人员进行调查,采用二分类logistic回归模型分析护理人员遭受工作场所暴力的影响因素。结果 新疆护理人员工作场所暴力发生率为68.69%,其中8.94%曾遭受身体暴力,59.75%曾遭受心理暴力。遭受身体暴力、心理暴力时,处置方式占比最高的分别是告知管理者(17.52%)、向同事诉说(22.07%),占比最低的分别是通过法律途径解决(2.31%)、向工会或协会求助(2.48%)。多因素logistic回归分析结果显示,汉族(OR=1.696)、门诊和急诊(OR=5.936)、护士长及以上职务(OR=5.980)、三级医院(OR=9.391)、大专及以下学历(OR=8.830)、每月晚班天数较多(OR=3.915)的护理人员遭受工作场所暴力风险较高。结论 新疆护理人员遭受工作场所暴力发生率较高,大部分经历者处置方式仍局限于个人层面且对处置结果并不满意,工作场所暴力的发生与医院级别、科室、夜班、行政职务、学历等有关。

关键词: 医护人员, 护理人员, 工作场所暴力, 影响因素

Abstract: Objective To investigate the status of workplace violence suffered by nursing staff in Xinjiang and analyze the influencing factors. Methods Using the “National Case Study Tool on Workplace Violence in Health Institutions‐Questionnaire”, a survey was conducted among 1 600 nursing staff from 16 medical and health institutions in 4 administrative regions of Xinjiang. The binary logistic regression model was used to analyze the influencing factors of workplace violence suffered by nursing staff. Results The incidence of workplace violence among nursing staff in Xinjiang was 68.69%, of which 8.94% had suffered physical violence and 59.75% had suffered psychological violence. When suffering from physical violence and psychological violence, the highest proportion of disposal methods were informing managers (17.52%) and complaining to colleagues (22.07%), and the lowest proportion were solving through legal means (2.31%) and seeking help from unions or associations (2.48%). Multivariate logistic regression analysis showed that the nursing staff of Han nationality (OR=1.696), outpatient and emergency department (OR=5.936), chief nurse and above (OR=5.980), tertiary hospitals (OR=9.391), college degree or below (OR=8.830), and those with more night shifts per month (OR=3.915) were at higher risk of workplace violence. Conclusions The incidence of workplace violence suffered by nursing staff in Xinjiang is relatively high, and most of the experiencers are still limited to the personal level and are not satisfied with the disposal outcome. The occurrence of workplace violence is related to hospital level, department, night shift, administrative position, educational background, and so on.

Key words: Medical staff, Nursing staff, Workplace violence, Influencing factor

中图分类号: 

  • R192.6