Analysis of the current status and risk factors of workplace violence among nurses in Class Ⅲ Grade A hospitals of Beijing
10.3760/cma.j.issn.1674-2907.2019.10.007
- VernacularTitle:北京市三甲医院护士遭受工作场所暴力的现状及危险因素分析
- Author:
Chao SUN
1
;
Huixiu HU
;
Ke SUN
;
Lei WANG
;
Xia WANG
Author Information
1. 北京医院 国家老年医学中心护理部 100730
- Keywords:
? Nurses;
? Nursing administration research;
? Risk factors;
? Workplace violence
- From:
Chinese Journal of Modern Nursing
2019;25(10):1217-1222
- CountryChina
- Language:Chinese
-
Abstract:
?? [Abstract]? Objective? To investigate the current status of workplace violence (WPV) among nurses in 3A-level hospitals of Beijing and analyze the risk factors. Methods? Convenient sampling method was adopted to select nurses from three ClassⅢ Grade A hospitals in Beijing from October 2018 to January 2019. The nurses were given by general information questionnaire and Workplace Violence Questionnaire. With the effective response rate of 98.6%, a total of 1 072 questionnaires were collected with 1 057 ones valid. Chi-square analysis and Logistic regression analysis were used to analyze the influential factors of workplace violence. Results 50.80% (537/1 057) of respondents reported that they had experienced WPV in the past with high incidence of scolding and language abuse. Most WPV happened in the ward (45.25%) during the morning shift(72.81%) . Majority of the violators are male(67.60%), middle-aged(67.41%) and family members of the patients (61.64%). Univariate analysis showed that the difference of working length, department, job position, educational level, form of employment, job position and monthly number of night shift between the nurses and their WPV incidence are correlated and have statistical significance(P< 0.05). "whether heard of WPV before" "whether is WPV unavoidable" "whether WPV is normal" "whether benefit from relevant training about WPV" "whether to report upon WPV" "whether the training about WPV has been conducted in the hospital" "whether the solution of the WPV from the hospital in the past is effective" "whether the hospital encourage to report WPV" "is there a professional department addressing WPV issues in the hospital?" "the attitude of the hospital towards the WPV victims" and "whether the degree of importance when dealing the WPV issues towards the doctors and nurses from the hospital are the same" were influencing factors of WPV and statistically significant(P<0.05). The result of Logistic regression analysis indicated that the nurse's department, educational background, job position, and opinions towards questions including "whether heard of WPV before" "whether do you think WPV is unavoidable" "whether do you think WPV is normal" "whether have you benefited from relevant training about WPV" "whether to report upon WPV" "whether the solution of the WPV from the hospital in the past is effective" all had impact on the WPV incidence. Conclusions? WPV against nurses are common in ClassⅢ Grade A hospitals of Beijing. The department of out-patient and emergency, and the position of nurse-in-charge are risk factors; whereas high education level, positive perceptions and attitudes towards WPV; and the hospital's effective treatment upon the past WPV are protective factors. It is suggested that hospitals and nursing administrators should adopt specific strategies to reduce the incidence of WPV.