探讨护士报告患者和访客暴力的障碍和促进因素:中国的一项横截面研究
Jianzheng Cai1, Yajie Ying1,2, Haifang Wang3
1Department of Nursing, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
BMJ open
|December 9, 2024
概括
护士报告的患者和访客暴力 (PVV) 报告率很低,只有16.1%的经历者报告事件. 诸如男性性别,专业医院和支持政策等因素有助于报告,而夜班和选择性报告则阻碍了报告.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 工作场所安全工作场所安全
背景情况:
- 对护士的患者和访客暴力 (PVV) 是一个重大问题.
- 目前PVV的报告率不足,阻碍了有效的干预.
- 了解PVV报告的障碍和促进因素对于提高安全至关重要.
研究的目的:
- 探索影响护士报告患者和访客暴力 (PVV) 的障碍和促进因素.
- 确定与中国江苏省护士PVV报告相关的因素.
主要方法:
- 在江苏省的一般和专科医院,对3363名护士进行了横截面研究.
- 关于PVV经历和报告的数据是使用医院工作场所暴力调查问卷的修订版本收集的.
- 进行了多变量逻辑回归分析,以确定与PVV报告相关的因素.
主要成果:
- 在接受调查的护士中,超过一半 (53.9%) 在过去一年中经历过PVV,但只有16.1%的人报告了这些事件.
- 报告的促进因素包括男性,在专科医院工作,特定部门 (急诊,门诊,儿科),可取性,先前的PVV意识和支持性医院政策.
- 阻碍因素包括频繁的夜班和仅报告严重事件.
结论:
- 护士中PVV报告率很低,这凸显了急需进行干预的必要性.
- 护理管理人员应实施战略,解决已识别的障碍,并利用促进者来加强PVV报告.
- 改善PVV报告对于为护士创造更安全的医疗保健环境至关重要.
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