一项关于工作场所对护士的文化暴力的研究:系统审查和元分析
Masoumeh Shohani1, Hamed Tavan2
1Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Systematic reviews
|December 21, 2024
概括
对护士的工作场所文化暴力,定义为侮辱人类尊严的冒犯行为,发生率为17.25%. 随着时间的推移,这一比例正在下降,通过改善患者教育和服务,可以进一步降低这一比例.
科学领域:
- 医疗保健管理的管理
- 护理伦理学 护理伦理学
- 卫生社会学 卫生社会学
背景情况:
- 文化暴力包括与种族,种族,语言,宗教或出生地相关的攻击性行为,破坏人类尊严.
- 这种暴力在专业医疗环境中构成了重大挑战.
研究的目的:
- 系统地审查和分析护士在工作场所遭受的文化暴力的普遍性.
- 确定与这种现象相关的趋势和促成因素.
主要方法:
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在主要数据库 (PubMed,Scopus,Cochrane Library,Google Scholar,ISI) 中进行全面的文献搜索,查找2002年至2017年间发表的研究.
- 使用STATA软件进行元分析,以确定整体流行率和异质性 (Q和I2指数).
主要成果:
- 从50篇初步文章中选出的8项研究被纳入最终分析.
- 工作场所对护士的文化暴力的总体流行率为17.25% (95% CI 16.83-17.66).
- 发现涉及护士,患者亲属和伴侣的暴力行为为8.21% (95% CI 7.61-8.81). 超回归表明,随着研究年数和样本大小的增加,暴力率显著下降 (P < 0.001).
结论:
- 尽管报告不足,但该研究表明,对护士的文化暴力在工作场所的趋势正在下降.
- 提高患者教育和医疗保健服务质量可能会进一步减少文化暴力的发生率.
- 解决文化暴力问题对于保持护士的尊严和改善医疗保健环境至关重要.
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