工作场所暴力对护士的风险评估:数据收集方法如何影响结果-瑞典和意大利跨部门研究
Nicola Magnavita1, Maivor Olsson-Tall2, Sergio Franzoni3
1Department of Safety and Bioethics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Roma, Italy.
Nursing reports (Pavia, Italy)
|January 27, 2026
概括
直接询问医疗保健工作者有关工作场所暴力 (WV) 的情况,导致报告率更高,特别是在年轻员工中. 这种方法可能会过度报告事件,而间接报告可能会报告不足. 在健康促进期间进行有针对性的监测可以提高准确性.
科学领域:
- 职业健康 职业健康 职业健康
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
背景情况:
- 对医疗保健工作者 (HCW) 的工作场所暴力 (WV) 是一个全球性的职业危险.
- 准确的风险评估对于WV预防至关重要.
- 根据数据收集方法,WV的报告率有很大差异.
研究的目的:
- 调查数据收集方法对 HCW 中 WV 报告率的影响.
- 为了比较不同国家和医疗保健机构报告的WV频率.
- 识别影响WV报告的因素及其与职业压力和工作能力的关系.
主要方法:
- 一项涉及意大利和瑞典236名护士的横截面观察研究.
- 护士被分为三个组:两个在线招聘,一个参加健康促进计划.
- 使用暴力事件表格 (VIF),努力/奖励不平衡 (ERI) 问卷以及工作能力得分 (WAS) 收集的数据.
主要成果:
- 劳动力压力与职业压力正相关,与工作能力负相关 (p < 0.01).
- 与间接调查的护士相比,直接被问及WV的护士报告的身体攻击率 (28%vs. 5%) 和整体暴力率 (73%vs. 20%) 显著更高.
- 直接询问发现年轻工人更容易接触WV.
结论:
- 直接询问WV增加了报告,但可能导致过度报告,特别是在年轻的HCW中.
- 间接报告方法或官方记录可能导致WV报告不足.
- 将WV监测纳入职业健康监测和健康促进干预措施可以减轻报告偏见.
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