醫院急診室工作人員的職場暴力預防行為意圖分析

Preventive Behavior toward Worksite Violence among Hospital Emergency Staff

黃珮芳(Pei-Fang Huang) ； 應純哲(Jeremy C. Ying) ； 潘豐泉(Frank F.C. Pan) ； 馬震中(Chen-Chung Ma)

《寶建醫護與管理雜誌》 13卷1&2期 (2016/06) Pp. 29-43

https://doi.org/10.29681/PCJHM.201606_13(1_2).0004

摘要

研究目的：本研究主要根據計畫行為理論來探討急診室工作人員的職場暴力預防行為，進而(1)了解急診室工作人員遭受職場暴力的現況，(2)探討急診室工作人員的人口學之特性，(3)探討計畫行為理論之下，急診室工作人員對態度、主觀規範和認知行為控制對職場暴力預防行為的影響。研究方法：本研究以個案醫院急診部全體工作人員進行問卷調查。採用PASW18.0版統計軟體，包括描述性統計量、因素分析、信效度分析、單因子變異係數分析、獨立樣本t檢定、相關與迴歸分析等。研究結果：在人口學特性中，年齡、學歷、職位、急診年資、本院急診年資、有無受到職場暴力與有無受傷經驗上對於態度上有顯著差異，而職位對於知覺行為控制有顯著差異。另外主觀規範與知覺行為控制為中度正相關，態度上則無顯著相關，細項分析人口學特性與計畫行為理論之相關，醫療年資、急診總年資、與本院急診年資對於態度、主觀行為、知覺行為控制各有不同之相關性。迴歸分析在預測能力上達31.2%，而PLS之解釋力則達45.7%。結論：主觀規範與知覺行為控制對職場暴力預防行為意圖有正向影響。本研究結果可提供個案醫院高階主管做為一個規範，未來在管理上的該如何訂定目標、如何規劃與執行，並做為參考。

關鍵字

急診暴力 ； 計畫行為理論 ； 預防行為

並列摘要

Purpose: This research was based on the theory of planned behavior investigating workplace violence and prevention strategy in emergency department of hospital. The aims of this study were: 1) to comprehend the status quo of emergency staff in terms of workplace violence; 2) to analyze the demographic characteristics of emergency staff, and 3) to investigate the effects attitude, subjective norms and perceived behavioral control on violence prevention behavior among emergency staff, based on the theory of planned behavior.Methods:. All the emergency staff of the case hospital participated in the study. PASW 18.0 was used for statistical analyses, such as descriptive statistics, factor analysis, reliability and validity analyses, ANOVA, t-test, related Pearson correlation coefficient and multiple linear regressions.Results: No significant differences were found in age, education, position, seniority, and experience of violence and/or injury in terms of attitude; however, significant difference was found in position in terms of perceived behavioral control. Subjective norms and perceived behavioral control tended to have moderate positive correlation, but Attitude was not related to the formers. Medical seniority, seniority of emergency and seniority of the case hospital were significantly correlated with attitude, subjective behavior and perceived behavioral control. Regression analysis and PLS illustrated 31.2% predictive capability and 45.7% explanatory power respectively. Conclusions: Subjective behavior and perceived behavioral control had significant effects on violence prevention behavior among emergency staff of the case hospital. Administrators of the case hospital can use the study results as a norm, and develop coping strategies accordingly.

並列關鍵字

Emergency violence ； Theory of planned behavior ； Preventive action