醫院護理人員職場暴力及受暴力後情緒反應之相關因素探討

The related factors between the workplace violence toward the nurses and emotional reaction after violence in hospital

陳柑伴(Kan-Pan Chen)

指導教授 ： 楊美賞

高雄醫學大學/護理學院/護理學系研究所/碩士(2008年)

https://doi.org/10.6832/KMU.2008.00075

摘要

職場暴力是影響護理人員職場安全的重要因素，本研究目的旨在探討：（1）護理人員遭受職場暴力的比率、暴力種類及來源，（2）影響護理人員遭受職場暴力的因素，（3）護理人員遭受職場暴力之情緒反應及影響情緒反應之因素。以南部某醫學中心從事直接照護病人之護理人員880人為對象，以結構式問卷收集資料，共回收有效問卷791份，回收率為89.8%。職場暴力分為單純遭受語言暴力和暴力威脅（含身體暴力）者。
研究結果發現：（1）護理人員最近一年遭受職場暴力的比率為81.5 % ；其中單純遭受語言暴力者為60.5%，遭受暴力威脅（含身體暴力）者為39.5%。護理人員最常見職場暴力來源為病人（61.4%），其次為病人家屬（60.8%），再次為醫事同仁（48%）。（2）服務於精神科的護理人員遭受暴力威脅（或身體暴力）之比率顯著高於服務於其他科別者。（3）護理人員遭受暴力後之情緒反應之標準化得分為49.3分，屬於中度之情緒反應。護理人員經歷暴力威脅（含身體暴力）之情緒反應得分顯著高於單純遭受語言暴力者。（4）護理人員未婚、教育程度為大學(含）以上者、服務於一般病房者其遭受職場暴力後之情緒反應得分顯著高於已婚、教育程度為專科或服務於門急診及加護單位者。職場暴力來源為醫護同仁時，其情緒反應得分亦顯著高於來源為病人及其親友者。
本研究之發現，可提供醫院行政主管研擬減少職場暴力、營造安全之護理工作環境之參考。

關鍵字

職場暴力 ； 護理人員 ； 情緒反應

並列摘要

The purposes of this study were (1) to explore the prevalence of workplace violence, type and source of violence; (2) to assess the related factors of the workplace violence; (3) to explore the emotional reactions of the nurses who encountered the workplace violence and to assess the related factors of the emotional reactions after the violence. Eight hundred and Eighty female nurses who provided direct patient care in a medical center in southern Taiwan were invited to complete a structured questionnaire. Seven hundred and nighty one nurses successfully completed the survey with a response rate of 89.9%. The workplace violence divided into only verbal violence and threatened violence (including physical assault).
Results showed that there were 645 (81.5%) nurses encountered the workplace violence in the last year. Among these violences, only verbal violence was 60.5%, and the threatened violence (including physical assault) was 39.5%. The sources of workplace violence toward the nurses came from the patients (61.4%), the family members (60.8%), and from the medical colleagues (48%). The nurses working at the psychiatry department were more likely to have the experiences of threatened violence than that of working at the other departments. The scores of emotional reaction among nurses with the experiences of threatened violence(including physical assault) were significantly higher than those who experienced only verbal violence. The standard scores of the emotional reaction of the workplace violence was 49.3 which was in the median level of reaction. Nurses who were unmarried, with an education level at/or higher than university and working in the general wards were more likely to have significantly higher emotional scores than those who were married or with a college educational level or working in the outpatient department or emergency unit. Similarly, when the source of workplace violence came from colleagues, the emotional scores were significantly higher than that came from the patients and their families.
The findings of this study would provide the evidence of workplace violence in hospital and it may help hospital and nursing administrators in reducing and controlling the incidents of workplace violence.

並列關鍵字

Workplace violence ； Nurse ； Emotional reaction

參考文獻

文獻參考

中文部分

王常如（1997）˙精神科護士被病人攻擊後的反應與因應行為˙未發表之碩士論文，高雄：高雄醫學院護理研究所。

王美業（2000）等譯˙情緒反應與情感性疾病˙於李選總校閱，精神科護理學（496-497頁）˙臺北：五南。

王郁茗、闕清模、郭碧照、王慶福（2002）˙精神科護理人員遭受住院精神病患攻擊行為之身心反應˙中山醫學雜誌，13，91-99。