急诊科工作人员在遭受工作场所暴力后所感受到的支持和情绪影响。

Gordon Lee Gillespie, Sherry Steele Cooper, Scott A Bresler, Sara Tamsukhin
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摘要

导言:在美国,工作场所暴力(WPV)是医护人员的常见经历。虽然 WPV 可能会影响工作者的身体健康,但 WPV 也会影响工作者的心理健康。急诊科(ED)工作人员对可获得的和必要的 WPV 支持的看法尚未见报道:方法: 采用横断面调查设计,研究急诊科工作人员对 WPV 支持的认知水平以及 WPV 对他们造成的情绪影响。这项研究在美国中西部的六家急诊室进行。受访者以保密的方式完成了改编版的《员工所受暴力调查》。数据分析包括描述性统计、t 检验和 Kruskal-Wallis 检验:经历过 WPV 的受访者(N = 206)作为分析样本。受访者主要同意或非常同意在 WPV 发生后可以获得支持(129 人,63.2%)。受访者在 WPV 事件后获得支持的主要来源是部门内的其他同事(n = 127,62.3%)。不到一半的受访者(n = 96,47.1%)表示他们同意/非常同意管理人员在辱骂后会提供支持,但有 63.6% 的受访者(n = 126)表示管理人员在殴打后会提供支持。与威胁/攻击相比,辱骂对情绪的影响没有统计学差异:讨论:法医护士和接受过法医护理培训的急诊护士可以将他们在创伤知情护理、证据收集和专家证词方面的专业知识结合起来,为受到伤害的急诊室工作人员提供支持。无论遭遇何种 WPV,都应及时提供支持。至于为什么支持被认为是可用的、可以获得的,但却可能没有被使用,这值得进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emergency Department Workers' Perceived Support and Emotional Impact After Workplace Violence.

Introduction: Workplace violence (WPV) is a common experience among healthcare workers in the United States. Although WPV may affect workers physically, WPV can also affect workers' mental health. Emergency department (ED) workers' perceptions of available and necessary WPV support have not been previously reported.

Methods: A cross-sectional survey design was used to examine ED workers' perceived level of WPV support and emotional impact that WPV causes them. This study was conducted at six Midwestern U.S. EDs. Respondents confidentially completed an adapted version of the Survey of Violence Experienced by Staff. Data analysis included descriptive statistics, t test, and Kruskal-Wallis test.

Results: Respondents (N = 206) who experienced WPV served as the analytical sample. Respondents predominantly agreed or strongly agreed that support was available after WPV (n = 129, 63.2%). The predominant source of support after WPV was another colleague from the department (n = 127, 62.3%). Less than half of respondents (n = 96, 47.1%) indicated they agreed/strongly agreed that managers were supportive after verbal abuse, but 63.6% (n = 126) indicated that managers were supportive after physical assault. There was no statistical difference between the emotional impact of verbal abuse compared with threats/assaults.

Discussion: Forensic nurses and emergency nurses with forensic nursing training are situated to combine their expertise in trauma-informed care, evidence collection, and expert testimony to support victimized ED workers. Timely support should be offered regardless of the category of WPV experienced. Insight into why support is perceived as available and accessible but may not be used warrants further study.

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