{"title":"护士的工作场所暴力报告行为和不正式报告的原因：横断面二次分析。","authors":"Jenny Lee, Farinaz Havaei, Saima Hirani, Nassim Adhami","doi":"10.1111/jocn.17639","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To investigate predictors of nurses' reporting behaviours and their reasons for not formally reporting.</p><p><strong>Background: </strong>Underreporting of workplace violence (WPV) among nurses contributes to gaps in WPV prevention measures, as it cannot be fully understood. WPV is classified according to its source (Type II: patients and visitors, Type III: coworkers) and forms (physical assault, threat of assault, emotional abuse, verbal sexual harassment and sexual assault).</p><p><strong>Design: </strong>This is a secondary analysis of cross-sectional survey data collected in 2019 from British Columbia (BC), Canada.</p><p><strong>Methods: </strong>This study had a sample of 4109 BC nurses. Multinomial logistic regression was used to analyse predictors of reporting behaviours. Reasons for not reporting were analysed descriptively.</p><p><strong>Results: </strong>Informal reporting to management or through a patient safety incident report was less likely when nurses experienced threat of assault, emotional abuse and verbal sexual harassment from both Type II and III sources and physical assault from Type III sources. Higher perceptions of WPV prevention efforts increased odds of informal and formal reporting through employee incident procedures. Believing that nothing would change after reporting remained among the top three reasons for not formally reporting across all WPV sources and forms. Nurses also commonly selected not knowing the formal process, lack of leadership support and other reasons stated in an open-text response.</p><p><strong>Conclusion: </strong>Findings indicate that nurses in BC, Canada, perceive many barriers to formal WPV reporting. Formal reporting systems should address these barriers so that healthcare organisations can effectively track WPV and have data to inform WPV prevention measures.</p><p><strong>Implications: </strong>To promote WPV reporting, healthcare organisations need multifaceted interventions including confidential and simplified reporting systems, leadership support to follow-up with nurses and education and training on reporting systems.</p><p><strong>Reporting method: </strong>The authors of this manuscript have adhered to the relevant EQUATOR guidelines based on the STROBE cross-sectional reporting method.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nurses' Workplace Violence Reporting Behaviours and Reasons for Not Formally Reporting: A Cross-Sectional Secondary Analysis.\",\"authors\":\"Jenny Lee, Farinaz Havaei, Saima Hirani, Nassim Adhami\",\"doi\":\"10.1111/jocn.17639\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>To investigate predictors of nurses' reporting behaviours and their reasons for not formally reporting.</p><p><strong>Background: </strong>Underreporting of workplace violence (WPV) among nurses contributes to gaps in WPV prevention measures, as it cannot be fully understood. WPV is classified according to its source (Type II: patients and visitors, Type III: coworkers) and forms (physical assault, threat of assault, emotional abuse, verbal sexual harassment and sexual assault).</p><p><strong>Design: </strong>This is a secondary analysis of cross-sectional survey data collected in 2019 from British Columbia (BC), Canada.</p><p><strong>Methods: </strong>This study had a sample of 4109 BC nurses. Multinomial logistic regression was used to analyse predictors of reporting behaviours. Reasons for not reporting were analysed descriptively.</p><p><strong>Results: </strong>Informal reporting to management or through a patient safety incident report was less likely when nurses experienced threat of assault, emotional abuse and verbal sexual harassment from both Type II and III sources and physical assault from Type III sources. Higher perceptions of WPV prevention efforts increased odds of informal and formal reporting through employee incident procedures. Believing that nothing would change after reporting remained among the top three reasons for not formally reporting across all WPV sources and forms. Nurses also commonly selected not knowing the formal process, lack of leadership support and other reasons stated in an open-text response.</p><p><strong>Conclusion: </strong>Findings indicate that nurses in BC, Canada, perceive many barriers to formal WPV reporting. Formal reporting systems should address these barriers so that healthcare organisations can effectively track WPV and have data to inform WPV prevention measures.</p><p><strong>Implications: </strong>To promote WPV reporting, healthcare organisations need multifaceted interventions including confidential and simplified reporting systems, leadership support to follow-up with nurses and education and training on reporting systems.</p><p><strong>Reporting method: </strong>The authors of this manuscript have adhered to the relevant EQUATOR guidelines based on the STROBE cross-sectional reporting method.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>\",\"PeriodicalId\":50236,\"journal\":{\"name\":\"Journal of Clinical Nursing\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-12-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jocn.17639\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.17639","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Nurses' Workplace Violence Reporting Behaviours and Reasons for Not Formally Reporting: A Cross-Sectional Secondary Analysis.
Aim: To investigate predictors of nurses' reporting behaviours and their reasons for not formally reporting.
Background: Underreporting of workplace violence (WPV) among nurses contributes to gaps in WPV prevention measures, as it cannot be fully understood. WPV is classified according to its source (Type II: patients and visitors, Type III: coworkers) and forms (physical assault, threat of assault, emotional abuse, verbal sexual harassment and sexual assault).
Design: This is a secondary analysis of cross-sectional survey data collected in 2019 from British Columbia (BC), Canada.
Methods: This study had a sample of 4109 BC nurses. Multinomial logistic regression was used to analyse predictors of reporting behaviours. Reasons for not reporting were analysed descriptively.
Results: Informal reporting to management or through a patient safety incident report was less likely when nurses experienced threat of assault, emotional abuse and verbal sexual harassment from both Type II and III sources and physical assault from Type III sources. Higher perceptions of WPV prevention efforts increased odds of informal and formal reporting through employee incident procedures. Believing that nothing would change after reporting remained among the top three reasons for not formally reporting across all WPV sources and forms. Nurses also commonly selected not knowing the formal process, lack of leadership support and other reasons stated in an open-text response.
Conclusion: Findings indicate that nurses in BC, Canada, perceive many barriers to formal WPV reporting. Formal reporting systems should address these barriers so that healthcare organisations can effectively track WPV and have data to inform WPV prevention measures.
Implications: To promote WPV reporting, healthcare organisations need multifaceted interventions including confidential and simplified reporting systems, leadership support to follow-up with nurses and education and training on reporting systems.
Reporting method: The authors of this manuscript have adhered to the relevant EQUATOR guidelines based on the STROBE cross-sectional reporting method.
Patient or public contribution: No patient or public contribution.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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