多地区护士对工作安全和病人攻击的信念和态度研究。

E C Poster, J Ryan
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引用次数: 60

摘要

目的:探讨护理人员对工作安全及患者人身攻击的信念和担忧。方法:20世纪80年代末在加利福尼亚一所大学附属精神病院进行的一项研究在其他五个精神病院进行了重复。数据使用“对病人身体攻击的态度问卷”收集,该问卷包含31个陈述,旨在询问护士对安全问题、员工绩效和与攻击相关的法律问题的看法。结果:6个医院共有557名护理人员参与问卷调查;84%是女性。大多数人(76%)至少遭受过一次身体攻击,但71%的人表示,大多数时候他们在工作环境中感到安全。与女性工作人员相比,男性倾向于认为攻击是预料之中的,被攻击的工作人员的性格特征使他们容易受到攻击,对攻击患者采取法律行动可能会危及他们的工作。最近聘用的工作人员更有信心,他们的设施不会接纳难以管理的病人,而且环境足以防止袭击。经常受到攻击的工作人员往往认为攻击是预料之中的。结论:该研究突出了全国护理人员对安全的关注。确保安全的工作环境需要更好的培训、更充足的人员配备以及保护工作人员、患者和其他人的安全计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A multiregional study of nurses' beliefs and attitudes about work safety and patient assault.

Objective: The study attempted to increase understanding of nursing staff members' beliefs and concerns about work safety and patient assault.

Methods: A study conducted at a university-affiliated psychiatric facility in California in the late 1980s was replicated in five other psychiatric settings. Data were collected using the Attitudes Toward Patient Physical Assault Questionnaire, containing 31 statements designed to elicit nurses' beliefs about safety concerns, staff performance, and legal issues related to assaults.

Results: A total of 557 nursing staff members at the six sites responded to the questionnaire; 84 percent were female. The majority (76 percent) had been physically assaulted at least once, but 71 percent reported feeling safe in their work environment most of the time. Compared with female staff members, males tended to believe that assaults were to be expected, that assaulted staff have personality traits that make them vulnerable to assault, and that legal action against assaultive patients might jeopardize their jobs. Recently hired staff were more confident that their facilities did not admit unmanageable patients and that the environment was adequate to prevent assaults. Staff who had been assaulted more frequently tended to believe that assaults were to be expected.

Conclusions: The study highlights a nationwide concern among nursing staff about safety. Ensuring a safe working environment requires better training, more adequate staffing, and a security plan to protect staff, patients, and others.

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