组织文化在使护理人员接触暴力正常化中的作用

IF 0.7 Q4 CRIMINOLOGY & PENOLOGY
Justin Mausz, Mandy Johnston, E. Donnelly
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引用次数: 5

摘要

目的针对护理人员的暴力行为是一个复杂但报道不足的问题。现有研究表明,组织文化可能在维持淡化重要性和限制报告的文化规范方面发挥作用。本文的目的是定性地探讨护理人员的暴力经历,特别强调理解组织文化如何导致比例不足。设计/方法/方法作者调查了加拿大安大略省一家大型城市服务机构的护理人员,要求参与者描述他们的暴力经历,包括是否以及为什么或为什么不报告这些事件。在建构主义认识论中,我们使用归纳主题分析和连续几轮编码来识别并定义限制报告的组织文化特征。调查结果共有196名(33%符合条件)护理人员完成了调查。98%的参与者表示曾经历过某种形式的暴力;然而,只有少数人(40%)向管理层或警方(21%)报告了这些事件。作者定义了一个框架,在这个框架内,缺乏管理层的支持以及对罪犯的后果,隐含地将护理人员“避免”暴力遭遇的能力定位为预期的专业能力。披露暴力遭遇时的情绪或心理困扰会引发人们对个人是否适合从事护理工作的质疑。原创性/价值尽管现有研究表明报告不足是一个问题,但这些发现揭示了原因——这是解决被称为严重公共卫生问题的关键第一步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of organizational culture in normalizing paramedic exposure to violence
Purpose Violence against paramedics is a complex – but underreported – problem. Extant research suggests organizational culture may play a role in sustaining cultural norms that downplay the significance and limit reporting. The purpose of this paper is to qualitatively explore paramedics’ experience with violence, with particular emphasis on understanding how organizational culture contributes to under-reporting. Design/methodology/approach The authors surveyed paramedics from a single, large, urban service in Ontario, Canada, asking participants to describe their experiences with violence, including whether – and why or why not – the incidents were reported. Within a constructivist epistemology, we used inductive thematic analysis with successive rounds of coding to identify and then define features of organizational culture that limit reporting. Findings A total of 196 (33% of eligible) paramedics completed the survey. Fully 98% of participants disclosed having experienced some form of violence; however, only a minority (40%) reported the incidents to management, or the police (21%). The authors defined a framework within which a lack of support from management, and consequences for offenders, implicitly positions the ability of paramedics to “brush off” violent encounters as an expected professional competency. Disclosing emotional or psychological distress in response to violent encounters invited questions as to whether the individual is personally suited to paramedic work. Originality/value While the extant research has indicated that underreporting is a problem, the findings shed light on why – a critical first step in addressing what has been described as a serious public health problem.
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
32
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