探討職場暴力對護理人員身心健康的影響-以某區域教學醫院為例

翁芝爾

doi:10.6342/NTU201800014

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探讨职场暴力对护理人员身心健康的影响-以某区域教学医院为例

Exploring the Influence of Workplace Violence on Physical and Mental Health among Nurses of a Regional Teaching Hospital

翁芝尔 , 硕士　　导师：郑雅文　　

繁体中文 DOI： 10.6342/NTU201800014

护理人员；职场暴力；心理健康；自评健康；疲劳；知识；态度； nurse ； workplace violence ； mental health ； self-rated health ； burnout ； knowledge ； attitude

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摘要 │ 参考文献 (120) │ 国际计量

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Workplace violence, as a major type of psychosocial work hazards, has been known to impost significant physical and mental health risks on workers. This issue has gained growing attentions in the field of occupational health management in Taiwan. This study was designed to examine the prevalence of workplace violence in nursing staff and to understand its impacts on physical and mental health as well as burnout status. A cross-sectional questionnaire survey was conducted among female nurses of a regional hospital which is located in the Northern Taiwan. Recruited through convenience sampling methods, a total of 288 female nurses participated and completed questionnaires.  SPSS 22 software was used for data analysis.
The findings of the research are listed as below: (1) The 12-month prevalence of workplace violence among nurses were 60.1% for verbal violence, 29.2% for psychological violence, 17.4% for physical violence and 6.9% for sexual harassment; the prevalence of workplace violence in any of the above types was 63.9%; among them, the percentages of nurses who had ever filed complaints were in the range of 12.9% and 23.7%, depending on the type of violence.(2) As high as 80% of nurses correctly answered the questions which were to assess their knowledge regarding workplace violence, indicating that nurses’ attitude is Neutral to Positive.(3)The prevalences of high personal burnout, high client-related burnout, poor self-rated health, and poor mental health were 68.7%, 40.6%, 12.2%, and 58.0%, respectively. (4)Average daily working hours ≧ 8.5 hours and heavy psychological workloads were found to associated with poor self-rated health and poor mental health, while night and rotating shifts were found to associate with high client-related burnout.(5) In terms of job characteristics, nurses with medium levels of psychological job demands and low levels of workplace justice were found to be at higher risk of workplace violence. (6) Nurses who had experienced any type of workplace violence were found to have increased risks for poor self-rated health (OR=2.624), poor mental health (OR=2.029) and high personal burnout (OR=2.717), as compared to nurses without experiences of workplace violence. The risks of poor performance are significantly higher than those who never suffer from workplace violence.
Findings of this study suggested that reasonable working hour arrangement should be ensured and reporting mechanism for workplace violence should be established.  To improve occupational health, the research also suggests the hospital administration to monitor workplace violence and its potential impacts on employees’ health.

参考文献 ( 120 ) 〈TOP〉

Abualrub, R. F., & Al-Asmar, A. H. (2011). Physical violence in the workplace among Jordanian hospital nurses. Journal of transcultural nursing : official journal of the Transcultural Nursing Society, 22(2), 157. doi:10.1177/1043659610395769
连结：
AbuAlRub, R. F., & Al Khawaldeh, A. T. (2014). Workplace physical violence among hospital nurses and physicians in underserved areas in Jordan. Journal of Clinical Nursing, 23(13-14), 1937-1947. doi:10.1111/jocn.12473
连结：
Aksakal, F. N. B., Karaşahin, E. F., Dikmen, A. U., Avci, E., & Ozkan, S. (2015). Workplace physical violence, verbal violence, and mobbing experienced by nurses at a university hospital. Turkish journal of medical sciences, 45(6), 1360.
连结：
Al-Ali, N. M., Al Faouri, I., & Al-Niarat, T. F. (2016). The impact of training program on nurses' attitudes toward workplace violence in Jordan. Applied Nursing Research, 30, 83-89. doi:10.1016/j.apnr.2015.11.001
连结：
American Organization of Nurse, E., & Emergency Nurses, A. (2015). AONE and ENA Develop Guiding Principles on Mitigating Violence in the Workplace. J Emerg Nurs, 41(4), 278-280. doi:10.1016/j.jen.2015.04.018
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引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。