护理人员医院环境遭受暴力的原因分析及应对策略

论文编号:HL242 论文字数:8010,页数:23

论文题目：护理人员工作场所遭遇暴力的原因分析及应对策略
摘　要
 目的  本研究通过调查护理人员遭遇工作场所暴力的易发地点、易发时间和易发人群，造成暴力发生的主要原因，制定有针对性的应对策略，为预防医院工作场所暴力提供依据，降低医院工作场所暴力事件的发生率，保护护理人员的人身安全。方法  本次调查采用分层群体抽样的方法，以本地区的在职护士为调查对象，发放调查问卷，统一回收，调查工具采用龚耀先修订的艾森克个性问卷（EPQ）和根据医院工作场所暴力定义制定的问卷进行调查。结果  （1）本次调查发现，医院工作场所暴力的易发地点为急诊科、儿科、妇产科等急诊工作性质的科室。（2）易发生暴力的时间为人手不足时，如晚间、中午休息时。（3）易遭遇医院工作场所暴力的人群为女性，E分较高、参加工作时间短缺乏经验和中级以上职称参加工作时间长缺乏耐心的护士是暴力的易发人群。（4）“护理人员个人素质差异”、“肇事者失去自控能力”、“患者治疗效果与期望值有差距”、“医院管理存在缺陷”是造成医院工作场所暴力的主要原因，另外“患者的维权意识增强”、“社会偏见”“法律、法规不健全”等也是医院工作场所发生暴力不可忽视的因素。  结论  护理人员提高个人素质，加强工作责任心，注重提高沟通技巧，提高护理服务质量，增加患者的满意度，可有效减少暴力事件的发生机率。医院管理部门要加强环境管理，合理安排人员，减少暴力发生的诱因。通过开展医院工作场所防暴力知识培训，提高护理人员防范暴力的能力。医院的保卫部门要尽职尽责，及时制止暴力倾向，可以有效保证医疗秩序和护理人员的人身安全。
 
 关 键 词：工作场所暴力；医院暴力；护患纠纷
 
 论文类型：研究报告
 
Title: Nurses encounter violence in the workplace,Analysis and Countermeasures
ABSTRACT
 Objectives: The purpose of this study through the investigation of workplace violence nurses face-prone location, time,and easy-risk population prone, resulting in violence the main reason for the development of targeted coping strategies for the prevention of workplace violence in hospitals to provide a basis to reduce hospital the workplace, the incidence of violence to protect the personal safety of nurses.    
 Methods: The survey employed a stratified sampling method groups,to the nurses in this region for the investigation of objects,issuing questionnaires,unified recovery and investigative tool used Eysenck Personality Questionnaire (EPQ) and in accordance with the hospital in the workplace the definition of violence developed questionnaire.
 Results: (1) The survey found that the hospital workplace violence-prone locations for the emergency department,paediatrics, obstetrics and other emergency nature of the work of the sections. (2) prone to violence, shortage of time, such as when the evening, when the lunch break. (3) easy to hit the hospital workplace violence in the crowd were women, E points higher, to work a short time, lack of experience and mid-level professional titles to work long hours for more than a lack of patience of the nurses are violence-prone groups. (4) "differences in personal qualities of nurses," "loss of self-control capacity of the perpetrators," "patient outcomes and expectations there are gaps," "hospital management deficiencies" is causing the main reason for workplace violence in the hospital,while the "patient's rights protection a strong sense "," social bias "" laws and regulations are not perfect "and is also the hospital workplace violence can not be ignored.
 Conclusion:nursing staff and improving their quality, strengthening the work of responsibility, focus on improving communication skills, improve care and service quality, increase patient satisfaction, which can effectively reduce the incidence of violence. Hospital management department to strengthen its environmental management, reasonable arrangements for personnel,reducing the incentive for violence. Through the hospital workplace violence prevention knowledge and training to enhance the capacity of nurses to prevent violence. Hospital security departments must fulfill their duty in time to stop the violence tendencies, can effectively ensure that the medical order and the safety of nursing staff.
 KEY WORDS: Workplace violence; Hospital violence; nurse-patient disputes
 TYPE OF THESIS: d. Study

目  录
1 绪论 1
1.1 背景及意义 1
1.2 研究目的及目标 1
1.3 关键词及定义 1
1.4文献回顾 2
2 研究设计 3
2.1研究对象 3
2.2一般资料 3
2.3研究方法 3
2.4研究步骤 3
3 研究结果 5
4 讨论 7
5 推论及建议 11
5.1 推论 11
5.2 建议 11
致    谢 13
参考文献 15
附    录 17

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