護(hù)理人員醫(yī)院環(huán)境遭受暴力的原因分析及應(yīng)對策略

論文編號:HL242 論文字?jǐn)?shù):8010,頁數(shù):23

論文題目：護(hù)理人員工作場所遭遇暴力的原因分析及應(yīng)對策略
摘　要
 目的  本研究通過調(diào)查護(hù)理人員遭遇工作場所暴力的易發(fā)地點(diǎn)、易發(fā)時(shí)間和易發(fā)人群，造成暴力發(fā)生的主要原因，制定有針對性的應(yīng)對策略，為預(yù)防醫(yī)院工作場所暴力提供依據(jù)，降低醫(yī)院工作場所暴力事件的發(fā)生率，保護(hù)護(hù)理人員的人身安全。方法  本次調(diào)查采用分層群體抽樣的方法，以本地區(qū)的在職護(hù)士為調(diào)查對象，發(fā)放調(diào)查問卷，統(tǒng)一回收，調(diào)查工具采用龔耀先修訂的艾森克個(gè)性問卷（EPQ）和根據(jù)醫(yī)院工作場所暴力定義制定的問卷進(jìn)行調(diào)查。結(jié)果  （1）本次調(diào)查發(fā)現(xiàn)，醫(yī)院工作場所暴力的易發(fā)地點(diǎn)為急診科、兒科、婦產(chǎn)科等急診工作性質(zhì)的科室。（2）易發(fā)生暴力的時(shí)間為人手不足時(shí)，如晚間、中午休息時(shí)。（3）易遭遇醫(yī)院工作場所暴力的人群為女性，E分較高、參加工作時(shí)間短缺乏經(jīng)驗(yàn)和中級以上職稱參加工作時(shí)間長缺乏耐心的護(hù)士是暴力的易發(fā)人群。（4）“護(hù)理人員個(gè)人素質(zhì)差異”、“肇事者失去自控能力”、“患者治療效果與期望值有差距”、“醫(yī)院管理存在缺陷”是造成醫(yī)院工作場所暴力的主要原因，另外“患者的維權(quán)意識(shí)增強(qiáng)”、“社會(huì)偏見”“法律、法規(guī)不健全”等也是醫(yī)院工作場所發(fā)生暴力不可忽視的因素。  結(jié)論  護(hù)理人員提高個(gè)人素質(zhì)，加強(qiáng)工作責(zé)任心，注重提高溝通技巧，提高護(hù)理服務(wù)質(zhì)量，增加患者的滿意度，可有效減少暴力事件的發(fā)生機(jī)率。醫(yī)院管理部門要加強(qiáng)環(huán)境管理，合理安排人員，減少暴力發(fā)生的誘因。通過開展醫(yī)院工作場所防暴力知識(shí)培訓(xùn)，提高護(hù)理人員防范暴力的能力。醫(yī)院的保衛(wèi)部門要盡職盡責(zé)，及時(shí)制止暴力傾向，可以有效保證醫(yī)療秩序和護(hù)理人員的人身安全。
 
 關(guān) 鍵 詞：工作場所暴力；醫(yī)院暴力；護(hù)患糾紛
 
 論文類型：研究報(bào)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  錄
1 緒論 1
1.1 背景及意義 1
1.2 研究目的及目標(biāo) 1
1.3 關(guān)鍵詞及定義 1
1.4文獻(xiàn)回顧 2
2 研究設(shè)計(jì) 3
2.1研究對象 3
2.2一般資料 3
2.3研究方法 3
2.4研究步驟 3
3 研究結(jié)果 5
4 討論 7
5 推論及建議 11
5.1 推論 11
5.2 建議 11
致    謝 13
參考文獻(xiàn) 15
附    錄 17