护士遭受医院暴力后心理与行为反应的质性研究

摘要

目的：调查护士遭受医院暴力后心理与行为反应，分析受害护士对医院暴力的概念认知体验及暴力事件对护士的心理和行为所产生的不良的影响。方法运用质性研究中的现象学研究方法，选取2014年7月—2015年7月某三级甲等医院遭受医院暴力的16名护士进行半结构化深度访谈，采用 Colaizzi 7步分析法进行数据分析。结果遭受暴力事件的护士对医院暴力事件认知差，暴力事件会使护士产生愤怒、委屈、不公平等负性情绪反应，受访者普遍反映面对暴力时期望得到医院、社会、法律等方面的帮助和支持。结论医院暴力对护理人员的身心健康和工作积极性产生了严重影响，已经严重阻碍了护理专业的健康发展，因此，有必要积极寻求有效应对和减少暴力事件的措施。%Objective To investigate the psychological and behavioral reaction of nurses after workplace violence in hospital,and analyze the cognition of injured nurses on the concept of workplace violence in hospital,as well as the adverse effects caused by violence.Methods A total of 16 nurses suffered from workplace violence in a hospital between July 2014 and July 2015 received a semi-structure interview using phenomenological research method.Data were analyzed using Colaizzi method.Results The cognitions of nurses suffered from violence were poor.The negative emotional reactions were caused by the workplace violence in hospital,such as anger,grievance,unfairness and so on.The helps and supports from hospitals,society and laws were expected to be obtained when nurses faced with violence.Conclusions The workplace violence in hospital has affected the nurses′physical and mental health and their work enthusiasm seriously.It has hindered the healthy development of the nursing profession.So it is necessary to seek effective measures to deal with and reduce workplace violence in hospital.