| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 99 === The purposes of the study are to explore and analyze the situation, frequency and influence of workplace violence to nursing staff in emergency ward presently, to develop and to construct relevant prevention strategies as a reference for administrative units and organizations’ workplace violence prevention measures and policies making, to hold back the happening of workplace violence in emergency ward efficiently.
The study selects a quantitative research method cross-section design, purposive sampling. The subjects are nursing staff and nursing chief of emergency room (department, division) of general department in the“new hospital accreditation premium and new teaching hospital accreditation excellent”medical center hospitals and the“new hospital accreditation and new teaching hospital accreditation qualification”district level hospitals. The questionnaire survey is carried out from December 1st, 2010 to December 15th, 2010.
The result shows that 63.2% (108 people) of emergency room nurses have suffered from workplace verbal violence, and 19.3% (33 people) of them have suffered from physical violence; the ratio of the two is 3.27:1; the frequency of occurrence is mostly 1~3 times (47.2% and 81.8%). The sources of violence come from the patients, then the relatives of the patients. The violence mostly happens in the trauma examination section. Verbal violence is mostly seen during evening shift (16~24 o’clock); physical violence is mostly seen during night shift (24~8 o’clock). More than half of the nurse staffs want to resign because of the violence incidents. Among which, bruises, scrape, and bites are mostly seen in physical violence. In the part of working experiences, most emergency room nurses often think the work is overloaded, reach 4.04 points (1~5 points) and often feel threatened by violence during work. They think that the security level should be increased.The biggest influence of the workplace violence in the emergency room on the nurses is the physical and mental situation which will make the nurses feel angry, wronged, upset, sad, powerless, afraid, and depress/melancholy; on working situation/ nursing, the nurses will be more careful to avoid workplace violence; and on working opinion/feeling, the nurses will have more pressure and less
enthusiasm on the work. It is obvious that those who have encountered workplace violence are angrier, less objective on nursing, more careful to avoid workplace violence, and feel more pressure then those who haven''t encountered workplace violence. The degree of physical and mental influences on “those who have participated in the related educational training programs of workplace violence prevention and disposal” is lower than those who haven’t participated in. The influences of working situation/ nursing quality on male emergency room nurses are higher than female. The longer working experiences in nursing and in emergency room, the likely to happen verbal and physical violence in workplace. The result of regression analysis shows that every yearly increase in emergency room, the dangerous of workplace violence occurrence increase 1.157 times.
The prevention strategy of workplace violence in emergency room will have different points of view in importance according to the authority and evaluation level of the hospital. Effective prevention strategy of workplace violence in emergency room including: preventive medical disposal, set up security system and defense equipment, learning and training, administration, manpower distribution, environmental design and control. It is suggested that the emergency room stipulates violence prevention and disposal plans suitable for the organization according to the evaluation requirements.
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