35 KB296 KB33 KB199420252012Košir, Irenaštevilka:2letnik:46str. 157-164ISSN:1318-2951COBISSID:39433728URN:URN:NBN:SI:doc-AYNE0S73slZbornica zdravstvene negeObzornik zdravstvene negeeducationfizično nasiljeforms of physical violencemedicinske sestrenasiljenasilje na delovnem mestunursesperpetratorsstorilciworkplace violenceworkplacesPojav fizičnega nasilja nad medicinskimi sestrami na delovnem mestu| Appearance of the physical violence against nurses in the workplace|Introduction: Ensuring patient's physical and emotional safety and quality of care is one of the primary concerns of a nurse. It requires a safe working environment for nurses where they can practice without fear or threat of aggression. The aim of the study was to determine the prevalence and nature of the perceived and experienced violence against nurses and identify the primary perpetrators of violence. A correlation between workplace violence, the nurses' educational level and workplace was explored. Methods: The research was implemented from November 2010 to February 2011. The data were collected through a questionnaire developed for the purpose of the research and distributed among 3756 (20 %) Slovenian nurses. 692 (18.4 %) questionnaires were completed and returned. The article presents only those results which address physical violence at a workplace. Results: Statistically significant differences have been established between the perceived (chi-square = 42.2, p < 0.001) and experienced physical violence (chi-square = 25.6, p < 0.001). The highest incidence of workplace violence against nurses, perceived (53.3 %) and experienced (33.3 %), occurs in outpatient emergency units. The results of the study indicate also that there is a correlation between nurses' educational level and experienced physical violence (chi-square = 4.33, p = 0.05). 16.9 % of nursing technicians and 11.2% of nurses with higher education have been exposed to this form of violence. Most commonly the perpetrators are the patients (74.8 %). Nurses listed different violent acts directed towards them at work or on duty, such as punching, kicking, pushing, and similar. Discussion and conclusions: Results of the study suggest that violence against nurses is especially pronounced in outpatient emergency departments and in homes for the elderly where nurses provide care for patients with specific health conditions. Unsafe conditions in workplaces may jeopardize the quality of patient care. A thorough research of recognition of different forms of physical violence should therefore be developed along with policies and procedures for reporting violent events and instituted victim protectionIzhodišča: Pacientova telesna in čustvena varnost sta za medicinsko sestro najpomembnejša. Varno zavetje pacientov pa ne pomeni vedno tudi varnosti za medicinske sestre. Namen raziskave je bil ugotoviti zaznavanje in doživljanje fizičnega nasilja nad medicinskimi sestrami glede na izobrazbo in delovno mesto medicinske sestre ter raziskati, kdo je najpogosteje storilec fizičnega nasilja. Raziskane so bile tudi oblike fizičnega nasilja, ki so jih medicinskesestre zaznale ali doživele na delovnem mestu. Metode: Raziskava je potekala od novembra 2010 do februarja 2011 na delovnih mestih medicinskih sester v Sloveniji. V vzorec je bilo vključenih 3.756 (20 %) zaposlenih medicinskih sester v Sloveniji. Na anketni vprašalnik je odgovorilo 692 anketirank (18,4 %). V članku so obravnavana le tista vprašanja iz anketnega vprašalnika, ki se nanašajo na fizično nasilje. Rezultati: Obstajajo statistično značilne razlike v zaznavanju (hi-kvadrat = 42,2, p < 0,001) in doživljanju (hi-kvadrat = 25,6, p < 0,001) fizičnega nasilja glede na delovno mesto anketirank. Največ fizičnega nasilja zaznavajo (53,3 %) in doživljajo (33,3 %) medicinske sestre v urgentni ambulanti. Pojavljajo se tudi statistično značilne razlike v doživljanju fizičnega nasilja nad medicinskimi sestrami glede na njihovo izobrazbo (hi-kvadrat = 4,33, p = 0,05). Srednje medicinske sestre so ga doživele v 16,9 %, medicinske sestre z višješolsko (in več) izobrazbo pa v 11,2 %. Največ telesnih napadov nad medicinskimi sestrami povzročijo pacienti (74,8 %). Medicinske sestre prepoznajo različne oblike fizičnega nasilja kot je udarec, brca, suvanje ipd. Diskusija in zaključki: Urgentne ambulante in domovi za ostarele so zaradi specifičnih bolezenskih stanj pacientov za medicinsko sestro nevarnejša delovna mesta. Medicinska sestra se lahko počuti ogroženo in zato težje opravlja svoje delo. Potrebno bi bilo podrobneje raziskati prepoznavanje oblik fizičnega nasilja nad medicinsko sestro in vpeljati ukrepe delodajalcev za zaščitoTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaZbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije