护理学报 ›› 2023, Vol. 30 ›› Issue (8): 58-62.doi: 10.16460/j.issn1008-9969.2023.08.058
精神科护士遭受医院II型暴力真实体验的Meta整合
周瑜1, 王励飞2, 米元元3, 王加谋1
- 1.武汉轻工大学医学与健康学院,湖北 武汉430023;
2.杭州医学院护理学院,浙江 杭州 310059;
3.华中科技大学同济医学院附属协和医院 重症医学科,湖北 武汉 430022
摘要： 目的 系统评价精神科护士遭受II型暴力的真实体验。方法 借助计算机检索中国知网、维普、万方、SinoMed、PubMed、Embase、Scopus、Web of Science、CINAHL、The Cochrane Library、Wiley Online Library,关于精神科护士遭受II型暴力体验的质性研究,检索时限自2013年2月—2022年2月。文献质量评价依据澳大利亚JBI循证卫生保健中心的评价标准,汇集性整合方法整合结果。结果 共10篇文献被纳入,75条结果被提炼,归纳成16个新类别和5个整合结果。整合结果1：精神科护士遭受暴力的原因;整合结果2：遭受暴力的类型;整合结果3：遭受暴力的身心体验;整合结果4：遭受暴力的应对方式;整合结果5：护士的需求与期待。结论 精神科是特殊科室,应结合病患病情综合评估暴力的原因并重视其不良影响,提高护士的认知水平并引导其积极应对不良体验,结合精神科护士需求提供必要的内外支持,以降低精神科II型暴力发生率和影响。
中图分类号:
- R473.74
| [1] Preventing Workplace Violence: The occupational and environmental health nurse role[J]. Workplace Health Saf,2014,62(2):48-50.DOI:10.1177/216507991406200201. [2] Al-Ali NM,Al Faouri I,Al-Niarat TF.The impact of training program on nurses' attitudes toward workplace violence in Jordan[J]. Appl Nurs Res,2016,30:83-89.DOI:10.1016/j.apnr.2015.11.001. [3] Fallahi KM, Oskouie F,Najafi F,et al.Psychological violence in the health care settings in Iran: a cross-sectional study[J].Nurs Midwifery Stud,2015,4(1):e24320.DOI:10.17795/nmsjour-nal24320. [4] Ünsal AS, Baysan AL,Sirin A,et al.Violence experienced by nurses at six university hospitals in Turkey[J]. J Psychiatr Ment Health Nurs, 2013, 20(10):882-889.DOI:10.1111/jpm.12027. [5] Stevenson KN, Jack SM, O'Mara L, et al. Registered nurses' experiences of patient violence on acute care psychiatric inpatient units:an interpretive descriptive study[J]. BMC Nurs,2015,14:35.DOI:10.1186/s12912-015-0079-5. [6] Konttila J, Kähkönen O,Tuomikoski AM.Nurses' experiences of workplace violence in psychiatric nursing: a qualitative review protocol[J]. JBI Evid Synth,2020,18(9):2025-2030.DOI:10.11124/JBISRIR-D-19-00254. [7] 纪媛媛,王军,张娜芹.279名规范化培训护士横向暴力水平分析[J].护理学报, 2019, 26(22):43-46.DOI:10.16460/j.issn1008-9969.2019.22.043. [8] 胡雁,郝玉芳.循证护理学[M].北京:人民卫生出版社,2018:154-157. [9] Lockwood C, Munn Z,Porritt K.Qualitative research synthesis: methodological guidance for systematic reviewers utilizing Meta-aggregation[J].Int J Evid Based Healthc,2015,13(3):179-187.DOI:10.1097/XEB.0000000000000062. [10] 朱宜妍,李红,朱艳玲.精神科护士遭受暴力攻击后心理感受的质性研究[J].护理实践与研究,2014,11(6):142-144.DOI:10.3969/j.issn.1672-9676.2014.06.083. [11] 李拴荣,张秀丽,张军.精神科护士受患者暴力伤害后的情感体验及应对策略[J].中国护理管理,2017,17(3):297-300.DOI:10.3969/j.issn.1672-1756.2017.03.004. [12] 侯明如,王晓娥,蒋菊芳,等.精神科护士遭受工作场所暴力体验的现象学研究[J]. 上海护理, 2018, 18(1):25-30.DOI:10.3969/j.issn.1009-8399.2018.01.008. [13] Baby M, Glue P,Carlyle D.‘Violence is not part of our job':a thematic analysis of psychiatric mental health nurses' experiences of patient assaults from a new zealand perspective[J].Issues Ment Health Nurs,2014,35(9):647-655.DOI:10.3109/01612840.2014.892552. [14] Yang CI, Hsieh WP, Lee LH, et al.Assault experiences: lessons learned from mental health nurses in Taiwan[J]. Int J Ment Health Nurs,2016, 25(3):225-233.DOI:10.1111/inm.12203. [15] Hiebert BJ, Care WD, Udod SA, et al.Psychiatric nurses' lived experiences of workplace violence in acute care psychiatric units in Western Canada[J]. Issues Ment Health Nurs, 2022,43(2):146-153. DOI:10.1080/01612840.2021.1956656. [16] Moghadam MF, Pazargadi M, Khoshknab MF.Iranian nurses' experiences of aggression in psychiatric wards:a qualitative study[J]. Issues Ment Health Nurs,2013,34(10):765-771.DOI:10.3109/01612840.2012.737893. [17] Yosep I, Mediani HS.Mental health nurses'perspective of work-related violence in Indonesia: a qualitative study[J].Int J Caring Sci,2019,12(3):1871-1878. [18] Nguluwe BCJ, Havenga Y,Sengane MLM.Violence experienced by nurses working in acute care psychiatric wards at a gauteng hospital[J]. Africa J Nursing & Midwifery,2014,16(1):60-74. [19] Lantta T, Anttila M, Kontio R, et al.Violent events, ward climate and ideas for violence prevention among nurses in psychiatric wards: a focus group study[J].Int J Ment Health Syst, 2016, 10:27.DOI:10.1186/s13033-016-0059-5. [20] Zeng JY, An FR,Xiang YT,et al.Frequency and risk factors of workplace violence on psychiatric nurses and its impact on their quality of life in China[J].Psychiatry Res, 2013, 210(2):510-514.DOI:10.1016/j.psychres.2013.06.013. [21] Chen KP,Ku YC,Yang HF.Violence in the nursing workplace - a descriptive correlational study in a public hospital[J]. J Clin Nurs,2013,22(5-6):798-805.DOI:10.1111/j.1365-2702.2012.04251.x. [22] 梁子君,王蕊,贺育华,等.工作场所暴力理论评述以及对医院暴力的启示[J].中国医院,2014,18(11):15-17.DOI:10.3969/j.issn.1671-0592.2014.11.007. [23] Schlup N, Gehri B, Simon M.Prevalence and severity of verbal,physical, and sexual inpatient violence against nurses in swiss psychiatric hospitals and associated nurse-related characteristics: cross-sectional multicentre Study[J]. Int J Ment Health Nurs, 2021, 30(6):1550-1563. DOI:10.1111/inm.12905. [24] 高月. 工作场所暴力对精神科护士心理健康的影响[J].国际护理学杂志, 2019(16):2546-2549. DOI:10.3760/cma.j.issn.1673-4351.2019.16.016. [25] 万海霞,吴华,陈国英,等.正念认知心理疗法对遭遇工作场所暴力的精神科护士心理和离职倾向的影响[J].心理月刊, 2021, 16(23):31-33. DOI:10.19738/j.cnki.psy.2021.23.012. [26] Kelly EL, Fenwick KM, Brekke JS, et al.Sources of social support after patient assault as related to staff well-being[J].J Interpers Violence, 2017, 36(1-2):NP1003-NP1028.DOI: 10.1177/0886260517738779. [27] 覃凤琼,骆伟娟,韦驱,等.精神科暴力处理操作流程在暴力行为患者中的应用研究[J].护士进修杂志, 2019,34(20):1825-1828.DOI:10.16821/j.cnki.hsjx.2019.20.001. [28] Cornaggia CM, Beghi M, Pavone F, et al.Aggression in psychiatry wards: a systematic review[J]. Psychiatry Res,2011, 189(1):10-20.DOI:10.1016/j.psychres.2010.12.024. [29] Wu Y, Wang J, Liu J, et al.The impact of work environment on workplace violence, burnout and work attitudes for hospital nurses: a structural equation modelling analysis[J].J Nurs Manag, 2020, 28(3):495-503.DOI:10.1111/jonm.12947. [30] Itzhaki M, Bluvstein I, Peles BA, et al.Mental health nurse's exposure to workplace violence leads to job stress, which leads to reduced professional quality of life[J]. Front Psychiatry, 2018,9:59.DOI:10.3389/fpsyt.2018.00059. [31] Hilton NZ, Addison S, Ham E, et al.Workplace violence and risk factors for PTSD among psychiatric nurses: systematic review and directions for future research and practice[J]. J Psychiatr Ment Health Nurs,2022,29(2):186-203. DOI:10.1111/jpm.12781. |
| [1] | 潘姝丞, 卞丽芳, 骆华芳, 黄旭叶, 黄昉芳, 曾颖, 王薇. 护士深静脉血栓形成风险知识与预防实践现状及影响因素分析[J]. 护理学报, 2023, 30(8): 7-11. |
| [2] | 郑静, 管玉香, 张瑛, 许娟, 邹冉, 王超. 安徽省873名中医院护士长变革型领导力影响因素分析[J]. 护理学报, 2023, 30(7): 16-19. |
| [3] | 谢婵娟, 熊静, 谌永毅, 张京慧, 李小燕, 王泽友. 精准护理内涵及其对护士的角色要求与机遇挑战[J]. 护理学报, 2023, 30(7): 44-47. |
| [4] | 陈佳茵, 郭军, 刘宁. 护士职业暴露预防与管理的最佳证据总结[J]. 护理学报, 2023, 30(7): 53-58. |
| [5] | 刘灵芳, 毛红波, 孙朵朵, 吴长蓉, 程真顺, 张青. 临床护士生涯适应力在职业使命感与工作投入间的中介效应分析[J]. 护理学报, 2023, 30(7): 59-64. |
| [6] | 陈玉平, 彭刚艺, 张莉, 何瑾云, 郑静, 林群燕, 王灵晓, 杨艳. 临床感控专科护士胜任力评价指标体系的构建[J]. 护理学报, 2023, 30(6): 15-21. |
| [7] | 和青森, 曹珊, 井晓磊, 刘玲霞. 心理授权在服务型领导与临床护士工作旺盛感间的中介效应[J]. 护理学报, 2023, 30(6): 47-51. |
| [8] | 朱玥, 汪张毅, 方治平, 王竞, 闫奕杉, 张亚军, 庞晓丽. 456名临床护士工作场所灵性现状及影响因素分析[J]. 护理学报, 2023, 30(5): 7-11. |
| [9] | 李佳, 梁嘉仪, 冯如芝, 高钰琳. 公共卫生护士核心能力评价指标体系的构建[J]. 护理学报, 2023, 30(4): 16-22. |
| [10] | 高芸芸, 刘芳, 刘维维. 公共卫生护士胜任力特征的质性研究[J]. 护理学报, 2023, 30(4): 23-28. |
| [11] | 卫平莲, 陈孝云, 金利萍, 范孝陈, 陈培培, 刘安诺. 儿科传染病专科护士核心能力评价指标体系的构建[J]. 护理学报, 2023, 30(4): 29-32. |
| [12] | 钱湛, 杨晓婷, 林觐民. 癌症患者生育忧虑体验的Meta整合[J]. 护理学报, 2023, 30(4): 55-60. |
| [13] | 张玉芬, 汪晖, 胡凯利. 临床护士道德困境的潜在剖面分析及其与道德敏感性的关系研究[J]. 护理学报, 2023, 30(3): 20-25. |
| [14] | 田恬, 李转珍, 都芳芳, 朱永燕, 李伟丽, 万菲菲. 基于转型冲击理论构建新护士护理安全培训内容体系[J]. 护理学报, 2023, 30(3): 35-39. |
| [15] | 马俊杰, 王硕, 魏玉莲, 赵红, 冯会玲, 张立瑶. 职场精神力在低年资护士双元工作压力与主动创新行为间的中介效应分析[J]. 护理学报, 2023, 30(3): 68-73. |
|