麻月娥, 黄文伶, 熊国栋, 方金菊, 黄婷, 韦红李, 庞舒娴, 汪莉. 规范化培训护士工作场所暴力应对资源现状及影响因素分析[J]. 职业卫生与应急救援, 2025, 43(3): 365-370. DOI: 10.16369/j.oher.issn.1007-1326.2025.240457
引用本文: 麻月娥, 黄文伶, 熊国栋, 方金菊, 黄婷, 韦红李, 庞舒娴, 汪莉. 规范化培训护士工作场所暴力应对资源现状及影响因素分析[J]. 职业卫生与应急救援, 2025, 43(3): 365-370. DOI: 10.16369/j.oher.issn.1007-1326.2025.240457
MA Yue'e, HUANG Wenling, XIONG Guodong, FANG Jinju, HUANG Ting, WEI Hongli, PANG Shuxian, WANG Li. Current situation and influencing factors of response resources to workplace violence in standardized training nurses[J]. Occupational Health and Emergency Rescue, 2025, 43(3): 365-370. DOI: 10.16369/j.oher.issn.1007-1326.2025.240457
Citation: MA Yue'e, HUANG Wenling, XIONG Guodong, FANG Jinju, HUANG Ting, WEI Hongli, PANG Shuxian, WANG Li. Current situation and influencing factors of response resources to workplace violence in standardized training nurses[J]. Occupational Health and Emergency Rescue, 2025, 43(3): 365-370. DOI: 10.16369/j.oher.issn.1007-1326.2025.240457

规范化培训护士工作场所暴力应对资源现状及影响因素分析

Current situation and influencing factors of response resources to workplace violence in standardized training nurses

  • 摘要:
    目的 了解规范化培训护士工作场所暴力(WPV)应对资源现状并分析其影响因素,为制定相应干预方案提供参考。
    方法 采用便利抽样法,选取2021年6月—2024年10月在南宁市某三级甲等医院从事临床护理工作的规范化培训护士作为调查对象,采用一般资料调查表、《工作场所暴力应对资源量表》《宽恕倾向量表》(HFS)及《中文版护士自我概念问卷》(C-NSCQ)进行调查,并收集研究对象1年内WPV发生情况。探讨规范化培训护士WPV应对资源现状与宽恕倾向、护士自我概念的相关性,采用多元线性回归分析规范化培训护士WPV应对资源水平的影响因素。
    结果 共回收有效问卷192份,规范化培训护士WPV应对资源得分为83.00(69.25,97.75)分。Spearman相关性分析结果显示,规范化培训护士WPV应对资源量表总分及各维度得分与宽恕倾向、专业自我概念量表及各维度得分呈正相关(r = 0.233 ~ 0.705,均P<0.01)。多元线性回归分析结果显示:宽恕倾向每增加1分,规范化培训护士WPV应对资源得分提高0.346分(95%CI:0.271 ~ 0.422);专业自我概念每增加1分,规范化培训护士WPV应对资源得分提高0.125分(95%CI:0.095 ~ 0.156);相较于规范化培训年限≤ 1年者,规范化培训年限> 1年的规范化培训护士WPV应对资源得分降低4.809分(95%CI:-7.947 ~ -1.671);相对于有WPV相关培训经历者,无WPV相关培训经历的规范化培训护士WPV应对资源得分降低3.681分(95%CI:-7.273 ~ -0.088);与1年内无WPV暴露者相比,1年内有WPV暴露的规范化培训护士WPV应对资源得分降低7.349分(95%CI:-11.160 ~ -3.538)。
    结论 规范化培训护士WPV应对资源水平有待提高,应重点关注宽恕倾向得分低、专业自我概念得分低、规范化培训年限> 1年、1年内有WPV暴露的规范化培训护士。医院管理部门应采取针对性干预措施,改善规范化培训护士WPV应对资源水平,为规范化培训护士免遭WPV以及医疗活动的正常开展提供保障。

     

    Abstract:
    Objective To examine the current status of workplace violence(WPV) coping resources among standardized training nurses and analyze associated influencing factors, providing evidence for the development of targeted intervention strategies.
    Methods A convenience sampling method was used to select standardized training nurses from a tertiary A-level hospital in Nanning between June 2021 and October 2024. Participants completed a general information questionnaire, the Workplace Violence Coping Resources Scale, the Heartland Forgiveness Scale(HFS), and the Chinese version of Nurse Self-Concept Questionnaire (C-NSCQ). WPV exposure within one year was also recorded. Correlations between WPV coping resources, forgiveness tendency, and nurse self-concept were assessed. Multiple linear regression analysis was performed to identify factors influencing WPV coping resources among standardized training nurses.
    Results A total of 192 valid questionnaires were collected. The median WPV coping resources score among standardized training nurses was 83.00(69.25, 97.75). Spearman correlation analysis indicated that total scores and subscale scores of the WPV coping resources scale were positively correlated with forgiveness tendency and professional self-concept scores (r = 0.233 to 0.705, all P < 0.01). Multiple linear regression analysis revealed the following: for every 1-point increase in forgiveness tendency, the WPV coping resources score increased by 0.346 points (95%CI: 0.271 to 0.422); for every 1-point increase in professional self-concept, the score increased by 0.125 points (95%CI: 0.095 to 0.156). Compared to nurses with ≤1 year of standardized training, those with > 1 year had a 4.809-point decrease in WPV coping resources (95%CI: -7.947 to -1.671). Nurses without WPV-related training had scores 3.681 points lower than those with such training (95%CI: -7.273 to -0.088). Nurses exposed to WPV within the past year had scores 7.349 points lower than those without exposure (95%CI: -11.160 to -3.538).
    Conclusions The WPV coping resource levels among standardized training nurses require improvement. Special attention should be given to nurses with low forgiveness tendency, low professional self-concept, more than one year of training, or recent WPV exposure. Hospital administrators should implement targeted interventions to enhance WPV coping resources, ensuring the safety of standardized training nurses and the smooth operation of medical services.

     

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