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] | 田美雨, 王翠玲, 高若男, 田佳, 刘怡. 妇科肿瘤科护士性健康照护培训方案的构建[J]. 护理学报, 2025, 32(4): 18-23. |
| [2] | 彭琦, 吴婉英, 谢玲女. 造口伤口失禁专科护士培训中基于ADDIE模型案例教学的实践及效果评价[J]. 护理学报, 2025, 32(4): 24-27. |
| [3] | 吴超瑜, 刘尚昆. 麻醉恢复室护士危机管理能力的质性研究[J]. 护理学报, 2025, 32(3): 17-21. |
| [4] | 郝瑞霞, 王秀梅, 蔚玲, 郭越, 张学. 磁性医院管理理念对手术室护士出勤主义行为的影响[J]. 护理学报, 2025, 32(3): 27-31. |
| [5] | 谭雯渲, 张容, 张立力, 王玮, 邵艳红, 方庆虹, 朱瑾. 心脏移植患者手术决策困境的现象学研究[J]. 护理学报, 2025, 32(3): 69-73. |
| [6] | 曹敏, 张培莉, 侯晓雅, 高超越, 郭林芳, 李滢. ABC-X模型下结直肠癌化疗患者照顾者营养照护体验的质性研究[J]. 护理学报, 2025, 32(2): 13-18. |
| [7] | 李雪, 廖常菊, 张健, 丁娟, 陈晓丽, 胡玉庭. 三级甲等医院ICU护士睡眠障碍的风险预测模型构建及验证[J]. 护理学报, 2025, 32(2): 63-69. |
| [8] | 李静依, 梁冠冕, 缪群芳, 赵月琰, 王晓宁, 钱萍萍. 临床护士死亡工作自我应对能力潜在剖面及影响因素研究[J]. 护理学报, 2025, 32(1): 13-18. |
| [9] | 孙娟, 李亚莉, 马安娜, 王华, 张会敏. 护理研究生对社区护理实践思政教学体验的质性研究[J]. 护理学报, 2025, 32(1): 19-23. |
| [10] | 王子萱, 原振青, 赵一鋆, 王惠平, 洪菲菲, 邹敏. 体面劳动感在三级甲等医院手术室护士反思能力与创新行为的中介效应[J]. 护理学报, 2025, 32(1): 62-67. |
| [11] | 王语, 赵慧杰, 肖梦伟, 范硕宁, 孙佳丽, 王珂心, 苏炫, 杨滢瑞. 糖尿病视网膜病变患者硅油填充期间疾病体验与应对的质性研究[J]. 护理学报, 2025, 32(1): 68-72. |
| [12] | 冯春玲, 胡夏晴, 徐琳, 蔡鑫健, 徐琴鸿. 基于社会生态系统理论的电话指导公众实施心肺复苏行为动机及需求的质性研究[J]. 护理学报, 2024, 31(9): 66-71. |
| [13] | 徐晓东, 刘顺梅, 赵瑄, 丁秀娜. 显微根尖外科手术护士核心能力评价指标的构建[J]. 护理学报, 2024, 31(8): 69-73. |
| [14] | 曹依丽, 王玲, 王灿, 陈燕华, 秦虹云. 精神分裂症住院患者家属资源取向的质性研究[J]. 护理学报, 2024, 31(8): 74-78. |
| [15] | 马瑞瑞, 范晓莉, 徐姝娟, 张伟, 陈婷, 谈飞飞. 护士参与终末期患者临终决策体验的质性研究[J]. 护理学报, 2024, 31(7): 6-11. |
|
||