폭력에 대한 응급실 간호사의 반응 유형: Q-방법론적 접근

The Reactions of Emergency Department Nurses to Violence: Q-Methodological Approach

  • 발행 : 2007.08.31

초록

Purpose: The purpose of this study was to identify the reactions of emergency department nurses to violence. Methods: Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty emergency department nurses classified 33 selected Q-statements into a normal distribution using a 9 point scale. The collected data was analyzed using the Quanl PC Program. Results: Three types of reactions to violence were identified. The first type(emotional and physical reactions) showed a sense of regret on the selection of an occupation and emotional and physical reactions such as anxiety, fear, depression, hopelessness, heart palpitations and trembling hands due to the violence. The second type(problem solving) actively coped to prevent the occurrence of violence, grasped the causes of violence and sought out a problem solving plan. The third type(anger reactions) felt a lot of anger against violence, and resented their reality of working under conditions of inadequately secured facilities and systems. Conclusion: The emotional and physical reactions type and the anger reactions type should be required to attend educational programs to improve attitudes and abilities to solve the problems in a more active and positive manner.

키워드

참고문헌

  1. Chambers, N. (1998). We have to put to with it-don't we? The experience of being the registered nurse on duty, managing a violent incident involving an elderly patient: a phenomenological study. J Adv Nurs, 27, 429-436 https://doi.org/10.1046/j.1365-2648.1998.00542.x
  2. Cox, H., Braun, K., Christie, D., Walker, D., & Tiwanak, G. (1991). Verbal abuse nationwide, Part II: Impact and modification; Verbal abuse of nurses and non-nurses. Nurs Manage, 22(3), 66-69
  3. Crilly, J., Chaboyer, W., & Creedy, D. (2004). Violence towards emergency department nurses by patients. Accid Emerg Nurs, 12, 67-73 https://doi.org/10.1016/j.aaen.2003.11.003
  4. Early, M. R., & Williams, R. A. (2002). Emergency nurses' experience with violence: Does it affect nursing care of battered women? J Emerg Nurs, 28(3), 199-204 https://doi.org/10.1067/men.2002.124991
  5. Erickson, L., & Williams-Evans, S. A. (2000). Attitude of emergency nurses regarding patient assaults. J Emerg Nurs, 26(3), 210-215 https://doi.org/10.1016/S0099-1767(00)90092-8
  6. Fernandes, C. M. B., Bouthillette, F., Raboud, J. M., Bullock, L., Moore, C. F., Christenson, J. M., Grafstein, E., Rae, S., Ouellet, L., Gillrie, C., & Way, M. (1999). Violence in the emergency department: a survey of health care workers. Can Med Assoc J, 161(10), 1245-1248
  7. Hobbs, F. D., & Keane, U. M. (1996). Aggression against doctors: a review. J R Soc Med, 89(2), 69-72 https://doi.org/10.1177/014107689608900203
  8. Jackson, D., Clare, J., & Mannix, J. (2002). Who would want to be a nurse? Violence in the workplace-a factor in recruitment and retention. J Nurs Manag, 10(1), 13-20 https://doi.org/10.1046/j.0966-0429.2001.00262.x
  9. Jung, H. S. (2005). Psychiatric nurses' live experience of violence. Unpublished master's thesis, Kongju National University, Kongju
  10. Kim, H. K. (1990). Q-methodology. Unpublished lecture paper of Department of Nursing, College of Medicine, Seoul National University
  11. Kim, H. K. (1997). Methodological understanding Q method for subjective research. Unpublished lecture paper of Department of Nursing, College of Medicine, Hanyang University
  12. Kim, J. C., Seol, Y. M., & Song, H. S. (2003). Survey of emergency department violence. Korean Soc Emerg Med, 14(3), 309-313
  13. Kim, K. S. (2004). The effect of an education program on violence in the emergency department. Unpublished master's thesis, Chosun University, Gwangju
  14. Kim, T. S., & Kim, J. I. (2004). Violence episodes and turnover among clinical nurses. J Korean Acad Nurs Admin, 10(4), 427-436
  15. Lanza M. L. (1983). The reactions of nursing staff to physical assault by a patient. Hosp Community Psychiatry, 34(1), 44-47
  16. Lanza M. L. (1984). A follow-up study of nurses' reactions to physical assault. Hosp Community Psychiatry, 35(5), 492-494
  17. Lavoie F. W., Carter G. L., Danzl D. F., Berg, R. I., & Kentucky, L. (1988). Emergency department violence in United States teaching hospital. Ann Emerg Med, 17(11), 1277-1233
  18. Lion, J. R., Snyder, W., & Merrill. G. L. (1981). Under reporting of assaults on staff in a state hospital. Hosp Community Psychiatry, 32(7), 497-498
  19. Lipscomb, J. A., & Love, C. C. (1992). Violence toward health care works: an emerging occupational hazard. AAOHN J, 40(5), 219-228
  20. Mahoney, B. (1991). The extent, nature, and response to victimization of emergency nurses in Pennsylvania. J Emerg Nurs, 17(4), 282-294
  21. Park, E. O., Kang, S. J., Lee, E. K., Ji, E. J., Kang, L. H., & Baek, C. H. (2001). Violence experience of clinical nurse in the hospital. Clin Nurs Res, 7(2), 187-201
  22. Rice, M. M., & Moore, G. P. (1991). Management of the violent patient. Emerg Med Clin North Am, 9(1), 13-30
  23. Ryan, J., & Poster, E. C. (1991). When a patient hits you. Can Nurse, 87(8), 23-25
  24. Schnieden, V. (1993). Violence against doctor. Br J Hos Med, 50(1), 6-9
  25. Sohn, M. (1997). Violence in the emergency department: A study on the experiences of ED nurses, Unpublished master's thesis, Hanyang University, Seoul
  26. Turnbull, J., Aitken, I., Black, L., & Patterson, B. (1990). Turn it around: short-term management for a aggression and anger. J psychosoc Nurs Ment Health Serv, 28(6), 6-10
  27. Whittington, R., & Wykes, T. (1989). Invisible injury. Nurs Times, 85(42), 30-32