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A Survey on Nurses' Experience of Verbal and Physical Violence in Small and Medium-sized Hospitals

일개 중소병원 간호사가 경험한 언어적, 신체적 폭력 사건 실태

  • Kang, Ae Jeong (Department of Nursing, Masan University) ;
  • Lee, Mi Suk (Department of Nursing, Jinju Health College) ;
  • Jeon, Mi Yang (College of Nursing.Institute of Health Science, Gyeongsang National University)
  • 강애정 (마산대학교 간호학과) ;
  • 이미숙 (진주보건대학교 간호학부) ;
  • 전미양 (경상대학교 간호대학.건강과학연구원)
  • Received : 2017.09.15
  • Accepted : 2018.04.20
  • Published : 2018.08.31

Abstract

Purpose: The purpose of this study was to identify the types of violence experienced by small and medium sized hospital nurses. Methods: Data were collected from March 1 to 30, 2017, using self-report questionnaires. Responses from 87 nurses were analyzed using descriptive statistics, $x^2$ test, Fisher's exact test, t-test. Results: The majority of the respondents experienced violence from patients (60.2%), visitors (25.5%), doctors (12.2%), and other staffs (2.0%). Verbal violence (80.5%) and physical threats (74.7%) were more frequent than physical violence (25.3%). Violence occurred throughout the hospital. However, verbal violence ($x^2=20.85$, p=.005) and physical threat ($x^2=20.80$, p=.006) were statistically significant according to the department. Violence occurred most frequently in surgical ward, followed by artificial kidney room, emergency room, and outpatient department. Conclusion: Most nurses are exposed to frequent violence. These results suggest that hospital should improve the respective organizational cultures and develop promotional programs and administrative policies to prevent violence. Also, hospitals should develop of violence intervention policies and education programs and counseling programs for nurses.

Keywords

References

  1. Bae, Y., & Lee, T. (2015). Relationship of experience of violence and professional quality of life for hospital nurses. Korean Academy of Nursing Administration, 21(5), 489-500. https://doi.org/10.11111/jkana.2015.21.5.489
  2. Violence. (2018, April 8). Doosan corporation. Retrieved April 8, 2018, from http://www.doopedia.co.kr/search/encyber/totalSearch.jsp?WT.ac=search
  3. Hegney, D., Plank, A., & Parker, V. (2003). Workplace violence in nursing in queensland, australia: A self-reported study. International Journal of Nursing Practice, 9(4), 261-268. https://doi.org/10.1046/j.1440-172x.2003.00431.x
  4. Hesketh, K. L., Duncan, S. M., Estabrooks, C. A., Reimer, M. A., Giovannetti, P., Hyndman, K., et al. (2003). Workplace violence in Alberta and British Columbia hospitals. Health Policy, 63(3), 311-321. https://doi.org/10.1016/S0168-8510(02)00142-2
  5. Higgins, B. L., & Maclntosh, J. (2010). Operating room nurses' perceptions of the effects of physician-perpetrated abuse. International Nursing Review, 57(3), 321-327. https://doi.org/10.1111/j.1466-7657.2009.00767.x
  6. Hong, M. J. (2009). A study on nurses' experiences of violence. Unpublished master's thesis, Eulji University, Daejeon.
  7. Hong, Y. S., & Park, S. Y. (2011). The level of patient expectation and governing factors in selecting hospital. Korean Journal of Health Service Management, 5(4), 15-26. https://doi.org/10.12811/kshsm.2011.5.4.015
  8. Hwang, Y. Y., Park, Y. R., & Park, S. H. (2015). Experience of workplace violence among intensive care unit nurses. Korean Journal of Adult Nursing, 27(5), 548-558. https://doi.org/10.7475/kjan.2015.27.5.548
  9. International Council of Nurses. (2006, October). The ICN code of ethics for nurses. Retrieved April 8, 2018, from http://www.icn.ch/en/
  10. Jeung, E. (2011). Psychosocial stress and burnout related to violence in emergency room nurses. Unpublished master's thesis, Chonnam National University, Gwangju.
  11. Jung, H. J., & Lee, Y. S. (2011). Nurses's experiences of verbal abuse in hospital setting. Korean Academy on Communication in Healthcare, 11(2), 109-122. https://doi.org/10.15715/kjhcom.2011.6.2.118
  12. Jang, G. S. (2000). A study on establishment of clinical career development model of nurses. Unpublished doctoral dissertation, Yonsei University, Seoul.
  13. Kang, M. J., & Park, I. S. (2015). Types of violence and coping methods experienced by general hospital nurses. Journal of Korean Clinical Nursing Research, 21(1), 92-104. https://doi.org/10.22650/JKCNR.2015.21.1.92
  14. Kim, T. S., & Kim, J. I. (2004). Violence episodes and turnover among clinical nurses. Korean Academy of Nursing Administration, 10(4), 427-436.
  15. Kim, M. Y., Kim, S. H., & Lim, S. H. (2005). A study of workplace violence by nurses. Nursing Science, 17(2), 33-44.
  16. Kim, S. Y., Eom, M. R., Oh, H. Y., & Ahn, H. Y. (2007). Violence episodes and responses of emergency room nurses. Journal of Korean Academy Fundamentals of Nursing, 14(4), 446-456.
  17. Kwon, H. J., Kim, H. S., Choe, K. S., Lee, K. S., & Sung, Y. H. (2007). A study on verbal abuse experienced at medical centers. Journal of Korean Clinical Nursing Research, 13(2), 113-124.
  18. Lee, J. S., Co, H. M., Chung, H. J., & Kim, H. J. (2016). Working conditions of the national health care workers - wages, work conditions and environment -. Journal of Labor Studies, 33(1),169-197.
  19. Lee, S. J., & Kim, J. S. (2017). Convergence study on relationship among verbal violence experience, verbal violence impact and burnout in operating room nurses. Journal of the Korea Convergence Society, 8(6), 85-96. https://doi.org/10.15207/JKCS.2017.8.6.085
  20. Lee, S. O., & Kim, M. J. (2016). The determinants of the long-term influence of violence: Focus on hospital nurses. Korea Society of Health Service Management, 10(1), 93-104. https://doi.org/10.12811/kshsm.2016.10.1.093
  21. Ministry of Health and Welfare. (2016). Medical law Article 87, paragraph 1, No. 1. Retrieved April 8, 2018, from http://www.lawnb.com/Info/ContentView?sid=L000004482
  22. Ministry of Health and Welfare. (2017). Health and welfare statistical year book 2017. Retrieved April 8, 2018, from http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=343458&page=1
  23. Park, H. J., Kang, H. S., Kim, K. H., & Kwon, H. J. (2011). Exposure to workplace violence and coping in intensive care unit nurses. Journal of Korean Academy of Psychiatric Mental Health Nursing, 20(3), 291-301. https://doi.org/10.12934/jkpmhn.2011.20.3.291
  24. Park, E. K., & Na, Y. K. (2015). A study on verbal abuse experience, sexual harassment damages and self-esteem of operating room nurses. Korean Academy of Scientific Criminal Investigation, 9(4), 266-274. https://doi.org/10.20297/jsci.2015.9.4.266
  25. Son, Y. J., Gong, H. H., You, M. A., & Kong, S. S. (2015). Relationships between workplace violence experience and posttraumatic stress symptoms, resilience in clinical nurses. Journal of the Korean Data Analysis Society, 17(1), 515-530.
  26. Speroni, K. G., Fitch, T., Dawson, E., Dugan, L., & Atherton, M. (2014). Incidence and cost of nurse workplace violence perpetrated by hospital patients or patient visitors. Journal of Emergency Nursing, 40(3), 218-228. https://doi.org/10.1016/j.jen.2013.05.014
  27. Whittington, R. (2002). Attitudes toward patient aggression amongst mental health nurses in 'zero tolerance' era: Associations with burnout and length of experience. Journal of Clinical Nursing, 11(6), 819-825. https://doi.org/10.1046/j.1365-2702.2002.00659.x