DOI QR코드

DOI QR Code

Convergent responses and impacts of verbal abuse during clinical training practice of Paramedic students

병원(임상) 실습 시 응급구조학과 학생이 경험하는 언어폭력에 대한 융합적 반응 및 영향

  • Ahn, Hee Jeong (Dept. of Emergency Medical Service, Kongju National University)
  • 안희정 (국립공주대학교 응급구조학과)
  • Received : 2018.08.31
  • Accepted : 2018.10.20
  • Published : 2018.10.28

Abstract

This study was conducted to investigate experiences, convergent responses and expected negative impacts of verbal abuse of 253 paramedic students when they were doing clinical training practice. The results were as follows. First, 34%(86 people) experienced verbal abuse, the most frequently verbal abuse was done by Patients and Patient's family. Second, the most frequently contents of verbal abuse by Patient and Patient's family, Paramedic, Doctor and Nurse was 'Talking down or rude talk to me'. Third, the most frequently emotional responses of the students was 'Angry' and coping was 'Tolerate'. Fourth, the most frequently expected negative impacts was 'Practice productivity will be compromised'. Fifth, when experiencing verbal abuse by Paramedic was correlated with emotional responses(r=.458 p=.000), emotional responses was correlated with stress and expected negative impacts(r=.553 p=.000, r=.540 p=.000). In conclusion, it will be necessary to provide preventive education on verbal abuse before clinical training practice and to take active measures that have been protocolized.

본 연구는 병원(임상) 실습 시에 응급구조학과 학생의 언어폭력 경험, 융합적 반응 및 예상되는 부정적인 영향을 파악하기 위해 253명의 응급구조학과 학생을 대상으로 설문조사를 실시하였다. 연구결과는 첫째, 언어폭력은 34%(86명)가 경험하였고, 언어폭력의 가해자는 환자와 보호자가 가장 많았다. 둘째, 환자 및 보호자, 응급구조사, 간호사 및 의사로부터의 언어폭력의 내용으로 '나에게 반말이나 막말을 한 적이 있다'가 가장 많았다. 셋째, 언어폭력 경험 시 대상자의 감정 반응으로는 '화난다'가, 대처 반응으로는 '참는다'가 가장 많았다. 넷째, 예상되는 부정적인 영향으로 '실습 생산성이 저하될 것이다'가 가장 많았다. 다섯째, 응급구조사에 의한 언어폭력 경험 시 감정반응과 상관관계를 보였으며(r=.458 p=.000), 감정반응은 스트레스와 예상되는 부정적인 영향과 상관관계를 보였다(r=.553 p=.000, r=.540 p=.000). 결론적으로 병원(임상) 실습 전 언어폭력에 대한 예방 교육과 프로토콜 화 된 적극적인 대처 방법이 필요할 것이다.

Keywords

References

  1. Emergency Medical Service Act. Article 2 of 4. Ministry of Goverment Legislation. http://www.moleg.go.kr
  2. Emergency Medical Statistical annual report. (2016). National Emergency Medical Center, 15. 54.
  3. Emergency Medical Statistical annual report. (2014). National Emergency Medical Center, 13. 56.
  4. M. Y. Kim & T. U. Ha & Y. Hwang & J. S. Kang. (2017). Violence Response, Burnout and Job Satisfaction according to Violence Episode of Emergency Room Worker. Journal of the Korea Academia-Industrial cooperation Society, 18(1), 406-416. DOI : 10.5762/KAIS.2017.18.1.406
  5. W. J. Choi & S. H. Cho & N. S. Cho & G. S. Kim. (2005) Effect of an Education Program on Violence in the Emergency Department. Journal of The Korean Society of Emergency Medicine, 16(2), 221- 228.
  6. J. C. Kim & Y. M. Seol & H. S. Song. (2003). Survey of Emergency Department Violence. Journal of The Korean Society of Emergency Medicine, 14(3), 309-313.
  7. Standard Korean Dictionary. National Language Institute. http://stdweb2.korean.go.kr
  8. H. J. Jung & Y. S. Lee. (2011). Nurses's Experiences of Verbal Abuse in Hospital Setting. Korean Journal of Health Communication, 6(2), 188-126.
  9. B. A. Ryang. (2012). The Relationships among Verbal Abuse Experience, Emotional Response, Coping and Emotional Intelligence in Hospital Nurses. Master dissertation, Gyeongsang National University.
  10. E. H. Jeung. (2011). Psychosocial Stress and Burnout related to Violence in Emergency Room Nurses. Master dissertation, Chonnam national University.
  11. J. Y. Cho & Y. W. Lee & H. S Kim & S. H. Kim. (2011). Relationships among Response for Violence Experience, Hardiness, and Job Satisfaction of Nurses Working in Emergency Department. Korean Journal of Adult Nursing, 23(5), 494-502.
  12. J. H. Ham. (2013). The Relation among Nurses' experience of Verbal Abuse, Social Support and Their Turnover Intention. Master dissertation, Ajou University.
  13. S. M. Park & E. S. Choi. (2012). Influencing Factors on the Satisfaction of the Paramedic Students in Clinical Training. The Journal of the Korean Society of Emergency Medical Technology. 16(1). 91-101.
  14. Enforcement rule of Emergency Medical Service Act. Addenda 11. Ministry of Goverment Legislation. http://www.moleg.go.kr
  15. S. H. Kim & H. J. Cho & J. H. Dong & J. M. An & B. R. Yun & G. Y. Lee & J. Y. Lee & H. M. Lee & H. I. Jang. (2011). Verbal Abuse, Verbal Abuse Response, and Stress on Verbal Abuse of Nursing Student in Clinical Training. Journal of Social Science Research Institute, .10, 249-266.
  16. J. H. Oh & O. S. Kim & K. L. Lee. (2015). Exposure to Violence and Coping Behavior during the Clinical Practice of Nursing Students. Journal of the Korea Academia-Industrial cooperation Society, 16(8), 5325-5335. DOI : 10.5762/KAIS.2015.16.8.5325
  17. Y. S. Im & H. J. Kwon & G. O. Noh & K. R. Bae. (2016). Verbal Abuse and Lowered Career Identity Experienced by Nursing Students during Clinical Training: the Mediating Effect of Self-esteem. Journal of the Korean Data Analysis Society, 18(4), 2315-2328.
  18. J. E. Park & D. H. Kim & J. H. Park. (2017). Violence against Nursing Students during Clinical Practice: Experiences, Perception, Responses and Coping with Violence. Journal of the Korea Academia-Industrial cooperation Society, 18(10), 652-662. DOI : 10.5762/KAIS.2017.18.10.652
  19. H. J. Kwon & H. S. Kim & K. S. Choe & K. S. Lee & Y. H. Sung. (2007). A Study on Verbal Abuse Experienced at Medical Centers. Clinical Nursing Research, 13(2), 113-124.
  20. K. D. Nam & K. S. Yoon & H. S. Chung & S. A. Park & B. Y. Jang & H. R. Kim & H. S. Ohm & Y. H. Sung. (2005). A Study on the Development of Verbal Abuse scale for Operating room Nurses. Journal of Korean Academy of Nursing Administration, 11(2), 1-27.
  21. J. K. Ku. (2007). The effect of verbal abuses on casino dealers' burnout, job satisfaction, and employee turnover -Focusing on the moderating effect of anger control mechanism-. Ph.D. Dissertation, Kyonggi University.
  22. M. L. Lanza. (1988). Assault response questionnaire. Issues in Mental Health Nursing, 9, 17-29. https://doi.org/10.3109/01612848809140907
  23. S. J. Jang. (2004). Relationship between Experience of Patients' Violent Behaviors and Burnout of Psychiatric Nurses. Master dissertation, Seoul National University.
  24. S. H. Lee & E. J. Cha. (2017). Effects of Verbal Abuse, Sexual Violence, Depression, and Self-Esteem on Career Identity in Nursing Students during Clinical Training. The Korea Contents Association, 17(4), 550-560. DOI : 10.5392/JKCA.2017.17.04.550
  25. Y. H. Cho & Y. R. Hong & A. M. Lee & M. K. Kim & H. J. Lee & A. K. Han & E. J. Kim. (2011). Experience of Verbal Abuse, Emotional Response, and Ways to Deal with Verbal Abuse against Nurses in Hospital. Korean Journal of Occupational Health Nursing, 20(3), 270-278. DOI : 10.5807/kjohn.2011.20.3.270
  26. B. Y. Koh & J. E. Lee. (2012). Stress. depression. coping styles and satisfaction of clinical practice in EMT-paramedic students. The Korean Journal of Emergency Medical Services. 16(3), 77-89. https://doi.org/10.14408/KJEMS.2012.16.3.077
  27. J. M. Kim & E. N. Lee. (2018). Usefulness of Korean Version of Behavioral Cue Checklist for Predicting of Patient Violence in Emergency Departments. Korean Society of Nursing Science, 48(3), 289-297.
  28. J. A. Woo. (2017). Emotional Responses, Coping and Social Support for Verbal Abuse, Sexual Harassment, Physical Threats Experienced by Nursing Students in Clinical Training. Ph.D. Dissertation, Pusan National University.