摘要
目的了解护士护际间横向暴力及对护士长管理关怀性感知,分析护士长的管理关怀性对护际间横向暴力的影响。方法便利选取湖北省6所综合医院的临床护士为研究对象,采用一般资料调查问卷、管理关怀性评估量表、护士之间负性行为调查问卷进行调查。结果共收集有效问卷1905份。59.11%(1126/1905)护士报告过去6个月至少遭受过1次横向暴力。临床护士护际间横向暴力总得分为20(19,26)分;护士对护士长的管理关怀性感知总得分为(147.24±25.78)分。多因素logistic回归分析显示,高水平协同决策,中、高水平尊重是护际间横向暴力的保护因素,中、高水平非关怀行为是护际间横向暴力的危险因素(均P<0.05)。结论护际间横向暴力现象较为普遍;护士对护士长的管理关怀性感知处于相对较高水平;护士长对护士的关怀是护际间横向暴力的保护因素。护理管理者可通过增加对护士的关怀来减少护际间横向暴力的发生。
Objective To investigate the status quo of nurse-to-nurse lateral violence(LV)and nurses′perceived managerial caring from head nurses in general hospitals,and to analyze the influence of nurses′perception of head nurses′managerial caring on nurse-to-nurse LV.Methods Clinical nurses were conveniently selected from six general hospitals in Hubei province,and a cross-sectional survey was conducted by using the general demographic questionnaire,the Caring Assessment Tool-administration,and the Ne-gative Acts Questionnaire.Results A total of 1905 valid questionnaires were collected.Of the 1905 participants,59.11%(1126/1905)reported they had experienced LV at least once in the past 6 months.The median total score of nurse-to-nurse LV was 20(IQR:19-26)points,and the total score of nurses′perceived managerial caring from head nurses averaged(147.24±25.78)points.Multivariate logistic regression analysis showed that high level of shared decision making,and moderate to high levels of respect were protective factors of nurse-to-nurse LV,while moderate to high levels of non-caring were risk factors(all P<0.05).Conclusion Nurse-to-nurse LV is common.Nurses perceive high level of managerial caring from head nurses.Head nurses′caring for nurses is a protective factor for nurse-to-nurse LV.Nursing managers are recommended to reduce the prevalence of nurse-to-nurse LV by increasing their caring for nurses.
作者
彭笑
曾庆松
刘义兰
殷晓旭
胡德英
赵梅珍
张丰健
许娟
常鸿薇
Peng Xiao;Zeng Qingsong;Liu Yilan;Yin Xiaoxu;Hu Deying;Zhao Meizhen;Zhang Fengjian;Xu Juan;Chang Hongzuei(Department of Nursing,Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第7期10-14,共5页
Journal of Nursing Science
关键词
护士
横向暴力
水平暴力
负性行为
护理管理
管理关怀
感知
工作场所
人际冲突
nurse
lateral violence
horizontal violence
negative behavior
nursing management
managerial caring
workplace violence
interpersonal conflict
