护理管理 | 瑞典医院病房经理视角下的工作场所暴力：一项定性研究

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Abstract

Aim

The aims of the study are to explore workplace violence perpetrated by patients or visitors from the perspective of hospital ward managers and to describe how ward managers perceive their leadership role and manage related incidents.

Background

Few studies focus on workplace violence from the perspective of ward managers even though they are the closest managers to the operational staff.

Method

Fifteen semistructured interviews were analysed using qualitative content analysis.

Results

Four categories emerged: the face of workplace violence, a two-fold assignment, strive towards readiness to act, and managing incidents.

Conclusion

While the most common acts of workplace violence are considered less serious and related to patients' medical conditions or dissatisfied visitors, hospital organizations focus on serious but rarely occurring incidents. Consequently, ward managers have limited opportunities to ensure a safe work environment on an everyday basis.

Implications for nursing management

To support ward managers' occupational safety and health management, workplace violence prevention and management should be acknowledged as an important responsibility for senior management in hospitals. It is important to identify incidents that most likely will occur at the wards and to create strategies related to those incidents. Strategies could include risk assessments, prevention, evaluation, education and reflection combined with, for example, scenario training.

摘要翻译（仅供参考）

目的

该研究的目的是从医院病房经理的角度探讨患者或访客实施的工作场所暴力，并描述病房经理如何看待他们的领导角色并管理相关事件。

背景

很少有研究从病房经理的角度关注工作场所暴力，即使他们是最接近业务人员的经理。

方法

使用定性内容分析对 15 个半结构化访谈进行了分析。

结果

出现了四个类别：面对工作场所暴力、双重任务、努力准备采取行动和管理事件。

结论

虽然最常见的工作场所暴力行为被认为不太严重并且与患者的医疗状况或不满意的访客有关，但医院组织专注于严重但很少发生的事件。因此，病房经理每天确保安全工作环境的机会有限。

对护理管理的影响

为了支持病房管理人员的职业安全与健康管理，工作场所暴力预防和管理应被视为医院高级管理人员的重要职责。识别最有可能发生在病房的事件并制定与这些事件相关的策略很重要。策略可以包括风险评估、预防、评估、教育和反思，例如结合情景培训。