医師の一分

アクセスカウンタ

zoom RSS 救急部門で働く看護師の半数以上が暴力行為の被害/米国医療事情 ER

<<   作成日時 : 2009/08/08 00:20   >>

ブログ気持玉 0 / トラックバック 0 / コメント 0

 3,000人以上のER看護師の調査によれば、救急部門で働く看護師の半数以上が、仕事中に暴力行為を受けているという。
 69の質問票に答える形の調査で、ツバをかけられたり、叩かれたり、押されたり、引っ掻かれたり、蹴られたりといった行為を勤務中にされている。
 看護師の1/4は最近3年間で20倍以上の攻撃を受けており、1/5は200倍以上の暴言を受けているという。その結果、1/3の看護師が辞めたいと考えている。
 救急部門の看護師を保護する法律は州により異なり、いくつかの州には法律がない。
---------------------------------------------------
Half of ER Nurses Suffer Patient Abuse
More Than Half of ER Nurses Say They've Been Hit, Shoved or Slapped on the Job
By ERIN THOMPSON
USA TODAY
Aug. 5, 2009
http://abcnews.go.com/Health/MindMoodNews/story?id=8257976

More than half of nurses who work in emergency departments report they've been physically assaulted on the job, according to an online survey of more than 3,000 ER nurses by the Emergency Nurses Association.
er
画像More than half of ER nurses responding to a national survey said they have been spit on, hit, pushed, shoved, scratched or kicked by patients while on duty.
(ABC News Photo Illustration)

Responding to the 69-question survey, the nurses said they have been spit on, hit, pushed, shoved, scratched or kicked by patients while on duty.

The incidents are partly a result of the nature of the job and the fact that emergency rooms accept all comers, association president Bill Briggs says.

"It's the safety net when you can't get help anywhere else," Briggs says. "Every type of patient comes to the emergency department.

"We accept patients under the influence of drugs and alcohol, (and) psychiatric patients. … It's very unpredictable."

Other precipitating factors: a shortage of ER nurses, patient crowding and prolonged wait times. One in four nurses reported experiencing assaults more than 20 times in the past three years, and one in five said they had experienced verbal abuse more than 200 times during the same period.

The incidents have led one in three nurses to consider leaving their department.

"The public wants a safe place to go and get help in an emergency, and that's what we want," Briggs says. "The Emergency Nurses Association wants to promote a safe working environment … safe for patients and visitors and staff members, and we're looking for ways to do that."

Laws protecting emergency department nurses vary widely by state, and some states have no laws. The nurses association plans to work with the Occupational Safety and Health Administration to make safety precautions a requirement in all states.

"Every emergency department should have its own plan in place," Briggs says. To start, he says, hospitals should have more security available, alarm buttons and a security committee to assess the ER and create a plan for a safe environment.

"I've had bumps and bruises and, certainly, it has an emotional impact," says Briggs, a nurse for 30 years. "I've wondered, do I want to stay? How often do I want this to happen?

Some Nurses Reconsider Career After Abuse on the Job

"Most people enter the profession to help people, not to get beat up and not to see your co-workers get beat up."

The survey's findings are reported in the current issue of the Journal of Nursing Administration.

--------------------------------------------------

JONA: The Journal of Nursing Administration:
July/August 2009 - Volume 39 - Issue 7/8 - pp 340-349
doi: 10.1097/NNA.0b013e3181ae97db
Articles
Violence Against Nurses Working in US Emergency Departments
Gacki-Smith, Jessica MPH; Juarez, Altair M. MPH; Boyett, Lara MSN, RN, ACNP-BC, CEN; Homeyer, Cathy MSN, RN, CEN; Robinson, Linda BSN, RN, SANE, DVNE, CEN, CFN; MacLean, Susan L. PhD, RN

Objective: The objective of this study was to investigate emergency nurses' experiences and perceptions of violence from patients and visitors in US emergency departments (EDs).

Background: The ED is a particularly vulnerable setting for workplace violence, and because of a lack of standardized measurement and reporting mechanisms for violence in healthcare settings, data are scarce.

Methods: Registered nurse members (n = 3,465) of the Emergency Nurses Association participated in this cross-sectional study by completing a 69-item survey.

Results: Approximately 25% of respondents reported experiencing physical violence more than 20 times in the past 3 years, and almost 20% reported experiencing verbal abuse more than 200 times during the same period. Respondents who experienced frequent physical violence and/or frequent verbal abuse indicated fear of retaliation and lack of support from hospital administration and ED management as barriers to reporting workplace violence.

Conclusion: Violence against ED nurses is highly prevalent. Precipitating factors to violent incidents identified by respondents is consistent with the research literature; however, there is considerable potential to mitigate these factors. Commitment from hospital administrators, ED managers, and hospital security is necessary to facilitate improvement and ensure a safer workplace for ED nurses.


テーマ

関連テーマ 一覧


月別リンク

ブログ気持玉

クリックして気持ちを伝えよう!
ログインしてクリックすれば、自分のブログへのリンクが付きます。
→ログインへ

トラックバック(0件)

タイトル (本文) ブログ名/日時

トラックバック用URL help


自分のブログにトラックバック記事作成(会員用) help

タイトル
本 文

コメント(0件)

内 容 ニックネーム/日時

コメントする help

ニックネーム
本 文
救急部門で働く看護師の半数以上が暴力行為の被害/米国医療事情 ER 医師の一分/BIGLOBEウェブリブログ
文字サイズ:       閉じる