临床护士对Ⅱ型工作场所暴力风险感知及 应对决策的质性研究
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女,硕士在读,学生

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江苏省医院协会医院管理创新研究课题(JSYGY-3-20230627,JSYGY-3-2024-655);江苏省卫生应急研究所研究课题(JSWSYJ-202302021)


Perceived risk and coping strategies of type Ⅱ workplace violence among clinical nurses:a qualitative study
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    摘要:

    目的 探讨护士对Ⅱ型工作场所暴力风险感知及应对决策,为提高护士对工作场所暴力的防范意识及行为提供参考。方法 采用描述性质性研究,以目的抽样法选取 扬州市3所三甲医院的20名临床护士进行面对面半结构式访谈,运用主题分析法进行资料整理和分析。结果 归纳出3个主题及9个亚主题:对Ⅱ型工作场所暴力风险感知的 影响因素(包括工作状态、知识储备、职业背景、社交网络)、Ⅱ型工作场所暴力风险感知的内容(包括负性情感反应、不良后果、可能性感知)及应对策略(主动预防 行为、提升应对能力)。结论 临床护士对Ⅱ型工作场所暴力的认知不足,且存在风险感知水平偏低的问题。护理管理者需对临床护士开展分层、多渠道培训,提升其对Ⅱ 型工作场所暴力风险感知能力以及主动预防行为与应对能力,以降低Ⅱ型工作场所暴力风险,促进职业健康。

    Abstract:

    Objective To explore the perceived risk and coping strategies of type Ⅱ workplace violence among nurses, so as to provide a reference for improving the awareness and behavior of nurses to prevent violence. Methods A descriptive qualitative study was designed, and 20 clinical nurses from three grade A tertiary hospitals in Yangzhou city were selected using purposive sampling method to conduct face-to-face semi-structured interviews, and the interview data were organized and analyzed by using thematic analysis method. Results Three themes and nine sub-themes were inductively extracted: factors influencing the perception of risk of type Ⅱ workplace violence (work status, knowledge reserve, occupational background, and social network), the content of the perception of risk of type Ⅱ workplace violence (negative emotional reactions, bad consequences, and perceived probability), and coping strategies (active preventive behaviors and coping ability improvement). Conclusion The recognition on type Ⅱ workplace violence among nurses is insufficient, and their risk perception is at a low level. Nursing administrators should conduct stratified and multi-channel training for clinical nurses, so as to improve their risk perception ability, active prevention behavior and coping ability toward type Ⅱ workplace violence, so as to reduce the risk of type Ⅱ workplace violence and promote occupational health.

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李梦雅,窦英茹,戴雪梅,姜帆,韦雨晨,周海雯.临床护士对Ⅱ型工作场所暴力风险感知及 应对决策的质性研究[J].护理学杂志,2026,41(4):71-75

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  • 收稿日期:2025-09-05
  • 最后修改日期:2025-10-25
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  • 在线发布日期: 2026-03-27