手术室护士工作场所欺凌现状及影响因素分析  

Status and influencing factors of workplace bullying in Operating Room nurses

作　　者：葛雨欣 吴琦[1] 王莺[1] 陈笑笑[1] Ge Yuxin;Wu Qi;Wang Ying;Chen Xiaoxiao(Operating Room,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)

机构地区：[1]浙江大学医学院附属第一医院手术室,杭州310003

出　　处：《中华现代护理杂志》2023年第15期2045-2049,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨手术室护士工作场所欺凌现状及影响因素。方法本研究为横断面研究。2022年4—5月,采用便利整群抽样法选取杭州市4所三级甲等医院的158名手术室护士为研究对象。采用一般资料调查表、负性行为问卷(NAQ-R)和创伤后应激障碍自评量表(PCL-C)对其进行调查。采用二项Logistic回归分析探讨手术室护士工作场所欺凌的影响因素。采用Pearson相关分析探讨工作场所欺凌和创伤后应激障碍的相关性。本研究共发放问卷158份,回收有效问卷154份,有效回收率为97.47%。结果78.57%(121/154)的手术室护士曾遭受工作场所欺凌,33.12%(51/154)的手术室护士曾遭受中重度工作场所欺凌,44.81%(69/154)的手术室护士为创伤后应激障碍阳性。手术室护士的NAQ-R得分为(31.34±10.06)分,PCL-C得分为(37.71±15.47)分。二项Logistic回归分析结果显示,年龄和职务是手术室护士工作场所欺凌的影响因素(P<0.05)。Pearson相关分析结果显示,工作场所欺凌与创伤后应激障碍呈正相关(r=0.657,P<0.01)。结论工作场所欺凌在杭州市三级甲等医院的手术室护士中普遍存在,年龄较小、有职务的手术室护士更容易遭受工作场所欺凌,且遭受工作场所欺凌与创伤后应激障碍呈正相关。手术室管理者应提高对工作场所欺凌的重视程度,制订针对性的干预措施,避免发生工作场所欺凌。Objective To explore the status and influencing factors of workplace bullying in Operating Room nurses.Methods This study is a cross-sectional study.From April to May,2022,a total of 158 Operating Room nurses from 4 ClassⅢGrade A hospitals in Hangzhou were selected as research objects by the convenient cluster sampling method.The general information questionnaire,Negative Acts Questionnaire-Revised(NAQ-R)and PTSD Checklist-Civilian Version(PCL-C)were used to investigate Operating Room nurses.Binomial Logistic regression analysis was used to investigate the influencing factors of workplace bullying in Operating Room nurses.Pearson correlation analysis was used to investigate the association between workplace bullying and post-traumatic stress disorder.A total of 158 questionnaires were distributed in this study,and 154 valid questionnaires were received,with an effective recovery rate of 97.47%.Results A total of 78.57%(121/154)of Operating Room nurses had experienced workplace bullying,33.12%(51/154)had experienced moderate to severe workplace bullying,and 44.81%(69/154)had post-traumatic stress disorder.The NAQ-R score and PCL-C score of Operating Room nurses were(31.34±10.06)and(37.71±15.47),respectively.Binomial Logistic regression analysis results showed that age and position were the influencing factors of workplace bullying in Operating Room nurses(P<0.05).Pearson correlation analysis results showed that workplace bullying was positively correlated with post-traumatic stress disorder(r=0.657,P<0.01).Conclusions Workplace bullying is common in Operating Room nurses in ClassⅢGrade A hospitals in Hangzhou.Younger nurses and nurses with position are more likely to suffer from workplace bullying,and workplace bullying is positively correlated with post-traumatic stress disorder.Operating Room managers should pay more attention to workplace bullying and develop targeted intervention measures to avoid workplace bullying.

关 键 词：应激障碍 创伤性 手术室护士 工作场所欺凌 影响因素 

分 类 号：R47[医药卫生—护理学]