护士工作场所欺凌与自杀风险的关系研究
Relationship between workplace bullying and suicide among nurses
肖意苹 1张烜 1吕苒 2曹枫林1
作者信息
- 1. 山东大学护理与康复学院(山东济南,250012)
- 2. 山东大学齐鲁医学院口腔医学院·口腔医院
- 折叠
摘要
目的 探讨护士工作场所欺凌不同维度及不同类别与自杀风险的关系,为构建针对性干预方案降低自杀风险提供参考.方法 采用方便抽样法从山东省4所三甲医院中选取3 026名护士作为研究对象.采用负性行为问卷-修订版和自杀行为问卷-修订版评估护士的工作场所欺凌情况及自杀风险.结果 护士工作场所欺凌总分为(31.17±14.48)分,自杀总分为(4.16±2.22)分.工作场所欺凌总分及组织不公维度与自杀风险呈正相关(均P＜0.05).共识别出工作场所欺凌的5个类别,即低欺凌组(52.25％)、中欺凌组(9.35％)、高欺凌组(17.02％)、超负荷组(10.67％)和不匹配组(10.71％).与低欺凌组相比,中欺凌组(OR=6.096)、高欺凌组(OR=5.832)、超负荷组(OR=3.668)和不匹配组(OR=3.391)护士自杀的风险更大.结论 护士遭受的工作场所欺凌存在不同类别,且与自杀风险关系密切,医院管理者应重视护士的工作环境,减少工作场所欺凌.
Abstract
Objective To explore the relationship between different dimensions and subtypes of workplace bullying and suicide among nurses,so as to construct intervention methods to reduce suicide risk.Methods A total of 3,026 nurses from four tertiary hospitals in Shandong province were recruited by convenience sampling method.The Negative Acts Questionnaire Revised and Suicidal Be-haviors Questionnaire Revised were used to assess the workplace bullying and suicide risk of nurses.Results The total scores of workplace bullying and suicide were(31.17±14.48)points and(4.16±2.22)points,respectively.The total score of workplace bullying and the dimension of organizational injustice were positively correlated with suicide risk(both P＜0.05).Five subtypes of workplace bullying were identified including"low bullying type"(52.25％),"moderate bullying type"(9.35％),"high bullying type"(17.02％),"overloaded type"(10.67％),and"mismatch type"(10.71％).In comparison to the"low bullying type",indi-viduals identified as the"moderate bullying type"(OR=6.096),"high bullying type"(OR=5.832),"overloaded type"(OR=3.668)and"mismatch type"(OR=3.391)demonstrated an increased probability of reporting suicide.Conclusion There are diffe-rent categories of workplace bullying experienced by nurses.The correlation between workplace bullying and suicide among nurses underscores the importance for hospital managers to focus on cultivating a supportive work environment for nurses and actively work towards minimizing instances of workplace bullying.
关键词
护士/工作场所欺凌/自杀/潜在类别分析/工作负荷/工作压力/心理护理/护理管理Key words
nurses/workplace bullying/suicide/latent class analysis/workload/work stress/psychological nursing/nursing management引用本文复制引用
出版年
2024
NETL
NSTL
万方数据