Author/Editor		Bojić, Matej; Bole, Urban; Bregar, Branko
Title		Pogostost in značilnosti nasilja nad zdravstvenimi delavci na področju nujne medicinske pomoči in psihiatrije
Translated title		Frequency and characteristics of patient violence against healthcare providers in emergency and psychiatric care settings
Type		članek
Vol. and No.		Letnik 50, št. 4
Publication year		2016
Volume		str. 308-315
ISSN		1318-2951 - Obzornik Zdravstvene Nege
Language		slv
Abstract		Uvod: Nasilje pacientov nad zdravstvenimi delavci je ena izmed najbolj perečih težav, s katerimi se soočajo zdravstveni delavci. Namen raziskave je bil proučiti pojavnost ter oblike nasilnih vedenj, ki so jim izpostavljeni zdravstveni delavci na področju psihiatrije in nujne medicinske pomoči. Metode: Raziskava je temeljila na neeksperimentalni kvantitativni metodi z nenaključnim priročnim vzorcem. Uporabljen je bil strukturirani vprašalnik Perception of Prevalence of Aggression Scale. Sodelovalo je 197 anketirancev. Raziskava je potekala od junija do oktobra 2015. Podatki so bili obdelani z deskriptivno statistiko, s faktorsko analizo % z metodo poševne rotacije OBLIMIN, z Mann-Whitneyevim testom in s Kruskal-Wallisovim testom. Rezultati: Zaposleni v psihiatriji so pogosteje kot ostali anketiranci soočeni z manj ogrožajočim vedenjem (U = 2092,00, p = 0,008) in ogrožajočim vedenjem (U = 1685,50, p = 0,000). Anketirani z nižjo izobrazbo in zaposleni v izmenah so tisti, ki so nasilju bolj izpostavljeni. Ženske so v primerjavi z moškimi pogosteje soočene s spolnim nasilnim vedenjem (U = 3962,00, p = 0,033). Za obvladovanje nasilnega vedenja so anketirani nezadostno usposobljeni (x = 2,8, s = 1,186). Diskusija in zaključek: Zaposleni v psihiatričnih bolnišnicah in enotah nujne medicinske pomoči se v raziskavi pogosto srečujejo z nasiljem. Potrebne bi bile raziskave, ki bi proučile povezanost usposabljanja s področja obvladovanja nasilnega vedenja pacientov na pojavnost nasilja nad zdravstvenimi delavci.Introduction: Patient violence against health professionals is one of the most disturbing problems faced by health workers. The study aimed to identify the rates of occurrence and types of adverse events perpetrated by patients to which healthcare workers are exposed in emergency and inpatient psychiatric care settings. Methods: The study was based on a non-experimental quantitative method. The convenience non-random sample, consisting of 197 participants, was selected for study purposes. The structured Perception of Prevalence of Aggression Scale questionnaire was used as a research instrument. The survey was conducted from June to October 2015. The data were analysed using descriptive statistics, factor analysis (the method of direct oblimin factor rotation), Mann-Whitney and Kruskal-Wallis test. Results: The pervasiveness of aggression in acute psychiatric and other mental health settings has been documented. The health personnel in psychiatric settings experience higher rates of mild (U = 2092.00, p = 0.008) and severe (U = 1685.50, p = 0.000) patient violence than other respondents. The most vulnerable group includes the respondents with lower education and those working in shifts. Women are more likely to be victims of sexual aggression than men (U = 3962,00, p = 0.033). It was established that the respondents had no or little training regarding the management of potentially violent patients (x = 2.8, s = 1.186). Discussion and conclusion: As the health professionals working in psychiatric settings and emergency units are often confronted with patient aggressive or violent behaviour, further research is needed to establish the effectiveness of intervention or management strategies on the rate of aggression or violence of patients.
Keywords		agresija razširjenost medicinske sestre pacienti reševalci violence distribution nurses patients rescuers