Violence risk in nursing. Results from the European NEXT Study
Autor: | Clémentine Fry, Beatrice van der Heijden, Madeleine Estryn-Behar, Donatella Camerino, Paul Maurice Conway, Olivier le Nézet, Hans Martin Hasselhorn |
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Rok vydání: | 2008 |
Předmět: |
Gerontology
Adult Male Health Personnel Interprofessional Relations Poison control Personnel Turnover Workload Burnout Nursing Staff Hospital Violence Occupational burnout Occupational safety and health Job Satisfaction Social support Nursing Risk Factors Occupational Exposure Work Schedule Tolerance Prevalence Medicine Humans Workplace Burnout Professional Response rate (survey) business.industry Public Health Environmental and Occupational Health Odds ratio Middle Aged METIS-248273 Europe Career Mobility Sick leave Female Nursing Staff business Follow-Up Studies |
Zdroj: | Occupational medicine, 58(2), 107-114. Oxford University Press |
ISSN: | 0962-7480 |
Popis: | BACKGROUND: Recent research suggests that violence in health care is increasing and that it strongly influences the recruitment and retention of nurses as well as sick leave and burnout levels. AIMS: To identify the prevalence of violence in nursing and to provide a basis for appropriate interventions. METHODS: Nurses from 10 European countries answered to a questionnaire and to a follow-up assessment. Stepwise adjusted multiple logistic regression was used to assess the association between frequency of violence, factors related to teamwork and other work-related factors and outcomes, such as burnout, intention to leave nursing and intention to change institution. RESULTS: A total of 39 894 nurses responded to the baseline questionnaire (51% response rate). After adjustment for age, gender and other risk factors, quality of teamwork appeared to be a major factor with odds ratio (OR) 1.35 (1.24-1.48) for medium quality and 1.52 (1.33-1.74) for low quality. Uncertainty regarding patients' treatments was linked with violence, with a clear gradient (OR 1.59, 1.47-1.72 for medium uncertainty and 2.13, 1.88-2.41 for high uncertainty). Working only night shift was at high risk (OR 2.17, 1.76-2.67). High levels of time pressure and physical load were associated with violence OR 1.45 (1.24-1.69) and 1.84 (1.66-2.04), respectively. High and medium frequency of violence was associated with higher levels of burnout, intent to leave nursing and intent to change institution. A 1-year follow-up assessment indicated stability in the relationships between outcomes. CONCLUSION: This study supports efforts aimed at improving teamwork-related factors as they are associated with a decrease in violence against nurses. Language: en |
Databáze: | OpenAIRE |
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