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Introduction: Perioperative care is generally delivered by a heterogeneous group of professionals with different personalities and value systems who share the responsibility for one patient, which may trigger tension in relationships and even escalate into violence. The aim of the study was to show how often this phenomenon occurs and to specify the related factors and consequences. Methods: A systematic search strategy in CINAHL, Medline, Academic Search Elite, ProQuest and COBIB. SI databases was implemented. We considered publications with the date of publication from January 2008 to December 2017. We used the following search key words in the English language: aggressive behavior, disruptive behavior, operating room, perioperative, violence, verbal abuse, bullying, surgeon and in Slovenian nursing care (zdravstvena nega), violence (nasilje). There were 735 results. Based on the title and abstract 68 of them matched the determinants, while 47 were removed after reviewing the content. Results: The conclusions of the literature review were based on 22 references. 6 categories were formed: (1) agents and levels of violence, (2) type of violence, (3) direct causes of violence in the operating theater, (4) factors related to the occurrence and identification of violence, (5) consequences of violence and (6) individual and systemic organizational measures for managing the consequences of violence. Discussion and conclusion: The most common agents of violence in perioperative care are surgeons and perioperative nurses, while the most common causes include hierarchy, unpredictable situations, lack of staff and material, interpersonal relations, workload, and organizational culture. The need for such representative research in Slovenia has been identified. Uvod: V operativni dejavnosti heterogena skupina strokovnjakov z različnimi osebnostmi in vrednostnimi sistemi, značilnimi za vsako profesijo, deli odgovornost do enega pacienta, kar lahko sproži napetost v odnosih in se stopnjuje v nasilje. Namen raziskave je bil prikazati razširjenost tega fenomena ter opredeliti z njim povezane dejavnike in posledice. Metode: Izvedena je bila sistematična iskalna strategija v bazah podatkov CINAHL, Medline, Academic Search Elite, ProQuest in COBIB.SI z datumom objave od januarja 2008 do vključno decembra 2017. Uporabljeni so bili iskalni pojmi v angleščini aggressive behavior, disruptive behavior, operating room, perioperative, violence, verbal abuse, bullying, surgeon in v slovenščini zdravstvena nega, nasilje. Podanih je bilo 735 zadetkov, glede na naslov in izvleček smo za ustrezne določili 68 virov, po vsebinskem pregledu smo jih izločili še 47. Rezultati: Zaključki pregleda literature so temeljili na 22 referencah. Oblikovanih je bilo 6 kategorij: (1) povzročitelji in nivoji nasilja, (2) vrste (tipi) nasilja, (3) neposredni vzroki za pojav nasilja v operacijski dvorani, (4) dejavniki, povezani s pojavom in prepoznavnostjo nasilja, (5) posledice nasilja ter (6) individualni in sistemski organizacijski ukrepi za obvladovanje posledic nasilja. Diskusija in zaključek: Najpogostejši izvajalci nasilja v operativni dejavnosti so kirurgi in zaposleni v operacijski zdravstveni negi, najpogostejši vzroki pa hierarhija, nepredvidljive situacije, kadrovski in materialni deficit, medosebni odnosi, delovna obremenitev, organizacijska kultura. Izkazuje se potreba po tovrstni reprezentativni raziskavi v Sloveniji. |
