著者

和田 由紀子 佐々木 祐子 Wada Yukiko Sasaki Yuko

出版者

新潟青陵学会

雑誌

新潟青陵学会誌 (ISSN:1883759X)

巻号頁・発行日

vol.4, no.1, pp.1-12, 2011-09

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The objective of the present research is to clarify, with respect to violence toward nursing staff arising within hospitals, the current status and the psychological effects. For the research methodology, 200 nurses working at a general hospital located "A" prefecture were chosen as respondents, and from Feb-Mar 2010, a questionnaire survey was conducted using the consignment survey method. The contents of the questionnaire sheet included questions pertaining to the current status of violent incidents, their types, the person inflicting the violence,and whether or not the violence was reported, as well as three scales, namely the IES-R, GHQ28 and the Japanese Burnout Scale. As a result, in the past year, 79.0% of nurses have experienced some form of violence from patients or their families, and 26.0% of nurses have experienced some form of violence from staff such as nurses, doctors. The types of violence differed for both, depending on the person inflicting the violence. It became clear that about 80% to 90% among the violence experienced involved those who experienced a plurality of types of violence, and it also became clear that half or moredid not file a victim report. Regarding the results for the current status of violence and the three scales, ANOVA and t-tests were conducted, and as a result, only in cases where the perpetrator of violence was staff such as a nurse or doctor, by scoring points for IES-R and GHQ28, a significantdifference was observed (p < .05). Going forward, we believe that it is necessary to consider having a shared awareness about violence, further clarifying the factors and structure by which violence arises, and constructing an effective system that takes the current status into consideration, inorder to identify such violence and appropriately deal with it.本研究では、病院内で発生する看護職への暴力について、その実態や心理的影響を明らかにすることを目的に、A県内の総合病院に勤務する看護職200名を調査対象とし、2010年2月~3月に託送調査法による質問紙調査を実施した。調査内容は、暴力被害の実態について、その種類や被害を与えられた相手、被害報告の有無についての質問、改訂出来事インパクト尺度(IESR)、精神健康調査票28項目版(GHQ28)、日本語版バーンアウト尺度の3尺度とした。その結果、過去1年間においては,79.0%の看護職が患者やその家族から、26.0%の看護職が看護師・医師等のスタッフからの何らかの被害を体験しているが、暴力の種類は双方で異なること、被害を体験した中の約8~9割が複数の種類の暴力を体験し、半数以上が被害報告を行っていなかったということが明らかになった。また暴力被害の実態と3尺度の結果について、分散分析・t検定を行ったところ、看護師・医師等のスタッフからの暴力体験にのみ、IES-R得点・GHQ28得点で有意差がみられた(p<.05)。暴力についての認識を統一し、その要因・構造をさらに明確にしていくこと、及び実態に即して被害を吸い上げ対応するための効果的なシステムを作ることが必要と考えられる。