Analysis of the current status and risk factors of workplace violence among nurses in Class III Grade A hospitals of Beijing

Abstract

Objective To investigate the current status of workplace violence (WPV) among nurses in 3A-level hospitals of Beijing and analyze the risk factors. Methods Convenient sampling method was adopted to select nurses from three ClassⅢ Grade A hospitals in Beijing from October 2018 to January 2019. The nurses were given by general information questionnaire and Workplace Violence Questionnaire. With the effective response rate of 98.6%, a total of 1 072 questionnaires were collected with 1 057 ones valid. Chi-square analysis and Logistic regression analysis were used to analyze the influential factors of workplace violence. Results 50.80% (537/1 057) of respondents reported that they had experienced WPV in the past with high incidence of scolding and language abuse. Most WPV happened in the ward (45.25%) during the morning shift (72.81%) . Majority of the violators are male (67.60%) , middle-aged (67.41%) and family members of the patients (61.64%) . Univariate analysis showed that the difference of working length, department, job position, educational level, form of employment, job position and monthly number of night shift between the nurses and their WPV incidence are correlated and have statistical significance (P<0.05) .whether heard of WPV beforewhether is WPV unavoidablewhether WPV is normalwhether benefit from relevant training about WPVwhether to report upon WPVwhether the training about WPV has been conducted in the hospitalwhether the solution of the WPV from the hospital in the past is effectivewhether the hospital encourage to report WPVis there a professional department addressing WPV issues in the hospital?the attitude of the hospital towards the WPV victimsandwhether the degree of importance when dealing the WPV issues towards the doctors and nurses from the hospital are the samewere influencing factors of WPV and statistically significant (P<0.05) . The result of Logistic regression analysis indicated that the nurse's department, educational background, job position, and opinions towards questions includingwhether heard of WPV beforewhether do you think WPV is unavoidablewhether do you think WPV is normalwhether have you benefited from relevant training about WPVwhether to report upon WPVwhether the solution of the WPV from the hospital in the past is effectiveall had impact on the WPV incidence. Conclusions WPV against nurses are common in Class Ⅲ Grade A hospitals of Beijing. The department of out-patient and emergency, and the position of nurse-in-charge are risk factors; whereas high education level, positive perceptions and attitudes towards WPV; and the hospital's effective treatment upon the past WPV are protective factors. It is suggested that hospitals and nursing administrators should adopt specific strategies to reduce the incidence of WPV. Key words: Nurses; Nursing administration research; Risk factors; Workplace violence