임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제28권2호
  • /
  • Pages.99-111
  • /
  • 2022
  • /
  • 1598-9186(pISSN)
  • /
  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

간호사의 폭력 경험이 외상 후 스트레스 장애에 미치는 영향: 회복탄력성과 조직 내 사회적 지지의 조절 효과를 중심으로

Effects of Nurses' Workplace Violence Experiences on Post-Traumatic Stress Disorder: Focusing on the Moderating Effect of Resilience and Social Support at Work

  • 강채은 (경상국립대학교병원) ;
  • 은영 (경상국립대학교 간호대학.건강과학연구원)
  • Kang, Chae Eun (Department of Nursing, Gyeongsang National University Hospital) ;
  • Eun, Young (College of Nursing․Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2022.05.27
  • 심사 : 2022.06.24
  • 발행 : 2022.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study aimed to identify the relationship between the experiences of workplace violence and post-traumatic stress disorder and the moderating effect of resilience and social support at work on the relationship in tertiary hospital nurses. Methods: This was a descriptive correlation study to confirm the moderating effect of resilience and social support at work on the factors affecting post-traumatic stress disorder for nurses who have experienced violence. A total of 146 registered nurses were recruited from a tertiary hospital from March to July 2020. The Participants who worked for more than one year and experienced violence at work completed self-reported questionnaires that measured the experiences of workplace violence and post-traumatic stress disorder, resilience, social support at work, and demographic information. The collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis. Results: The nurses experienced verbal abuse an average of 3.70±2.06 times a week, physical threat an average of 2.30±1.71 times a month, and physical assault an average of 0.76±0.82 times a year. The Experiences of workplace violence were significantly increased post-traumatic stress disorder. The result also showed that resilience moderated the relationship between the experience of verbal abuse and post-traumatic stress disorder in hospital nurses. However, there was no significant moderating effect of social support between workplace violence and post-traumatic stress disorder. Conclusion: The experiences of workplace violence influenced post-traumatic stress disorder in nurses and were moderated by resilience. Therefore, hospital administrators need to develop and provide a workplace violence prevention and resilience reinforcement program to reduce post-traumatic stress disorder in nurses. In addition, we suggest further research on the effect of social support in a workplace on the experiences of violence.

키워드

참고문헌

  1. International Council of Nurses. Position statement: Prevention and management of workplace violence [Internet]. Geneva (CH): International Council of Nurses; 2009 [cited 2021 Jul. 9]. Available from: https://www.icn.ch/sites/default/files/inline-files/PS_C_Prevention_mgmt_workplace_violence_0.pdf.
  2. Hahn S, Muller M, Needham I, Dassen T, Kok G, Halfens RJ. Factors associated with patient and visitor violence experienced by nurses in general hospitals in Switzerland: A cross-sectional survey. Journal of Clinical Nursing. 2010;19(23-24):3535-3546. https://doi.org/10.1111/j.1365-2702.2010.03361.x
  3. Speroni KG, Fitch T, Dawson E, Dugan L, Atherton M. Incidence and cost of nurse workplace violence perpetrated by hospital patients or patient visitors. Journal of Emergency Nursing. 2014;40(3):218-228. https://doi.org/10.1016/j.jen.2013.05.014
  4. Jeong C, Lee EN. Mediating effect of resilience on the association between violence experience and violence response among nurses. Korean Journal of Adult Nursing. 2018;30(1):41-48. https://doi.org/10.7475/kjan.2018.30.1.41
  5. Celik AK, Oktay E, Cebi K. Analysing workplace violence towards health care staff in public hospitals using alternative ordered response models: The case of north-eastern Turkey. International Journal of Occupational Safety and Ergonomics. 2017;23(3):328-339. https://doi.org/10.1080/10803548.2017.1316612
  6. Gillespie GL, Gates DM, Miller M, Howard PK. Workplace violence in healthcare settings: Risk factors and protective strategies. Rehabilitation Nursing. 2010;35(5):177-184. https://doi.org/10.1002%2Fj.2048-7940.2010.tb00045.x https://doi.org/10.1002%2Fj.2048-7940.2010.tb00045.x
  7. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. (DSM-5®). Washington (DC): American Psychiatric Association; 2013. p. 1-991. https://doi.org/10.1176/appi.books.9780890425596
  8. Yi HR, Moon HS, Shin MK. The influence of workplace violence on anger and post traumatic stress disorder among nurses. Korean Journal of Occupational Health Nursing. 2013;22(3):240-248. https://doi.org/10.5807/kjohn.2013.22.3.240
  9. Kim HJ, Park JM. Influencing factor on the job satisfaction of emergency room nurses: Focusing on violence experience and post-traumatic stress disorder, compassion fatigue. Journal of Convergence for Information Technology. 2020;10(7):67-74. https://doi.org/10.22156/CS4SMB.2020.10.07.067
  10. Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety. 2003;18(2):76-82. https://doi.org/10.1002/da.10113
  11. Tusaie K, Dyer J. Resilience: A historical review of the construct. Holistic Nursing Practice. 2004;18(1):3-10. https://doi.org/10.1097/00004650-200401000-00002
  12. Son YJ, Gong HH, You MA, Kong SS. Relationships between workplace violence experience and posttraumatic stress symptoms, resilience in clinical nurses. Journal of the Korean Data Analysis Society. 2015;17(1):515-530.
  13. Kim HG, Choi JY. Factors influencing post-traumatic stress disorder in critical care nurses based on Lazarus & Folkman's stress, appraisal-coping model. Korean Journal of Adult Nursing. 2020;32(1):88-97. https://doi.org/10.7475/kjan.2020.32.1.88
  14. Choi HY. The relationship between traumatic experience and posttraumatic symtoms: Focusing on moderating effects of resiliences moderated by attention control [master's thesis]. Chuncheon: Kwangwon National University; 2019. p. 1-25.
  15. Cobb S. Presidential address-1976. Social support as a moderator of life stress. Psychosomatic Medicine. 1976;38(5):300-314. https://doi.org/10.1097/00006842-197609000-00003
  16. Greenhaus JH, Parasuraman S, Wormley WM. Effects of race on organizational experiences, job performance evaluations, and career outcomes. Academy of Management Journal. 1990;33(1):64-86. https://psycnet.apa.org/doi/10.2307/256352
  17. Jo SY, Choi SS. The effect of the occupational risk of mental health social workers on post-traumatic stress disorder: Verification of regulation effect of resilience and social support. Journal of Humanities and Societies 21. 2021;12(1):237-252. https://doi.org/10.22143/HSS21.12.1.18
  18. Kim JH. The moderating effect of social support on the relationship between violence experiences and violence responses of psychiatric nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2019;28(2):144-155. https://doi.org/10.12934/jkpmhn.2019.28.2.144
  19. Yun JS. Study of violence experience from patients and their families and job satisfaction of emergency department nurses [master's thesis]. Ulsan:University of Ulsan; 2005. p. 1-45
  20. Kim MK, Lee SH. Influence of violence experience and self compassion on post-traumatic stress disorder in emergency department nurses. Journal of Kyungpook Nursing Science. 2019;23(1):1-11. https://doi.org/10.38083/jkns.23.1.201902.01
  21. Weiss DS, Marmar CR. The impact of event scale - Revised. In Wilson J. Keane TM. editors. Assessing psychological trauma and PTSD. New York: Guilford; 1997. p. 399-411.
  22. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ. A study on reliability and validity of the Korean version of Impact of Event Scale-Revised. Journal of Korean Neuropsychiatric Association. 2005;44(3):303-310.
  23. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the Connor-Davidson Resilience Scale. Psychiatry Investigation. 2010;7(2):109-115. https://doi.org/10.4306%2Fpi.2010.7.2.109 https://doi.org/10.4306%2Fpi.2010.7.2.109
  24. Park HJ, Kang HS, Kim KH, Kwon HJ. Exposure to workplace violence and coping in intensive care unit nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2011;20(3):291-301. https://doi.org/10.12934/jkpmhn.2011.20.3.291
  25. Song YJ, Lee HK. Relationships among Violence Experience, Resilience and Job Stress of Nurses Working in Emergency Department. Journal of the Korean Applied Science and Technology. 2020;37(5):1390-1401. https://doi.org/10.12925/jkocs.2020.37.5.1390
  26. Song YS. The Relationship Between Fire-fighter's Resilience and PTSD, Fire Science & Engineering. 2017;31(3):119-126. https://doi.org/10.7731/KIFSE.2017.31.3.119
  27. Nho SM, Kim EA. Factors influencing post traumatic stress disorder in crime scene investigators. Journal of Korean Academy of Nursing. 2017;47(1):39-48. https://doi.org/10.4040/jkan.2017.47.1.39