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手术室护际间横向暴力与离职意愿的相关性

The Correlation between Inter-Nurse Horizontal Violence and Turnover Intention in the Operating Room
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摘要 【目的】分析手术室护际间横向暴力现状及其与离职意愿的相关性。【方法】选取2023年9月至2024年9月在本院手术室就职的53例护士,采用自制人口学调查问卷、横向暴力调查问卷及离职意愿量表进行调查。采用Pearson相关性分析护际间横向暴力与离职意愿的关系,采用多元Logistic回归分析影响手术室护士离职的相关因素。【结果】手术室53例护理人员中有31例同时遭受过显性和隐性横向暴力,12例从未遭受过横向暴力;单纯显性横向暴力6例,单纯隐性横向暴力14例。横向暴力调查量表中意见被忽视、被散播闲话或谣言、不被信任、被封锁或隐瞒消息、被羞辱或嘲笑所占比例较高。受试手术室53例护理人员离职意愿平均评分为(3.01±0.28)分,手术室护际间横向暴力与离职意愿呈正相关(r=0.895,P<0.05)。多元Logistic回归分析显示,1~5年的本职工作时间、中专文化水平、职称护士级别、合同制、意见被忽视、被散播闲话或谣言、不被信任、被封锁或隐瞒消息、被羞辱或嘲笑为导致手术室护士离职的危险因素(P<0.05)。【结论】手术室护际间横向暴力与离职意愿密切相关,护理管理者应重视横向暴力护理人员的不良影响,积极改进管理策略和工作制度,减少护理人员流失。 【Objective】To investigate and analyze the current situation of inter-nurse horizontal violence in the operating room,and to explore the correlation between inter-nurse horizontal violence and turnover intention in the operating room.【Methods】Fifty-three nurses who worked in the operating room of our hospital from September 2023 to September 2024 were selected and investigated through a self-made demographic questionnaire,a horizontal violence questionnaire and a turnover intention scale.Pearson correlation analysis was used to analyze the relationship between inter-nurse horizontal violence and turnover intention,and multiple Logistic regression analysis was used to analyze the correlation factors influencing the turnover of operating room nurses.【Results】Among the 53 nursing staff in the operating room,31 had suffered both overt and covert lateral violence simultaneously,and 12 had never suffered lateral violence.There were 6 cases of simple explicit horizontal violence and 14 cases of simple implicit horizontal violence.In the horizontal violence survey scale,the proportions of opinions being ignored,gossip or rumors being spread,distrust,information being blocked/concealed,humiliation or ridicule are relatively high.The average score of turnover intention of 53 nursing staff in the tested operating room was(3.01±0.28)points.The inter-nurse horizontal violence in the operating room was positively correlated with turnover intention(r=0.895,P<0.05).Multivariate Logistic regression analysis showed that 1-5 years of working time in the main position,secondary vocational school education level,nurse title level,contract system,ignored opinions,being gossiped or rumored,not being trusted,being blocked or concealing information,and being humiliated or ridiculed were risk factors leading to the turnover of operating room nurses(P<0.05).【Conclusion】Inter-nurse horizontal violence in the operating room is closely related to the intention to resign.Nursing managers should attach importance to the adverse effects of horizontal violence on nursing staff,actively improve management strategies and working systems,and reduce the turnover of nursing staff.
作者 鲁会青 吕淑娟 侯换换 李梦媛 张凡 王锟 LU Huiqing;LYU Shujuan;HOU Huanhuan(The Third Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000)
出处 《医学临床研究》 2025年第6期933-935,939,共4页 Journal of Clinical Research
基金 2024年度郑州市医疗卫生领域科技创新计划项目(2024YLZDJH005)。
关键词 手术室 护士 暴力 失业 职业满意 数据相关性 Operating Rooms Nurses Violence Unemployment Job Satisfaction Correlation of Data
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