Subjectivity toward hospital violence in clinical nurses

초록

Purpose: Clinical nurses are at high risk of incurring hospital violence during their working life. Hospital violence and its outcomes have an impact on the job satisfaction, the recruitment and retention of nurses as well as the quality of care delivered to patients. The purpose of this study was to identify subjectivity toward hospital violence in clinical nurses using Q-Methodology. Methods: To understand nurse’s attitudes, feelings and perceptions toward hospital violence, Q-methodology, which has been identified as a method for the analysis of subjective viewpoints and has the strengths of both qualitative and quantitative methods, was used. The 40 selected Q-statements from each of 35 participants were classified into the shape of a normal distribution using a 9-point scale. The collected data was analyzed using the pc-QUANAL program. Results: The results revealed four discrete groups of clinical nurses toward violence: take action strongly and eradicate sources of violence, be helpless in front of violence and appear psychosomatic symptoms, enforce a special system and solve the problem of violence, and let the person in charge punish violence attacker and complete one’s duty. Conclusion: The findings indicate that comprehensive and multidisciplinary nursing intervention programs based on the four types of subjectivity should be developed in order to come up with an effective plan for dealing with hospital violence. Government concern and hospital’s steady efforts to decrease hospital violence should be also helpful