护际间横向暴力行为对临床护士团结度的影响

Influence of lateral violence amongst nurses on the solidarity degree of clinical nurses

目的调查临床护士团结度和护际间横向暴力行为现状,并分析护际间横向暴力行为对临床护士团结度的影响。方法通过便利抽样方法于2020年5-7月调查温州医科大学附属第二医院478名在职护士,分别运用护士间横向暴力调查问卷和护士间团结度量表,调查护际间横向暴力行为及护士间团结度的情况,并探讨两者间的关系。结果共填写问卷478份,有效问卷472份,有效回收率98.7%。护际间横向暴力行为总分为(71.23±2.16)分,临床护士间团结度总分为(57.56±1.23)分。单因素分析显示,临床护士工作团结度总分在工龄、职称和是否有编制方面的差异有统计学意义(均P<0.05)。相关分析显示,护际间横向暴力行为总分及各维度得分与护士间团结度总分及其各维度均呈负相关关系(均P<0.05),分层回归分析显示,工龄和职称影响护士间团结度的17.6%的变异量;控制人口学特征后,显性暴力和隐性暴力可以解释护士间工作团结度38.2%的变异量。结论护际间横向暴力行为普遍存在,护士间团结度尚可,工作时间久、职称高的护士临床护理团结度比年资浅、职称低的护士更高。护际间横向暴力是降低临床护士间团结度的不利因素,年轻护士可能是关系横向暴力行为对临床护理团结度影响的关键环节,尤其表现在情感团结方面。

Objective To investigate the status quo of clinical nurses'solidarity and lateral violence behaviour amongst nurses and analyse its influence on clinical nurses'solidarity.Methods Using convenience sampling,478 in-service nurses in our hospital were investigated from May to July 2020.A lateral violence questionnaire and solidarity scale were used to investigate the lateral violent behaviour and solidarity amongst nurses,and the relationship amongst them was discussed.Results A total of 478 questionnaires were filled in,and 472 were valid,with an effective recovery rate of 98.7%.The total score of lateral violence amongst nurses was(71.23±2.16)points,and the total score of solidarity amongst clinical nurses was(57.56±1.23)points.Univariate analysis showed that the total score of clinical nurses'work solidarity had statistical significance with regard to length of service,title and organisation(all P<0.05).Correlation analysis showed a negative correlation between the total score of lateral violence behaviour and the total score of solidarity amongst nurses and the scores of each dimension(all P<0.05).Stratified regression analysis showed that the length of service and professional title affected 17.6%variation of solidarity amongst nurses.After controlling for demographic characteristics,explicit and implicit violence could explain 38.2%of the variation in nurses'work solidarity.Conclusion Lateral violence amongst nurses is common,and the degree of solidarity amongst nurses is tolerable.The clinical nursing solidarity of nurses with long working time and high professional title is higher than that of nurses with junior seniority and low professional title.Lateral violence amongst nurses is a negative factor that reduces the degree of clinical nurses'solidarity.Young nurses may be the key link of the influence of relational lateral violence on the degree of clinical nurses'solidarity,particularly emotional solidarity.