Research Article
Acil Servis Çalışanlarının Şiddet Maruziyeti ve İş Bırakma Niyetinin İncelenmesi: Tanımlayıcı ve Kesitsel Bir Çalışma
Abstract
Bu araştırma, acil serviste çalışan sağlık profesyonellerinde şiddete maruziyetin iş bırakma niyetine etkisini belirlemek amacı ile yapılmıştır. Tanımlayıcı nitelikteki bu araştırma bir devlet hastanesinin acil servisinde çalışan 103 sağlık profesyoneli ile yürütülmüştür. Veriler, Tanıtıcı Bilgi Formu ve İş Bırakma Niyet Ölçeği kullanılarak elde edilmiştir. Acil serviste çalışan sağlık profesyonellerinin son bir yıldaki şiddete maruziyet oranının %68 olduğu bulunmuş olup sağlık profesyonellerinin %100’nün sözel/psikolojik şiddete, %4.2’sinin fiziksel şiddete ve %1.4’ünün cinsel şiddete maruz kaldığı belirlenmiştir. Ayrıca sağlık profesyonellerine yönelik şiddetin en fazla hasta yakınları tarafından gerçekleştirildiği tespit edilmiştir. Şiddet sonrası sağlık profesyonellerinin %31.83’ünde emosyonel sorunlar, %21.97’sinde fizyolojik sorunlar, %34.52’sinde performans sorunları ve %11.65’inde ilişkisel sorunlar geliştiği saptanmıştır. Acil serviste çalışan sağlık profesyonellerinin İş Bırakma Niyet Ölçeği puan ortalaması 13.25±3.90 bulunmuş olup, şiddete maruziyet sonrası kurum yöneticilerinden destek gören sağlık profesyonellerindeki İş Bırakma Niyet Ölçeği puan ortalamasının daha düşük olduğu belirlenmiştir (p<0.05). Bu çalışmanın sonucunda, acil serviste çalışan sağlık profesyonellerinde şiddete maruziyet oranının yüksek olduğu ve sağlık profesyonellerinin en fazla sözel/psikolojik şiddete maruz kaldığı tespit edilmiştir. Acil serviste çalışan sağlık profesyonellerindeki iş bırakma niyetinin ise orta düzeyde olduğu belirlenmiş olup, sağlık profesyonellerindeki şiddete maruziyetin iş bırakma niyetini etkilemediği ancak şiddete maruziyet sonrası yönetici desteğinin iş bırakma niyetini azalttığı saptanmıştır.
References
- Alameddine, M., Kazzi, A., El‐Jardali, F., Dimassi, H., & Maalouf, S. (2011). Occupational violence at Lebanese emergency departments: prevalence, characteristics and associated factors. Journal of Occupational Health, 53(6), 455-464.
- Alsharari, A. F., Abu-Snieneh, H. M., Abuadas, F. H., Elsabagh, N. E., Althobaity, A., Alshammari, F. F., Alshmemrid, M. S., Aroury, A. M., Alkhadama, A. Q., & Alatawi, S. S. (2022). Workplace violence towards emergency nurses: a cross-sectional multicenter study. Australasian emergency care, 25(1), 48-54.
- Aman-Ullah, A., Ali, A., Ariza-Montes, A., Mehmood, W., & Saraih, U. N. (2023). Nexus of workplace incivility, workplace violence and turnover intentions: a mediation study through job burnout. Kybernetes. Doi: 10.1108/K-02-2023-0299
- Bayram, B., Çetin, M., Oray, N.Ç., & Can, İ.Ö. (2017). Workplace violence against physicians in Turkey’s emergency departments: a cross-sectional survey. BMJ Open, 7(6), e013568. Boafo, I.M., & Hancock, P. (2017). Workplace violence against nurses: a cross-sectional descriptive study of Ghanaian nurses. Sage Open, 7(1), 2158244017701187.
- Boyle, M., & Wallis, J. (2016). Working towards a definition for workplace violence actions in the health sector. Safety in Health, 2, 1-6.
- Cammann, C., Fichman, M., Jenkins, D., & Klesh, J. (1979). The Michigan organizational assessment questionnaire. Unpublished manuscript, University of Michigan, Ann Arbor, 71, 138.
- Cannavò, M., La Torre, F., Sestili, C., La Torre, G., & Fioravanti, M. (2019). Work related violence as a predictor of stress and correlated disorders in emergency department healthcare professionals. La Clinica Terapeutica, 170(2), e110-e123.
- d’Ettorre, G., Mazzotta, M., Pellicani, V., & Vullo, A. (2018). Preventing and managing workplace violence against healthcare workers in Emergency Departments. Acta Bio Medica: Atenei Parmensis, 89(Suppl 4), 28.
- Duan, X., Ni, X., Shi, L., Zhang, L., Ye, Y., Mu, H., Li, Z., Liu, X., Fan, L., & Wang, Y. (2019). The impact of workplace violence on job satisfaction, job burnout, and turnover intention: the mediating role of social support. Health and Quality of Life Outcomes, 17(1), 1-10.
- Gülertekin, S. (2013). Duygu iklimi ve liderlik tarzının işten ayrılma niyetine etkileri: Alanya’daki turizm işletmelerine yönelik bir araştırma (Yüksek Lisans Tezi, Çanakkale: Çanakkale Onsekiz Mart Üniversitesi).
- Hassankhani, H., Parizad, N., Gacki-Smith, J., Rahmani, A., & Mohammadi, E. (2018). The consequences of violence against nurses working in the emergency department: A qualitative study. International Emergency Nursing, 39, 20-25.
- Jeong, I.Y., & Kim J.S. (2018). The relationship between intention to leave the hospital and coping methods of emergency nurses after workplace violence. Journal of Clinical Nursing, 27(7-8), 1692-1701.
- Jiang, N., Zhou, X., Gong, Y., Tian, M., Wu, Y., Zhang, J., Chen, Z., Wang, J., Wu, J., Yin, X., & Lv, C. (2023). Factors related to turnover intention among emergency department nurses in China: A nationwide cross‐sectional study. Nursing in Critical Care, 28(2), 236-244.
- Kumari, A., Kaur, T., Ranjan, P., Chopra, S., Sarkar, S., & Baitha, U. (2020). Workplace violence against doctors: characteristics, risk factors, and mitigation strategies. Journal of Postgraduate Medicine, 66(3), 149.
- Laeeque, S.H., Bilal, A., Babar, S., Khan, Z., U.l., & Rahman, S. (2018). How patient-perpetrated workplace violence leads to turnover intention among nurses: the mediating mechanism of occupational stress and burnout. Journal of Aggression, Maltreatment & Trauma, 27(1), 96-118.
- Li, N., Zhang, L., Xiao, G., Chen, J., & Lu, Q. (2019). The relationship between workplace violence, job satisfaction and turnover intention in emergency nurses. International Emergency Nursing, 45, 50-55.
- Liu, W., Zhao, S., Shi, L., Zhang, Z., Liu, X., Li, L., Duan, X., Li, G., Lou, F., Jia, X., Fan, L., Sun, T., & Ni, X. (2018). Workplace violence, job satisfaction, burnout, perceived organisational support and their effects on turnover intention among Chinese nurses in tertiary hospitals: a cross-sectional study. BMJ Open, 8(6), e019525.
- Mento, C., Silvestri, M.C., Bruno, A., Muscatello, M.R.A., Cedro, C., Pandolfo, G., & Zoccali, R.A. (2020). Workplace violence against healthcare professionals: A systematic review. Aggression and Violent Behavior, 51, 101381.
- Nowrouzi-Kia, B., Isidro, R., Chai, E., Usuba, K., & Chen, A. (2019). Antecedent factors in different types of workplace violence against nurses: a systematic review. Aggression and Violent Behavior, 2019, 44, 1-7.
- Özkan Şat, S., Akbaş, P., & Yaman Sözbir, Ş. (2021). Nurses' exposure to violence and their professional commitment during the COVID‐19 pandemic. Journal of Clinical Nursing, 30(13-14), 2036-2047.
- Park, J. E., & Song, M. R. (2023). Effects of emergency nurses’ experiences of violence, resilience, and nursing work environment on turnover intention: a cross-sectional survey. Journal of Emergency Nursing, 49(3), 461-469.
- Pang, Y., Dan, H., Jeong, H., & Kim, O. (2023). Impact of workplace violence on South Korean nurses' turnover intention: Mediating and moderating roles of depressive symptoms. International nursing review, 70(2), 211-218.
- Pinar, T., Acikel, C., Pinar, G., Karabulut, E., Saygun, M., Bariskin, E., Guidotti, T.L., Akdur, R., Sabuncu, H., Bodur, S., Egri, M., Bakir, B., Açıkgöz, E.M., Atceken, U., & Cengiz, M. (2017). Workplace violence in the health sector in Turkey: a national study. Journal of Interpersonal Violence, 32(15), 2345-2365.
- Rafeea, F., Al, Ansari A., Abbas, E.M., Elmusharaf, K., & Abu Zeid, M.S. (2017). Violence toward health workers in Bahrain Defense Force Royal Medical Services’ emergency department. Open Access Emergency Medicine, 113-121
- Ramacciati, N., Gili, A., Mezzetti, A., Ceccagnoli, A., Addey, B., & Rasero, L. (2019). Violence towards Emergency Nurses: the 2016 Italian National Survey—a cross‐sectional study. Journal of Nursing Management, 27(4), 792-805.
- Sachdeva, S., Jamshed, N., Aggarwal, P., & Kashyap, S.R. (2019). Perception of workplace violence in the emergency department. Journal of Emergencies, Trauma, and Shock, 12(3), 179.
- Shi, J., Wang, S., Zhou, P., Shi, L., Zhang, Y., Bai, F., Xue, D., & Zhang, X. (2015). The frequency of patient-initiated violence and its psychological impact on physicians in china: a cross-sectional study. PloS One,10(6), e0128394.
- Yenealem, D.G., Woldegebriel, M.K., Olana, A.T., & Mekonnen, T.H. (2019). Violence at work: determinants & prevalence among health care workers, northwest Ethiopia: an institutional based cross sectional study. Annals of Occupational and Environmental Medicine, 31(1), 1-7.
- Zhao, S.H., Shi, Y.U., Sun, Z.N., Xie, F.Z., Wang, J.H., Zhang, S.E., Gou, T.Y., Han, X.Y., Sun, T., & Fan, L.H. (2018). Impact of workplace violence against nurses’ thriving at work, job satisfaction and turnover intention: A cross‐sectional study. Journal of Clinical Nursing, 27(13-14), 2620-2632
The Effect of Exposure to Violence on Emergency Service Personnel's Intention to Quit Work: A Descriptive and Cross-Sectional Study
Abstract
This study was conducted to determine the effect of exposure to violence on the intention to quit work in emergency service workers. This descriptive research was conducted with 103 healthcare professionals working in the emergency department of a public hospital. Data were collected using the Introductory Information Form and the Intention to Quit Job Scale. It was found that the rate of exposure to violence among healthcare workers in the last year was 68%, 100% of the workers were exposed to verbal/psychological, 4.2% to physical and 1.4% to sexual violence, and it was determined that the violence was mostly committed by the patient's relatives. It was determined that after violence, 31.83% of healthcare workers developed emotional problems, 21.97% physiological problems, 34.52% performance problems and 11.65% relational problems. The average score of the Intention to Quit Job Scale of emergency service employees was found to be 13.25±3.90, and it was determined that the average score of the Intention to Quit Job Scale was lower in employees who received support from the institution managers after the violence (p <0.05). As a result of this study, it was determined that exposure to violence was high among emergency service employees and that employees were mostly exposed to verbal/psychological violence. In addition, it was determined that the intention to quit among employees was at a medium level, violence did not affect the intention to quit, but manager support after violence reduced the intention to quit.
References
- Alameddine, M., Kazzi, A., El‐Jardali, F., Dimassi, H., & Maalouf, S. (2011). Occupational violence at Lebanese emergency departments: prevalence, characteristics and associated factors. Journal of Occupational Health, 53(6), 455-464.
- Alsharari, A. F., Abu-Snieneh, H. M., Abuadas, F. H., Elsabagh, N. E., Althobaity, A., Alshammari, F. F., Alshmemrid, M. S., Aroury, A. M., Alkhadama, A. Q., & Alatawi, S. S. (2022). Workplace violence towards emergency nurses: a cross-sectional multicenter study. Australasian emergency care, 25(1), 48-54.
- Aman-Ullah, A., Ali, A., Ariza-Montes, A., Mehmood, W., & Saraih, U. N. (2023). Nexus of workplace incivility, workplace violence and turnover intentions: a mediation study through job burnout. Kybernetes. Doi: 10.1108/K-02-2023-0299
- Bayram, B., Çetin, M., Oray, N.Ç., & Can, İ.Ö. (2017). Workplace violence against physicians in Turkey’s emergency departments: a cross-sectional survey. BMJ Open, 7(6), e013568. Boafo, I.M., & Hancock, P. (2017). Workplace violence against nurses: a cross-sectional descriptive study of Ghanaian nurses. Sage Open, 7(1), 2158244017701187.
- Boyle, M., & Wallis, J. (2016). Working towards a definition for workplace violence actions in the health sector. Safety in Health, 2, 1-6.
- Cammann, C., Fichman, M., Jenkins, D., & Klesh, J. (1979). The Michigan organizational assessment questionnaire. Unpublished manuscript, University of Michigan, Ann Arbor, 71, 138.
- Cannavò, M., La Torre, F., Sestili, C., La Torre, G., & Fioravanti, M. (2019). Work related violence as a predictor of stress and correlated disorders in emergency department healthcare professionals. La Clinica Terapeutica, 170(2), e110-e123.
- d’Ettorre, G., Mazzotta, M., Pellicani, V., & Vullo, A. (2018). Preventing and managing workplace violence against healthcare workers in Emergency Departments. Acta Bio Medica: Atenei Parmensis, 89(Suppl 4), 28.
- Duan, X., Ni, X., Shi, L., Zhang, L., Ye, Y., Mu, H., Li, Z., Liu, X., Fan, L., & Wang, Y. (2019). The impact of workplace violence on job satisfaction, job burnout, and turnover intention: the mediating role of social support. Health and Quality of Life Outcomes, 17(1), 1-10.
- Gülertekin, S. (2013). Duygu iklimi ve liderlik tarzının işten ayrılma niyetine etkileri: Alanya’daki turizm işletmelerine yönelik bir araştırma (Yüksek Lisans Tezi, Çanakkale: Çanakkale Onsekiz Mart Üniversitesi).
- Hassankhani, H., Parizad, N., Gacki-Smith, J., Rahmani, A., & Mohammadi, E. (2018). The consequences of violence against nurses working in the emergency department: A qualitative study. International Emergency Nursing, 39, 20-25.
- Jeong, I.Y., & Kim J.S. (2018). The relationship between intention to leave the hospital and coping methods of emergency nurses after workplace violence. Journal of Clinical Nursing, 27(7-8), 1692-1701.
- Jiang, N., Zhou, X., Gong, Y., Tian, M., Wu, Y., Zhang, J., Chen, Z., Wang, J., Wu, J., Yin, X., & Lv, C. (2023). Factors related to turnover intention among emergency department nurses in China: A nationwide cross‐sectional study. Nursing in Critical Care, 28(2), 236-244.
- Kumari, A., Kaur, T., Ranjan, P., Chopra, S., Sarkar, S., & Baitha, U. (2020). Workplace violence against doctors: characteristics, risk factors, and mitigation strategies. Journal of Postgraduate Medicine, 66(3), 149.
- Laeeque, S.H., Bilal, A., Babar, S., Khan, Z., U.l., & Rahman, S. (2018). How patient-perpetrated workplace violence leads to turnover intention among nurses: the mediating mechanism of occupational stress and burnout. Journal of Aggression, Maltreatment & Trauma, 27(1), 96-118.
- Li, N., Zhang, L., Xiao, G., Chen, J., & Lu, Q. (2019). The relationship between workplace violence, job satisfaction and turnover intention in emergency nurses. International Emergency Nursing, 45, 50-55.
- Liu, W., Zhao, S., Shi, L., Zhang, Z., Liu, X., Li, L., Duan, X., Li, G., Lou, F., Jia, X., Fan, L., Sun, T., & Ni, X. (2018). Workplace violence, job satisfaction, burnout, perceived organisational support and their effects on turnover intention among Chinese nurses in tertiary hospitals: a cross-sectional study. BMJ Open, 8(6), e019525.
- Mento, C., Silvestri, M.C., Bruno, A., Muscatello, M.R.A., Cedro, C., Pandolfo, G., & Zoccali, R.A. (2020). Workplace violence against healthcare professionals: A systematic review. Aggression and Violent Behavior, 51, 101381.
- Nowrouzi-Kia, B., Isidro, R., Chai, E., Usuba, K., & Chen, A. (2019). Antecedent factors in different types of workplace violence against nurses: a systematic review. Aggression and Violent Behavior, 2019, 44, 1-7.
- Özkan Şat, S., Akbaş, P., & Yaman Sözbir, Ş. (2021). Nurses' exposure to violence and their professional commitment during the COVID‐19 pandemic. Journal of Clinical Nursing, 30(13-14), 2036-2047.
- Park, J. E., & Song, M. R. (2023). Effects of emergency nurses’ experiences of violence, resilience, and nursing work environment on turnover intention: a cross-sectional survey. Journal of Emergency Nursing, 49(3), 461-469.
- Pang, Y., Dan, H., Jeong, H., & Kim, O. (2023). Impact of workplace violence on South Korean nurses' turnover intention: Mediating and moderating roles of depressive symptoms. International nursing review, 70(2), 211-218.
- Pinar, T., Acikel, C., Pinar, G., Karabulut, E., Saygun, M., Bariskin, E., Guidotti, T.L., Akdur, R., Sabuncu, H., Bodur, S., Egri, M., Bakir, B., Açıkgöz, E.M., Atceken, U., & Cengiz, M. (2017). Workplace violence in the health sector in Turkey: a national study. Journal of Interpersonal Violence, 32(15), 2345-2365.
- Rafeea, F., Al, Ansari A., Abbas, E.M., Elmusharaf, K., & Abu Zeid, M.S. (2017). Violence toward health workers in Bahrain Defense Force Royal Medical Services’ emergency department. Open Access Emergency Medicine, 113-121
- Ramacciati, N., Gili, A., Mezzetti, A., Ceccagnoli, A., Addey, B., & Rasero, L. (2019). Violence towards Emergency Nurses: the 2016 Italian National Survey—a cross‐sectional study. Journal of Nursing Management, 27(4), 792-805.
- Sachdeva, S., Jamshed, N., Aggarwal, P., & Kashyap, S.R. (2019). Perception of workplace violence in the emergency department. Journal of Emergencies, Trauma, and Shock, 12(3), 179.
- Shi, J., Wang, S., Zhou, P., Shi, L., Zhang, Y., Bai, F., Xue, D., & Zhang, X. (2015). The frequency of patient-initiated violence and its psychological impact on physicians in china: a cross-sectional study. PloS One,10(6), e0128394.
- Yenealem, D.G., Woldegebriel, M.K., Olana, A.T., & Mekonnen, T.H. (2019). Violence at work: determinants & prevalence among health care workers, northwest Ethiopia: an institutional based cross sectional study. Annals of Occupational and Environmental Medicine, 31(1), 1-7.
- Zhao, S.H., Shi, Y.U., Sun, Z.N., Xie, F.Z., Wang, J.H., Zhang, S.E., Gou, T.Y., Han, X.Y., Sun, T., & Fan, L.H. (2018). Impact of workplace violence against nurses’ thriving at work, job satisfaction and turnover intention: A cross‐sectional study. Journal of Clinical Nursing, 27(13-14), 2620-2632
There are 29 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Services and Systems (Other) |
| Journal Section | Research Article |
| Authors | |
| Early Pub Date | April 29, 2024 |
| Publication Date | April 30, 2024 |
| Submission Date | November 16, 2023 |
| Acceptance Date | February 20, 2024 |
| Published in Issue | Year 2024 |
