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Workplace violence in Accident & Emergency Department of Hong Kong

by To, Mei-kuen

Abstract (Summary)
(Uncorrected OCR) Workplace Violence 1 Abstract of dissertation entitled "Workplace violence in Accident & Emergency Department of Hong Kong" Submitted by TO Mei-kuen, Erica for the degree of Master of Nursing at the University of Hong Kong in September 2004 Background. In the past two decades, there are various studies have been done by the overseas countries concerning Workplace Violence (WPV) in health care settings. It has been found that Accident and Emergency Department (AED) is a commonplace of these incidents. Nursing staff are always asked to handle such incidents and easily become victimized. Apart from physical trauma, long-term psychological impact has also been reported. Subsequently, it has been found that the discipline has difficulty in recruitment and retention of staff, which are further endangering the ever-nursing shortage. It is also reported that there is an increasing trend and severity of such injuries or death are involved. Although it may not be as prevalent or severe as the Western countries, this phenomenon is not uncommon in which you may be aware of these incidents are reported in our local newspapers. However, little was known and not much effort has been taken concerning the issue in Hong Kong. Purpose: In this study, the author try to explore the prevalence of workplace violence (WPV) against nurses in Hong Kong Accidents and Emergency Departments (AED), analyze with the types of violence, environmental factors (district differences, security measures), personnel factors (age, gender, education, and experience), impact to nurses, reporting system and the management. Design: A retrospective, descriptive study using a self-reported, investigator-designed questionnaire. It has been tested with its validity and reliability a panel of AED Workplace Violence 2 experts before administered for the first local use. In addition, interviews were conducted to the AED nurses which intended to collect more data which are helpful to explain with the quantitative data. Sample: One hundred and forty-eight AED nursing staff are invited and with sixty participants responded (40.5% response rate). Results: Victimization: At least one WPV incident encountered that was reported by 95% (n=57) of the nurses. Most common incident is verbal abuse which comprised of 93.3% (n=56), threats or intimidations is 88.3% (n=53), physical assault is 55% (n=33) and 18.4% (n=l 1) was threats outside of the hospital as a result of the job. Studied Variables: Senior staff are found to have a higher rate of victimization with physical assault (Chi = 3.937, P = .047), verbal abuse (Fisher's Exact Test, P = .38), by perpetrators who have influence of alcohol (Fisher's Exact Test, P = .007), by perpetrators who have influence of illicit drugs (Fisher's Exact Test, P = .021). It is also found that senior staff are also less likely to report the WPV incident (Fisher's Exact Test, P = .044). Besides, it revealed that the more ongoing education of the nurses, the more likely the nurses satisfactory with their hospitals' security service (Chi = 8.277, P = .004). In addition, ongoing education was found highly associated with a strong positive relationship to the formal education of the WPV issue (Chi = 60.00, P < .05; Phi = 1.000, P < .05). Conclusion: The study revealed that the WPV is comparable to the Western countries. However, there was not much effort given to the issue. It is urgent that nurses should be more aware of their work safety, education, security measures, and be encouraged to report incidents is urgent for Hong Kong hospitals before the situation worsen.
Bibliographical Information:

Advisor:

School:The University of Hong Kong

School Location:China - Hong Kong SAR

Source Type:Master's Thesis

Keywords:emergency medical services social aspects china hong kong violence in hospitals

ISBN:

Date of Publication:01/01/2004

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