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研究生:劉宗翰
研究生(外文):Tsung-Han Liu
論文名稱:醫院職場暴力調查研究
論文名稱(外文):Investigation of Workplace Violence in Hospitals
指導教授:陳叡瑜陳叡瑜引用關係
指導教授(外文):Rue-yyu Chen
口試委員:陳秋蓉呂淑妤
口試日期:2015-07-21
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:公共衛生學系暨研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2015
畢業學年度:103
語文別:中文
論文頁數:90
中文關鍵詞:醫院言語暴力身體暴力心理暴力性騷擾
外文關鍵詞:hospitalverbal violencephysical violencepsychological violence
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職場暴力是全球近年來關注的議題之一。暴力可依受暴者傷害類型分
為四種,即言語暴力、身體暴力、心理暴力和性騷擾。過去我國醫療職場
暴力的相關研究多以急診室和精神科為主要研究地點,並以護理人員為主
要研究對象,本研究之目的係全陎性調查醫院各部門人員之各種暴力盛行
率和馨觀影響因素。
本研究為橫斷性研究,於2015 年5-6 月在台灣北部三家醫院利用自填
式問卷進行收樣,共收集504 位自願作答者資料。問卷內容包括:受詴者
過去十二個月的暴力經歷、人口學特性、工作相關資料、職場組織文化、
心理健康評量和環境安全問題等。採用卡方檢定分析暴力和工作相關、心
理健康和環境因素之關聯性;在調整干擾因素後,以多變項羅卲斯迴歸分
析解釋暴力與工作因素、心理因素及環境因素的關係。
各類型職場暴力過去12 個月的平均次數,言語暴力為4.32 次、身體
暴力2.06 次、心理威脅3.82 次、性騷擾2.54 次;言語與心理威脅盛行率
較高(分別為48%、32%),身體暴力與性騷擾盛行率較低(均為9%)。相
較於行政部門,門診、急診和外科部門有較高的言語暴力風險(OR=7.413,
4.485, 2.446 );門診、精神科、加護病房和急診有較高的身體暴力風險
(OR=180.746, 143.490, 32.828, 30.062);精神科、門診、護理科和外科部門
有較高的心理暴力風險(OR=23.610, 13.926, 8.078, 8.068);精神科和綜合科
有較高的性騷擾風險(OR=335.418, 218.101)。有些環境因素與性騷擾除外
之暴力有關連性。
本研究結果發現,除了急診與精神科外,門診、加護病房和外科部都
是醫院職場暴力的高風險場所,建議未來醫院應加強各高風險單位人員的
教育訓練與環境安全措施,以減少醫院職場的暴力事件。
Workplace violence is one of the issues of global concern in recent years.
The violences were briefly divided into four categories: verbal, physical,
psychological violence and sexual harassment. The previous studies of medical
workplace violence were mostly limited to the emergency room and psychiatric
medical staffs. The purpose of this study is to conduct a comprehensive survey
for all staffs in different department of hospitals.
This is a cross-sectional study during May and June 2015. Data of a
self-reported questionnaire were collected from 504 employees in three
hospitals in Northern Taiwan. The contents of questionnaire included:
demographic characteristics, work-related information, violence experiences in
the past twelve months, physical and mental status, the environmental risk
factors and the violence control strategies. Prevalences of various types of
violences were calculated. Associations of the violence and work-related,
psychological, and environmental factors were analysed by chi-squae test.
After adjusting confounding factors, multiple logistic regression models were
used to explain the association of violence and work-related, psychological,
and environmental factors.
The results showed that the average times of workplace violences in the
past 12 months were: the verbal violence 4.32, the physical violence 2.06, the
psychological threat 3.82, and sexual harassment 2.54. Prevalences of verbal,
psychological threat, physical violence and sexual harassment were 48%, 32%,
9% and 9% respectively. The risks of verbal violence in outpatient, emergency
and surgical departments were significant higher than administrative
department(OR=7.413, 4.485, 2.446 ); the risks of physical violence in
outpatient, psychiatric clinics,ICU and emergency departments were significant
higher than administrative department(OR=180.746, 143.490, 32.828, 30.062);
the risks of psychological violence in psychiatric clinics, outpatient, nursing
and surgical departments were significant higher than administrative
department(OR=23.610, 13.926, 8.078, 8.068); the risks of sexual harassment
in psychiatric clinics and integrated treatment departments were significant
higher than administrative department(OR=335.418, 218.101). Except sexual
harassment, several environmental factors were associated with violences
significantly.
The results showed that, except emergency and psychiatric clinics
departments, outpatient, ICU and surgical departments were also the high risk
units suffered violences. To strengthen the trainings and environmental safety
measures in violence prevention of above high risk units is recommended.
【表目錄】 ................................................ 3
【圖目錄】 ................................................ 4
【附錄】 ................................................. 5
中文摘要 ................................................. 6
英文摘要 ................................................. 7
第一章 前言 ..............................................
第一節 研究背景 ....................................... 8
第二節 研究緣起及目的 ................................ 10
第二章 文獻探討 ..........................................
第一節、暴力種類定義 .................................. 11
第二節、職場暴力的認知與相關研究 ...................... 13
第三節、職場暴力預防 .................................. 22
第三章 研究方法 ..........................................
第一節、研究設計 ...................................... 30
第二節、研究假設 ...................................... 30
第三節、研究對象 ...................................... 31
第四節、研究方法與步驟 ................................ 34
第五節、資料整理與分析 ................................ 35
第四章 研究結果 ..........................................
第一節、描述性統計結果 ................................ 36
第二節、職場暴力變項相關性分析 ........................ 41
第三節、建立複回歸模型 ................................ 55
第五章 結果討論與結論 ....................................
第一節、醫院人員目前職場暴力發生率、次數現況 .......... 65
第二節、暴力發生相關因子探討 .......................... 69
第三節、職場相關與心理層陎的問題 ...................... 70
第四節、研究限制 ...................................... 74
第六章 結論與建議 ...................................... 75
文獻列表 ................................................ 77
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52.楊春梅(2011). 急診室護理人員職場暴力與防範策略之探討.An Investigation
of Nurse Workplace Violence and Prevention Strategy in the Emergency
Department.台北醫學大學護理學研究所
53.陳柏年(2013).我國醫院職場暴力之探討-以雲林、嘉義地區醫院為調查對象.
An Exploration of workplace violence in Hospitals:A survey of Hospitals in
Yunlin and Chayi Districts.國立中正大學勞工關係學系.
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