دورية أكاديمية

The paradox of workplace violence in the intensive care unit: a focus group study.

التفاصيل البيبلوغرافية
العنوان: The paradox of workplace violence in the intensive care unit: a focus group study.
المؤلفون: Sjöberg F; Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Sjukhusbacken 10, SE-118 83, Stockholm, Sweden. fredric.sjoberg@ki.se.; Department of Anaesthesia and Intensive Care, Södersjukhuset, Stockholm, Sweden. fredric.sjoberg@ki.se., Salzmann-Erikson M; Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden., Åkerman E; Department of Health Sciences, Lund University, Lund, Sweden., Joelsson-Alm E; Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Sjukhusbacken 10, SE-118 83, Stockholm, Sweden.; Department of Anaesthesia and Intensive Care, Södersjukhuset, Stockholm, Sweden., Schandl A; Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Sjukhusbacken 10, SE-118 83, Stockholm, Sweden.; Department of Anaesthesia and Intensive Care, Södersjukhuset, Stockholm, Sweden.
المصدر: Critical care (London, England) [Crit Care] 2024 Jul 11; Vol. 28 (1), pp. 232. Date of Electronic Publication: 2024 Jul 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Ltd Country of Publication: England NLM ID: 9801902 Publication Model: Electronic Cited Medium: Internet ISSN: 1466-609X (Electronic) Linking ISSN: 13648535 NLM ISO Abbreviation: Crit Care Subsets: MEDLINE
أسماء مطبوعة: Publication: London, UK : BioMed Central Ltd
Original Publication: London : Current Science Ltd, c1997-
مواضيع طبية MeSH: Intensive Care Units*/organization & administration , Intensive Care Units*/statistics & numerical data , Focus Groups*/methods , Workplace Violence*/psychology , Workplace Violence*/statistics & numerical data , Qualitative Research*, Humans ; Sweden ; Male ; Female ; Adult ; Middle Aged ; Health Personnel/psychology ; Health Personnel/statistics & numerical data ; Attitude of Health Personnel
مستخلص: Background: Conflicts with patients and relatives occur frequently in intensive care units (ICUs), driven by factors that are intensified by critical illness and its treatments. A majority of ICU healthcare professionals have experienced verbal and/or physical violence. There is a need to understand how healthcare professionals in ICUs experience and manage this workplace violence.
Methods: A qualitative descriptive analysis of four hospitals in Sweden was conducted using semi-structured focus-group interviews with ICU healthcare professionals.
Results: A total of 34 participants (14 nurses, 6 physicians and 14 other staff) were interviewed across the four hospitals. The overarching theme: "The paradox of violence in healthcare" illustrated a normalisation of violence in ICU care and indicated a complex association between healthcare professionals regarding violence as an integral aspect of caregiving, while simultaneously identifying themselves as victims of this violence. The healthcare professionals described being poorly prepared and lacking appropriate tools to manage violent situations. The management of violence was therefore mostly based on self-taught skills.
Conclusions: This study contributes to understanding the normalisation of violence in ICU care and gives a possible explanation for its origins. The paradox involves a multifaceted approach that acknowledges and confronts the structural and cultural dimensions of violence in healthcare. Such an approach will lay the foundations for a more sustainable healthcare system.
(© 2024. The Author(s).)
References: Clin Med (Lond). 2011 Dec;11(6):601-4. (PMID: 22268319)
Int J Ment Health Nurs. 2022 Jun;31(3):450-468. (PMID: 34773361)
Crit Care Resusc. 2023 Jun 30;25(2):65-70. (PMID: 37876598)
Ont Health Technol Assess Ser. 2017 Mar 1;17(3):1-23. (PMID: 28326148)
J Nurs Res. 2023 Aug 01;31(4):e284. (PMID: 37252848)
West J Nurs Res. 2024 Mar;46(3):248-255. (PMID: 38229584)
Crit Care. 2024 Feb 26;28(1):61. (PMID: 38409034)
Res Nurs Health. 2010 Feb;33(1):77-84. (PMID: 20014004)
Asian Nurs Res (Korean Soc Nurs Sci). 2018 Mar 10;:. (PMID: 29535021)
Front Public Health. 2020 Sep 18;8:570459. (PMID: 33072706)
Ann Intern Med. 2012 Mar 6;156(5):360-6. (PMID: 22393131)
J Adv Nurs. 2008 Apr;62(1):107-15. (PMID: 18352969)
Environ Sci Pollut Res Int. 2023 Jun;30(30):74838-74852. (PMID: 37209334)
Crit Care Resusc. 2023 Oct 18;24(3):272-279. (PMID: 38046215)
Crit Care Med. 2020 Sep;48(9):1349-1357. (PMID: 32618689)
Occup Environ Med. 2019 Dec;76(12):927-937. (PMID: 31611310)
Nurse Educ Today. 2018 Sep;68:134-140. (PMID: 29908409)
JAMA. 2016 May 17;315(19):2086-94. (PMID: 27187301)
Crit Care Med. 2024 Jul 1;52(7):1113-1126. (PMID: 38236075)
Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
Nurs Res Pract. 2020 May 28;2020:1854387. (PMID: 32550024)
Front Psychol. 2022 May 30;13:896156. (PMID: 35712196)
Nurs Crit Care. 2014 Jul;19(4):166-74. (PMID: 24750204)
Int J Environ Res Public Health. 2021 May 29;18(11):. (PMID: 34072551)
N Engl J Med. 2016 Apr 28;374(17):1661-9. (PMID: 27119238)
Aust Crit Care. 2023 Jan;36(1):77-83. (PMID: 35428553)
Am J Emerg Med. 2023 May;67:1-4. (PMID: 36758267)
J Nurs Manag. 2022 Sep;30(6):1852-1860. (PMID: 35767371)
معلومات مُعتمدة: 200017 AFA Försäkring
فهرسة مساهمة: Keywords: Aggression; Critical care; Focus groups; Healthcare; Hospital; Professionals; Staff-patient relations; Workers; Workplace violence
تواريخ الأحداث: Date Created: 20240711 Date Completed: 20240712 Latest Revision: 20240714
رمز التحديث: 20240714
مُعرف محوري في PubMed: PMC11241930
DOI: 10.1186/s13054-024-05028-5
PMID: 38992709
قاعدة البيانات: MEDLINE
الوصف
تدمد:1466-609X
DOI:10.1186/s13054-024-05028-5