EXPOSURE TO VIOLENCE OF NURSES IN TURKEY: A META-ANALYSIS RESEARCH

Yıl 2020, Cilt: 6 Sayı: 1, 127 - 138, 30.04.2020

Arzu Yiğit

Öz

Violence against nurses is one of the most important problems in health care institutions. Among healthcare workers, nurses are the most exposed to verbal and physical violence. This study aimed to determine the level of exposure of nurses to physical and verbal violence in Turkey. The research data obtained by a systematic review method and quality evaluation were made. The level of exposure of nurses to physical and verbal violence was determined by the meta-analysis method. In meta-analysis, random effects model was chosen and event rate statistics were used in the effect type. Heterogeneity between the studies was evaluated using I2 test. To determine publication bias, the funnel graph, Egger's linear regression, and Begg and Mazumdar sequence correlation tests were conducted. According to the findings obtained from meta-analysis, the nurses' exposure to physical violence score was 0.19 (CI; 0.12-0.28; p <0.05), and verbal violence exposure score was 0.79 (CI; 0.71-0.85; p <0.05) and it was determined that there was no publication bias in the research. It was determined that the level of exposure of nurses to verbal violence is higher than physical violence. Hospital management should take measures to prevent nurses from being exposed to physical and verbal violence and necessary sanctions should be applied within the framework of legislation for those who commit violence.

Anahtar Kelimeler

Workplace Violence, Nurse, Meta-Analysis, Hospital

TÜRKİYE'DE HEMŞİRE ŞİDDETİNE MARUZ KALMA: META ANALİZİ ARAŞTIRMASI

Öz

Hemşirelere karşı şiddet, sağlık kurumlarındaki en önemli sorunlardan biridir. Sağlık çalışanları arasında hemşireler sözel ve fiziksel şiddete en fazla maruz kalanlardır. Bu çalışmada Türkiye'deki hemşirelerin fiziksel ve sözel şiddete maruz kalma düzeylerinin belirlenmesi amaçlanmıştır. Sistematik bir inceleme yöntemi ve kalite değerlendirmesi ile elde edilen araştırma verileri yapılmıştır. Hemşirelerin fiziksel ve sözlü şiddete maruz kalma düzeyi meta-analiz yöntemi ile belirlenmiştir. Meta-analizde rastgele etki modeli seçilmiş ve etki türünde olay oranı istatistikleri kullanılmıştır. Çalışmalar arasındaki heterojenite I2 testi kullanılarak değerlendirildi. Yayın yanlılığını belirlemek için huni grafiği, Egger'in lineer regresyonu ve Begg ve Mazumdar dizi korelasyon testleri yapıldı. Meta-analizden elde edilen bulgulara göre hemşirelerin fiziksel şiddete maruz kalma skoru 0,19 (CI; 0,12-0,28; p <0,05) ve sözel şiddet maruziyet skoru 0,79 (CI; 0,71-0,85; p <0,05) araştırmada yayın yanlılığının olmadığı tespit edilmiştir. Hemşirelerin sözlü şiddete maruz kalma düzeyinin fiziksel şiddetten daha yüksek olduğu belirlenmiştir. Hastane yönetimi hemşirelerin fiziksel ve sözlü şiddete maruz kalmasını önlemek için önlemler almalı ve şiddet uygulayanlar için mevzuat çerçevesinde gerekli yaptırımlar uygulanmalıdır.

Anahtar Kelimeler

İşyerinde Şiddet, Hemşire, Meta-Analiz, Hastane

Kaynakça

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