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Effects of Hospital-Based Violence-Prevention and Coping Programs on Nurses' Violence Experience, Violence Responses, Self-Efficacy, and Organizational Commitment

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KMID : 0614820200260050550
¾çÀ¯Á¤ ( Yang Yu-Jeong ) - Jeju Hankook Hospital

±èÁ¤Èñ ( Kim Jeong-Hee ) - Jeju National University College of Nursing

Abstract

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½ÉÀÇ Æø·Â ¿¹¹æ ¹× ´ëóÇÁ·Î±×·¥ÀÌ °£È£»çÀÇ Æø·Â °æÇè ¹× Æø·Â ¹ÝÀÀ, ÀÚ±âÈ¿´É°¨°ú Á¶Á÷¸ôÀÔ¿¡ ¹ÌÄ¡´Â ¿µÇâÀ» Ž±¸ÇÏ´Â °ÍÀÌ´Ù. ¹æ¹ý: ºñµ¿µî¼º ´ëÁ¶±º ÀüÈļ³°è ¿¬±¸ÀÌ´Ù. ´ë»óÀÚ´Â ÀÏ°³ ½Ã ¼ÒÀç µÎ °÷ÀÇ Á¾ÇÕº´¿ø ±Ù¹« °£È£»ç 27¸íÀº ½ÇÇ豺¿¡, 26¸íÀº ´ëÁ¶±º¿¡ ¹èÁ¤ÇÏ¿´´Ù. ½ÇÇ豺ÀÇ °æ¿ì, º´¿ø Áß½ÉÀÇ Æø·Â ¿¹¹æ ¹× ´ëóÇÁ·Î±×·¥À» ÀÏÁÖÀÏ¿¡ 1ȸ 50-60 ºÐ¾¿ ÃÑ 6ȸ±â¸¦ 6ÁÖ°£ Àû¿ëÇÏ¿´À¸¸ç, ´ëÁ¶±ºÀº ´ë±â±ºÀ¸·Î ÇÏ¿´´Ù.

°á°ú: ÀÚ±âÈ¿´É°¨°ú Á¶Á÷¸ôÀÔÀº ÃøÁ¤ ½Ã±â¿¡¼­ À¯ÀÇÇÑ Â÷ÀÌ°¡ ÀÖ¾ú´Ù. ÀÌ·¯ÇÑ °á°ú´Â ÇÁ·Î±×·¥ÀÇ È¿°ú°¡ 4ÁÖ ÃßÈÄ ±â°£µ¿¾È À¯ÁöµÊÀ» ÀǹÌÇÑ´Ù. ¶ÇÇÑ Á¤¼­Àû Æø·Â¹ÝÀÀÀº ÁßÀç Á¾·á 4ÁÖÈÄ ½ÇÇ豺¿¡¼­ À¯ÀÇÇÏ°Ô °¨¼ÒµÇ¾ú´Ù.

°á·Ð: °³¹ßµÈ º´¿ø Áß½ÉÀÇ Æø¿¹¹æ ¹× ´ëóÇÁ·Î±×·¥Àº Á¤¼­Àû Æø·Â ¹ÝÀÀÀ» ¿¹¹æÇÏ°í °¨¼ÒÇϸç ÀÚ±âÈ¿´É°¨ ¹× Á¶Á÷¸ôÀÔÀ» Çâ»ó½Ãų ¼ö ÀÖ´Â È¿°úÀûÀÎ Àü·«ÀÌ µÉ ¼ö ÀÖ´Ù. µû¶ó¼­ °£È£»çÀÇ Æø·ÂÀ» ¿¹¹æÇÏ°í È¿°úÀûÀ¸·Î ´ëóÇϱâ À§ÇÏ¿© ÇÁ·Î±×·¥À» Àû±ØÀûÀ¸·Î Àû¿ëÇÒ °ÍÀ» Á¦¾ÈÇÑ´Ù.

Purpose: The purpose of this study was to examine the effects of hospital-based violence-prevention and coping program on nurses¡¯ violence experience and responses, self-efficacy, and organizational commitment.

Methods: A non-equivalent control group with pre-post-test design was used. Participants were assigned to the experimental (n=27) or a control group (n=26) in 2 general hospitals of one city. For the experimental group, the hospital-based violence-prevention and coping programs were provided once a week for 50-60 minutes across 6 weeks (6 sessions), whereas the control group was the waiting group.

Results: There were significant differences in self efficacy and organizational commitment at the measured time periods. These results suggest that the effects of the program were persistent until the 4 weeks follow-up. In addition, level of emotional violence responses significantly decreased in the experimental group after 4 weeks in the period following the intervention program.

Conclusion: The hospital-based violence prevention and coping program developed can be an effective strategy for preventing and reducing emotional violence responses and improving self efficacy and organizational commitment. Therefore, it is recommended that the program be actively used with clinical nurses to prevent violence and to increase effective coping.
KeyWords
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Workplace violence, Nurses, Prevention, Self efficacy, Organizational commitment
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