Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Bir Eğitim ve Araştırma Hastanesinde Sağlık Çalışanlarına Yönelik Şiddetin Değerlendirilmesi: Kesitsel Bir Çalışma
Evaluation of Violence Against Healthcare Workers in a Training and Research Hospital: A Cross-Sectional Study
Emel BAHADIR YILMAZa, Arzu YÜKSELb, Hüseyin MUTLUc
aGiresun Üniversitesi Sağlık Bilimleri Fakültesi, Psikiyatri Hemşireliği ABD, Giresun, Türkiye
bAksaray Üniversitesi Sağlık Bilimleri Fakültesi, Psikiyatri Hemşireliği ABD, Aksaray, Türkiye
cAksaray Üniversitesi Tıp Fakültesi, Acil Tıp ABD, Aksaray, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2022;19(3):158-64
doi: 10.5336/forensic.2022-89308
Article Language: TR
Full Text
ÖZET
 Amaç: Dünya Sağlık Örgütüne göre sağlık çalışanlarının %8- 38'i kariyerlerinin bir noktasında fiziksel şiddete maruz kalmaktadır. Bu nedenle bu çalışmada, sağlık çalışanlarına yönelik şiddetin, özelliklerinin ve sonuçlarının tanımlanması amaçlanmıştır. Gereç ve Yöntemler: Kesitsel türdeki araştırmanın örneklemini, bir eğitim ve araştırma hastanesinde çalışmakta olan 317 sağlık personeli oluşturmuştur. Veriler, araştırmacılar tarafından hazırlanan anket formu ile toplanmıştır. Verilerin değerlendirilmesinde sayı, yüzde, ortalama ve standart sapma gibi tanımlayıcı istatistikler ile ki-kare analizi kullanılmıştır. Bulgular: Araştırmaya katılan sağlık personelinin yaş ortalaması 33,01±8,07 olup %61,8'i kadın, %63,4'ü evli, %56,4'ü hemşire, %27,8'i doktor ve %56,5'i lisans mezunudur. Sağlık çalışanlarının %58,4'ü şiddete maruz kalmıştır. Şiddete maruz kalanların %57,8'i hemşire, %26,5'i doktor ve %15,7'si acil tıp teknisyenidir. Şiddete maruz kalan sağlık personelinin %41,8'inin çalışma verimi azalmış, %33,2'si mesleği bırakmak istemiş, %30,7'sinin sosyal yaşamı ve ilişkileri bozulmuştur. Şiddet gören ve görmeyen sağlık personeli cinsiyet, medeni durum, meslekte çalışma süresi ve şu an bulundukları kurumda çalışma süresi gibi özellikler açısından farklılık göstermiştir (p<0,05). Sonuç: Sağlık çalışanlarının yarısından fazlasının şiddete maruz kaldığı ve şiddetin en çok sözel şiddet olarak yaşandığı belirlenmiştir. Şiddete uğrayanların yaklaşık yarısı beyaz kod bildiriminde bulunduklarını beyan etmiştir. Sağlık çalışanlarının bildirimde bulunma ve hukuki olarak haklarını arama konusunda desteklenmeleri gerekmektedir. Ayrıca sağlıkta şiddet konusunda hukuki yaptırımların ivedilikle gözden geçirilmesi önemlidir.

Anahtar Kelimeler: Sağlık personeli; şiddet; beyaz kod bildirimi; tükenmişlik
ABSTRACT
 Objective: According to the World Health Organization, 8-38% of healthcare professionals experience physical violence at some point in their careers. Therefore, this study aimed to define violence against healthcare workers, its characteristics and consequences. Material and Methods: The sample of the cross-sectional study consisted of 317 healthcare personnel working in a training and research hospital. The data were collected by a questionnaire form prepared by the researchers. Descriptive statistics such as number, percentage, mean and standard deviation and chi-square analysis were used in the evaluation of the data. Results: The mean age of the health personnel participating in the research was 33.01±8.07; 61.8% were women, 63.4% were married, 56.4% were nurses, 27.8% were doctors, and 56.5% had a bachelor's degree. Of healthcare workers, 58.4% were exposed to violence. Of the victims, 57.8% were nurses, 26.5% were doctors, and 15.7% were emergency medical technicians. The working efficiency of healthcare personnel who were exposed to violence decreased (41.8%), 33.2% wanted to leave the profession, and social life and relationships of 30.7% had deteriorated. There was a significant difference between healthcare personnel who were exposed to violence and those who were not exposed according to characteristics such as gender, marital status, working time in the profession, and working time in the institution, they are currently working in (p<0.05). Conclusion: More than half of the healthcare workers were exposed to violence, and they mainly experienced verbal violence. Nearly half of the victims reported a white code notification. Healthcare professionals should be supported in reporting and seeking their legal rights. In addition, it is essential to review the legal sanctions on violence in health urgently.

Keywords: Healthcare personnel; violence; white code notification; burnout
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