Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Bir Eğitim ve Araştırma Hastanesinde Yaşanan Şiddete İlişkin Beyaz Kod Verilerinin Retrospektif Olarak Değerlendirilmesi: Kesitsel Bir Çalışma
Retrospective Evaluation of White Code Data Regarding Violence Experienced in a Training and Research Hospital: A Cross-Sectional Study
Hüseyin MUTLUa, Emel BAHADIR YILMAZb, Arzu YÜKSELc
aAksaray Üniversitesi Tıp Fakültesi, Acil Tıp ABD, Aksaray, TÜRKİYE
bGiresun Üniversitesi Sağlık Bilimleri Fakültesi, Psikiyatri Hemşireliği ABD, Giresun, TÜRKİYE
cAksaray Üniversitesi Sağlık Bilimleri Fakültesi, Psikiyatri Hemşireliği ABD, Aksaray, TÜRKİYE
Turkiye Klinikleri J Foren Sci Leg Med. 2021;18(3):197-204
doi: 10.5336/forensic.2021-84744
Article Language: TR
Full Text
ÖZET
 Amaç: Son yıllarda sağlık çalışanlarına yönelik şiddet artmıştır. Yaşanan şiddet, sağlık çalışanlarının fiziksel ve psikolojik olarak zarar görmesine yol açmıştır. Bu nedenle bu çalışmada, bir eğitim ve araştırma hastanesinde yaşanan şiddete ilişkin beyaz kod verilerinin retrospektif olarak değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Aksaray Üniversitesi Eğitim ve Araştırma Hastanesinde Ocak 2017-Aralık 2020 tarihleri arasındaki bildirimi yapılan 133 beyaz kod verisi retrospektif olarak incelenmiştir. Bulgular: 2017 yılında 22, 2018 yılında 35, 2019 yılında 46 ve 2020 yılında 30 beyaz kod başvuru yapılmıştır. Şiddet olaylarının %42,9'u polikliniklerde ve %27,1'i acil serviste meydana gelmiştir. Beyaz kod bildiriminde bulunanların %63,2'si hekimdir. Olayların %86,5'i sözel ve %13,5'i fiziksel olarak gerçekleşmiştir. %73,7'sinin hukuki yardım talebi olmuştur. Olayların %59,5'i hasta veya yakınlarının yanlış tutum ve davranışlarından kaynaklanmıştır. Şiddet olaylarının %43,6'sı 08.00-15.59 saatleri arasında ve %69,9'u hafta içinde gerçekleşmiştir. Olguların %15,0'ı mart ve %15,0'ı temmuz aylarında olmuştur. Şiddet uygulayan kişilerin %54,1'i erkek ve %52,6'sı hasta yakınıdır. Sonuç: Sonuç olarak, başvuruların çoğunun hekimler tarafından yapıldığı, sözel şiddetin fiziksel şiddetten fazla olduğu, hasta yakınları tarafından polikliniklerde ve acil serviste meydana geldiği belirlenmiştir. Bu bulgular doğrultusunda, sağlıkta şiddeti önlemek için sağlık bakım sisteminin ve kaynakların iyileştirilmesi, sağlıkta şiddet yasasının çıkarılması, toplumda şiddeti besleyen etkenlerin saptanması ve bireylerin baş etme ve problem çözme becerilerinin güçlendirilmesi gibi multidispliner uygulamalar önerilmiştir.

Anahtar Kelimeler: Sağlık çalışanları; şiddet; iş yeri şiddeti; beyaz kod verileri; şiddetin nedenleri
ABSTRACT
 Objective: Violence against healthcare workers has increased in recent years. The violence experienced caused the health workers to be damaged physically and psychologically. Therefore, in this study, it was aimed to retrospectively evaluate the white code data on violence experienced in a training and research hospital. Material and Methods: One hundred thirsty three white code data reported at Aksaray University Training and Research Hospital between January 2017 and December 2020 were analyzed retrospectively. Results: There were 22 applications for white code in 2017, 35 in 2018, 46 in 2019 and 30 in 2020. 42.9% of violent incidents occurred in outpatient clinics and 27.1% in emergency services. 63.2% of those reporting white code are physicians. 86.5% of the events were verbal and 13.5% were physical. 73.7% of them requested legal aid. 59.5% of the incidents were caused by the wrong attitudes and behaviors of the patients or their relatives. 43.6% of the violent incidents took place between 08.00 and 15.59 hours and 69.9% during the week. 15.0% of the cases occurred in March and 15.0% in July. 54.1% of the perpetrators are men and 52.6% are relatives of the patients. Conclusion: As a result, most of the cases were made by physicians, verbal violence was more than physical violence, and it occurred by the relatives of the patients in polyclinics and emergency services. In line with these findings, to prevent violence in health multidisciplinary practices such as improving the health care system and resources, enacting the law on violence in health, identifying the factors that feed violence in the society, and strengthening the coping and problem-solving skills of individuals have been suggested.

Keywords: Healthcare workers; violence; workplace violence; white code data; reasons of violence
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