实习护生工作场所暴力应对资源现状及影响因素分析
Analysis of the Current Situation and Influencing Factors of Workplace Violence Response Resources for Intern Nursing Students
DOI: 10.12677/ns.2026.156199, PDF,    科研立项经费支持
作者: 李 慧, 姬 倞*：湖州学院生命健康学院(体育部)，浙江 湖州
关键词: 实习护生；工作场所；暴力；应对资源；影响因素；Intern Nursing Students； Workplace； Violence； Coping Resources； Influencing Factors
摘要: 目的：探讨实习护生工作场所暴力应对资源现状，并分析影响因素，为制定管理措施，提升实习护生工作场所暴力的应对能力提供参考依据。方法：采用便利抽样法，于2025年7月~12月抽取浙江省杭州市多家综合性三甲医院的264名实习护生作为研究对象。通过一般情况调查表、工作场所暴力应对资源量表进行调查。结果：本研究回收有效问卷253份，有效回收率95.83%。实习护生工作场所暴力应对资源总得分(77.78 ± 18.13)，知晓能力维度(23.77 ± 7.18)分，预见能力维度(18.36 ± 6.27)分，应对能力维度(27.86 ± 7.67)分，组织支持维度(7.79 ± 2.88)分。多元线性回归分析显示，性别、家人/带教老师的关心程度、工作沟通能力是实习护生工作场所暴力应对资源的影响因素(P < 0.05)。结论：实习护生工作场所暴力应对资源处较高水平，但在“预见能力”与“组织支持”两个维度上仍有提升空间。建议学校和教学医院应制定针对性干预措施，全面提升实习护生应对工作场所暴力的综合资源水平。
Abstract: Objective: To investigate the current status of workplace violence coping resources among practice nursing students and analyze the influencing factors, in order to provide a reference basis for formulating management measures and enhancing the coping ability of nursing students in workplace violence. Methods: Using the convenience sampling method, 264 nursing students in comprehensive tertiary hospitals in Hangzhou, Zhejiang Province from July to December 2025 were selected as the research subjects. The general situation questionnaire and workplace violence coping resource scale were used for investigation. Results: A total of 253 valid questionnaires were recovered, with an effective recovery rate of 95.83%. The total score of workplace violence coping resources for nursing students (77.78 ± 18.13), the score of the awareness dimension (23.77 ± 7.18), the score of the anticipation dimension (18.36 ± 6.27), the score of the coping ability dimension (27.86 ± 7.67), and the score of the organizational support dimension (7.79 ± 2.88) were obtained. Multivariate linear regression analysis showed that gender, the degree of concern from family and instructors, and communication ability at work were the influencing factors of workplace violence coping resources for nursing students (P < 0.05). Conclusion: The workplace violence coping resources of nursing students are at a relatively high level, but there is still room for improvement in the “anticipation ability” and “organizational support” dimensions. It is recommended that schools and teaching hospitals should formulate targeted intervention measures to comprehensively enhance the overall resources level of nursing students in coping with workplace violence.
文章引用：李慧, 姬倞. 实习护生工作场所暴力应对资源现状及影响因素分析[J]. 护理学, 2026, 15(6): 241-251. https://doi.org/10.12677/ns.2026.156199

参考文献

[1] Krug, E.G., Mercy, J.A., Dahlberg, L.L. and Zwi, A.B. (2002) The World Report on Violence and Health. The Lancet, 360, 1083-1088. [Google Scholar] [CrossRef] [PubMed]
[2] 刘倩, 侯尚妍, 陈茂君. 神经外科护士工作场所暴力与专业自我概念水平及相关性分析[J]. 护理研究, 2021, 35(12): 2116-2120.
[3] Shaikh, S., Baig, L.A., Hashmi, I., Khan, M., Jamali, S., Khan, M.N., et al. (2020) The Magnitude and Determinants of Violence against Healthcare Workers in Pakistan. BMJ Global Health, 5, e002112. [Google Scholar] [CrossRef] [PubMed]
[4] Kibunja, B.K., Musembi, H.M., Kimani, R.W. and Gatimu, S.M. (2021) Prevalence and Effect of Workplace Violence against Emergency Nurses at a Tertiary Hospital in Kenya: A Cross-Sectional Study. Safety and Health at Work, 12, 249-254. [Google Scholar] [CrossRef] [PubMed]
[5] Mohamed, F.B.M., Cheng, L.J., Chia, X.E.C., Turunen, H. and He, H. (2024) Global Prevalence and Factors Associated with Workplace Violence against Nursing Students: A Systematic Review, Meta-Analysis, and Meta-Regression. Aggression and Violent Behavior, 75, Article ID: 101907. [Google Scholar] [CrossRef] 
[6] 罗琦. 工作场所心理暴力对实习护生职业认同及情绪劳动的影响与对策研究[J]. 卫生职业教育, 2025, 43(3): 80-83.
[7] Rajabi, F., Jahangiri, M., Bagherifard, F., Banaee, S. and Farhadi, P. (2020) Strategies for Controlling Violence against Health Care Workers: Application of Fuzzy Analytical Hierarchy Process and Fuzzy Additive Ratio Assessment. Journal of Nursing Management, 28, 777-786. [Google Scholar] [CrossRef] [PubMed]
[8] Adashi, E.Y., O’Mahony, D.P. and Cohen, I.G. (2025) Workplace Violence in Health Care: An Overdue OSHA Standard in the Making. Journal of Health Care for the Poor and Underserved, 36, 715-719. [Google Scholar] [CrossRef] [PubMed]
[9] 邱意浓, 王佳琳, 曾丽, 等. 遭受工作场所暴力护士创伤后成长现状及影响因素研究[J]. 卫生职业教育, 2023, 41(20): 107-110.
[10] Abdi, H. (2007) Kendall Rank Correlation. In: Salkind, N.J., Ed., Encyclopedia of Measurement and Statistics, Vol. 2, Sage Publications, 508-510.
[11] 王培席. 医务场所暴力调查及理论模型研制[D]: [博士学位论文]. 成都: 四川大学, 2006.
[12] 徐钰珊. 实习护生工作场所暴力、应对资源现状及其影响因素研究[D]: [硕士学位论文]. 沈阳: 中国医科大学, 2021.
[13] Yan, S., Feng, J., Gan, Y., Wang, R., Song, X., Luo, Z., et al. (2023) Prevalence and Predictors of Workplace Violence against Emergency Physicians in China: A Cross-Sectional Study. Human Resources for Health, 21, Article No. 8. [Google Scholar] [CrossRef] [PubMed]
[14] Newman, C.J., de Vries, D.H., d’Arc Kanakuze, J. and Ngendahimana, G. (2011) Workplace Violence and Gender Discrimination in Rwanda’s Health Workforce: Increasing Safety and Gender Equality. Human Resources for Health, 9, Article No. 19. [Google Scholar] [CrossRef] [PubMed]
[15] Hsu, N., Badura, K.L., Newman, D.A. and Speach, M.E.P. (2021) Gender, “Masculinity,” and “Femininity”: A Meta-Analytic Review of Gender Differences in Agency and Communion. Psychological Bulletin, 147, 987-1011. [Google Scholar] [CrossRef] 
[16] Liu, W., Zhao, S., Shi, L., Zhang, Z., Liu, X., Li, L., et al. (2018) Workplace Violence, Job Satisfaction, Burnout, Perceived Organisational Support and Their Effects on Turnover Intention among Chinese Nurses in Tertiary Hospitals: A Cross-Sectional Study. BMJ Open, 8, e019525. [Google Scholar] [CrossRef] [PubMed]
[17] 罗正. 从情感公民到情感共同体的蔓延机理与演化逻辑[D]: [硕士学位论文]. 广州: 广东外语外贸大学, 2024.
[18] Supke, M., Schaubruch, L.M., Cohrdes, C., Kausmann, C., Schäfer, S.K. and Lieb, K. (2025) Current Evidence and Future Directions for Social and Societal Resilience Factors in Response to Societal Challenges and Crises: An Overview of Systematic Reviews and Expert Rating. BMC Public Health, 25, Article No. 3816. [Google Scholar] [CrossRef] 
[19] Peleg, O. and Peleg, M. (2025) Is Resilience the Bridge Connecting Social and Family Factors to Mental Well-Being and Life Satisfaction? Contemporary Family Therapy, 47, 87-101. [Google Scholar] [CrossRef] 
[20] Looman, W.S., Geiger‐Simpson, E., Eull, D.J., Lee, J., Nersesian, P.V., Bell, A.N., et al. (2023) Beyond Coping: The Role of Supportive Relationships and Meaning Making in Youth Well‐Being. Journal of Nursing Scholarship, 55, 1189-1203. [Google Scholar] [CrossRef] [PubMed]
[21] 徐霞, 周珊, 徐铭, 等. 本科实习护生自我效能感与学习动机、带教老师胜任力的相关性研究[J]. 中国高等医学教育, 2024(11): 31-33.
[22] 李金林, 刘葙, 袁小力, 等. 四川绵阳四0四医院实习护生学业支持现状及影响因素[J]. 现代养生, 2024, 24(2): 143-147.
[23] 徐立敏, 钱志刚. 带教教师临床教学行为与隐性知识共享现状及其相关性研究[J]. 现代临床护理, 2022, 21(1): 51-57.
[24] 张顺. AIDET沟通模式在实习护生护患沟通中的应用[D]: [硕士学位论文]. 昆明: 昆明医科大学, 2023.
[25] 张帮峰, 艾宪英, 张苑, 等. 沟通能力在精神科护士情绪智力与遭受工作场所暴力间的中介效应[J]. 全科护理, 2025, 23(10): 1958-1962.
[26] 王雨晴. 护理工作中的人际关系与人际沟通[J]. 公关世界, 2023(6): 46-48.

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