：研究意义：了解南华医院护理人员遭受工作场所暴力现状， 并对其影响因素进行分析，为健全关于工作场所暴力防范与处理的管 理策略与制度，极大地让护理人员在暴力事件中进行自我保护，改善 护士的就业环境，降低促进工作场所心理暴力发生率，促进其身心健 康，从而提高护理质量和护理队伍稳定发展，提供参考依据。 研究内容：研究者于2019年1-7月采用便利抽样法抽取衡阳市 南华医院纳入标准的150名护士作为研究对象，采用自制医院护理人 员遭受工作场所暴力情况调查表及一般资料问卷对其进行调查，调查 的内容涵盖了护理人员的个人基本信息（人员性别、所属的年龄段、 取得的最高学历、是否具有执业护士资格、至今为止在医院的工作年 限、获得的职称等级，以及该人员进行过工作场所暴力防范与处理的 相关培训次数）、医院护理人员遭受工作场所暴力的情况、医院护理 人员遭受工作场所暴力的处理方式以及发生暴力事件后医院采取的 措施（对该暴力事件的调查情况，对遭受工作场所暴力的护理人员的 安抚与心理指导情况，以及遭受工作场所暴力攻击的护理人员对医院 最终处理结果的满意程度，医院对工作场所暴力的防范与处理的管理 制度等）进行调查，全面了解南华医院护理人员遭受工作场所暴力的 现状与影响因素。 结论：衡阳市南华医院护理人员遭受工作场所暴力的发生率较高， 医院及相关管理部门应引起重视。单因素与多因素Logistic回归分 析发现衡阳市南华医院护理人员遭受工作场所暴力影响因素与医护 II 人员（年龄、学历、工作年限、防护意识、沟通能力）、环境（布局 不合理、标识不清）及其他（工作流程不合理、科室间配合不协调） 等有关。调查还发现衡阳市南华医院护理人员工作场所心理暴力事件 发生后，得不到应有的重视，会出现疲乏、抑郁、失眠、工作积极性 降低、产生职业倦怠等，甚至有自杀倾向，这样不仅不能为患者医疗 服务得到保障，还非常不利于护理队伍的建设与发展。故医院领导应 重视，并根据影响护士遭受工作场所暴力的因素来制定预防措施；加 强护理人员培训，强化护理人员防护意识，提高其沟通水平；为护 理人员提供支持系统，重视护士心理健康，开设暴力事件后心理咨询 室；制定出规避护士遭遇工作场所暴力高风险的管理制度与流程，与 相关科室商议交接流程；健全关于遭受工作场所暴力防范与处理的管 理制度将极大地让护理人员在暴力事件中进行自我保护。 关键词：南华医院；护理人员；工作场所；暴力事件；管理研究 III STUDYONMANAGEMENTOFWORKPLACE VIOLENCEOFNURSINGSTAFFINNANHUA HOSPITALOFHENGYANGCITY LiZhang(MBA) DirectedbyXuefengYang Abstract:Significanceofthestudy:Tounderstandthepresentsituation ofworkplaceviolencesufferedbynursingstaffinSouthChinaHospital, andtoanalyzeitsinfluencingfactors,inordertoimprovethe managementstrategyandsystemonthepreventionandtreatmentof workplaceviolence,togreatlyenablenursestoprotectthemselvesin violenceincidents,toimprovetheemploymentenvironmentofnurses,to reducetheincidenceofpsychologicalviolenceintheworkplace,to promotetheirphysicalandmentalhealth,soastoimprovethequalityof nursingandthestabledevelopmentofnursingstaff.Providereference basis. Thecontentsofthestudywereasfollows:InJanuaryto July,2019,150nursesfromtheSouthChinaHospitalofHengyangCity weretakenintothestandardbymeansofaconvenientsamplingmethod, andaself-madehospitalnursingstaffwasusedtoinvestigatethe situationofworkplaceviolenceandthegeneralinformationquestionnaire. Thecontentofthesurveycoversthepersonalbasicinformationofthe nursingstaff(theperson'ssex,theagegrouptowhichitbelongs,the IV highesteducationdegreeobtained,thequalificationofthelicensednurse, theworkinglifeofthehospitalsofar,thegradeoftheprofessionaltitle obtained,andthenumberoftrainingtimesthatthepersonhasconducted forthepreventionandtreatmentofviolenceintheworkplace(thenumber ofrelatedtrainings),andthehospitalnursingstaffaresubjectedtowork Thesituationofviolenceintheworkplace,themannerinwhichhospital nursesaresubjectedtoviolenceintheworkplaceandthemeasurestaken bythehospitalintheaftermathoftheviolence(investigationofthe violence,comfortandpsychologicalguidancetocaregiverswhohave beensubjectedtoviolenceintheworkplace,andsatisfactionofnurses whohavebeenattackedbyviolenceintheworkplacewiththefinal outcomeofthehospital,Thehospitalinvestigatedthemanagement systemofpreventionandtreatmentofworkplaceviolence,and comprehensivelyunderstoodthepresentsituationandinfluencingfactors ofworkplaceviolencesufferedbynursingstaffinSouthChinaHospital. Conclusion:Theincidenceofworkplaceviolenceamongnursing staffinNanyangNanhuaHospitalisrelativelyhigh,andhospitalsand relevantmanagementdepartmentsshouldpayattentiontoit.Univariate andmultivariatelogisticregressionanalysisfoundthattheinfluencing factorsofnursingstaffsufferingfromworkplaceviolenceinNanhua HospitalofHengyangCitywererelatedtomedicalstaff(age,education, workingyears,protectiveconsciousness,communicationability), V environment(unreasonablelayout,unclearmarking)andother (unreasonableworkflow,uncoordinatedcooperationbetween departments)andsoon.Theinvestigationalsofoundthatafter psychologicalviolenceoccurredintheworkplace,nursingstaffin NanhuaHospital.Insomnia,reducedenthusiasmforwork,jobburnout andsoon,andevensuicidaltendency,whichcannotonlynotbe guaranteedforpatients'medicalservice,butalsoisnotconducivetothe constructionanddevelopmentofnursingteam.Therefore,hospital leadersshouldattachimportancetoandformulatepreventivemeasures accordingtothefactorsthataffectnursessufferingfromworkplace violence,strengthennursingstafftraining,strengthennursingstaff protectionawarenessandimprovetheircommunicationlevel,provide supportsystemfornurses,attachimportancetonurses'mentalhealth,and setuppsychologicalcounselingroomsafterviolentincidents.Develop themanagementsystemandprocesstoavoidthehighriskofworkplace violencefornurses,anddiscussthehandoverprocesswiththerelevant departments.Asoundmanagementsystemforthepreventionand managementofviolenceintheworkplacewillgreatlyenablenursesto protectthemselvesincasesofviolence. Keywords:NanhuaHospital;nursingstaff;workplace;violence; managementresearch 目录 摘要..............................................................................................................I Abstract....................................................................................................Ⅲ 第一章绪论................................................................................................1 1.1研究背景.........................................................................................1 1.2研究目的.........................................................................................2 1.3研究意义.........................................................................................2 1.3.1理论意义.............................................................................2 1.3.2现实意义.............................................................................2 1.4国内外研究进展.............................................................................3 1.4.1国外研究现状分析.............................................................3 1.4.2国内研究现状分析.............................................................4 1.4.3文献评述.............................................................................6 1.5研究内容.........................................................................................7 1.6研究思路与方法.............................................................................9 1.6.1研究思路.............................................................................9 1.6.2调查内容.............................................................................9 1.6.3研究方法...........................................................................10 第二章相关理论基础研究.....................................................................13 2.1暴力相关的基本概念...................................................................13 2.2暴力产生的相关理论...................................................................14 2.2.1生物暴力理论(biologicaltheoryofviolence)..14 2.2.2社会学习理论(sociallearningtheory)..............14 2.2.3挫折-攻击理论(frustration-aggressiontheory)14 第三章衡阳市南华医院护理人员遭受暴力现状调查.........................17 3.1南华医院概况...............................................................................17 3.1.1医院简介...........................................................................17 3.1.2医院护理人员情况..