Workplace violence, including violent, intimidating, and disruptive acts, commonly occurs in healthcare settings. Type 2 workplace violence in nursing refers to patient/visitor behaviors directed toward clinicians, contributing to physical and psychological harm. Nurse victims often do not report these events to employers or law enforcement, making it challenging to address workplace violence. Our research examined nurse reactions to Type 2 workplace violence by identifying what behaviors they perceived as aggressive and reportable. Specific aims included: 1) developing and testing video vignettes to portray realistic patient aggression scenarios; 2) identifying nurse understandings of aggressive events that prompt affective reactions, and; 3) examining clinical characteristics related to the nurse victim's likelihood to report. Through a sequential mixed-methods design, we qualitatively developed novel video vignettes portraying Type 2 workplace violence to experimentally examine how nurses interpreted them within a quantitative repeated measures survey. Two expert nurse research panels (n = 10) created five vignettes, from which nurses (n = 282) completed a survey with 1382 unique responses. Analyses included descriptive statistics and repeated measures ANOVA/regression models. Video vignettes realistically portrayed workplace violence events, eliciting negative emotional responses among nurses that increased in magnitude with statistical significance as the level of displayed aggression escalated. Statistically significant factors influencing nurse reporting of workplace violence included; 1) the level of aggression displayed by the patient; 2) the level of harm received by the nurse; 3) whether the nurse felt the patient's actions were intentional, and; 4) the nurse's perceived frequency of exposure to workplace violence. Results suggested that nurse victims of Type 2 workplace violence experience depression, anger, fear, and anxiety, which may contribute to long-term mental health consequences. Findings also identified factors related to nurse reporting behaviors, which may help mitigate workplace violence in healthcare settings by informing research and promoting workplace practices that encourage reporting and safety. Not registered. Nurse reactions to workplace violence: Video vignettes reveal escalating aggression's impact on reporting. #EndNurseAbuse #WorkplaceViolence.

中文翻译：

---

探索护士对患者对护士工作场所暴力的情绪反应和报告：一项混合方法研究


工作场所暴力，包括暴力、恐吓和破坏性行为，通常发生在医疗机构中。护理中的第二类工作场所暴力是指针对临床医生的患者/访客行为，造成身体和心理伤害。护士受害者通常不会向雇主或执法部门报告这些事件，这使得解决工作场所暴力变得具有挑战性。我们的研究通过确定护士认为哪些行为具有攻击性和应报告的行为，调查了护士对 2 类工作场所暴力的反应。具体目标包括：1）开发和测试视频片段以描绘真实的患者攻击场景； 2) 确定护士对引发情感反应的攻击性事件的理解； 3) 检查与受害护士举报可能性相关的临床特征。通过顺序混合方法设计，我们定性地开发了描述 2 型工作场所暴力的新颖视频片段，以实验性地研究护士如何在定量重复测量调查中解释它们。两个专家护士研究小组 (n=10) 创建了 5 个小插图，护士 (n=282) 从中完成了一项调查，得到了 1382 个独特的答复。分析包括描述性统计和重复测量方差分析/回归模型。视频片段真实地描绘了工作场所暴力事件，引起了护士的负面情绪反应，随着表现出的攻击性程度的升级，这种情绪反应的强度具有统计学意义。 影响护士报告工作场所暴力的统计显着因素包括： 1) 患者表现出的攻击性程度； 2) 护士受到的伤害程度； 3) 护士是否认为患者的行为是故意的； 4) 护士感知到的接触工作场所暴力的频率。结果表明，2 类工作场所暴力的护士受害者会经历抑郁、愤怒、恐惧和焦虑，这可能会导致长期的心理健康后果。研究结果还确定了与护士报告行为相关的因素，这可能有助于通过为研究提供信息和促进鼓励报告和安全的工作场所实践来减少医疗机构中的工作场所暴力。未注册。护士对工作场所暴力的反应：视频片段揭示了不断升级的攻击行为对报告的影响。 #EndNurseAbuse #WorkplaceViolence。