Background

The aim of this study was to investigate staff's experiences with violation and humiliation during work in mental health care (MHC). A total of 1160 multi-professional MHC staff in Norway responded to an online questionnaire about their experiences with different kinds of violation and humiliation in the MHC setting. In addition, a sample of professionals (eight MHC nurses) were recruited for in-depth individual interviews.

Method

The study used an explorative mixed method with a convergent parallel design; this included a web-based questionnaire to MHC staff in combination with individual interviews. The sample is considered to be equivalent to staff groups in MHC in Norway.

Results

Between 70 and 80% of the staff reported experiencing rejection, being treated with disrespect, condescending behaviour or verbal harassment. Male workers were significantly more often victims of serious physical violence, and women were significantly more often targets for sexual harassment. In interviews, participants said they considered being exposed to violence and humiliation to be part of the job when working in MHC, and that experience, as well as social support from colleagues, helped MHC practitioners to cope better with violent situations and feel less humiliated at work.

Discussion

A high amount of MHC staff report experiences of being violated and humiliated during work. The participants' perceptions of the users and their behaviour seem to influence their experience of feeling violated and humiliated. Knowledge about the dynamics of aggression between staff and users in MHC may be used in safeguarding staff and users, prevent coercion and heighten the quality of care.

中文翻译：

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“随地而异”-员工在精神保健方面遭受侵犯和屈辱的经历-混合方法研究。

背景

这项研究的目的是调查员工在精神卫生保健（MHC）工作期间遭受侵犯和侮辱的经历。挪威共有1160名多职业MHC工作人员回答了一份在线调查表，内容涉及他们在MHC环境中经历的各种侵权和屈辱经历。此外，还招募了专业人员（八名MHC护士）进行深入的个人访谈。

方法

该研究采用了探索性混合方法和收敛并行设计。其中包括针对MHC工作人员的基于网络的问卷调查，以及个人访谈。该样本被认为等同于挪威MHC的工作人员。

结果

70％至80％的员工表示遭到拒绝，受到不尊重，低调的举止或言语骚扰。男性工人经常是严重身体暴力的受害者，而女性则经常是性骚扰的目标。参加者在访谈中说，他们认为在MHC工作时要承受暴力和屈辱是工作的一部分，这种经验以及同事的社会支持帮助MHC从业人员更好地应对暴力情况，并减少了羞辱工作。

讨论区

大量的MHC工作人员报告在工作中遭到侵犯和侮辱的经历。参与者对用户及其行为的感知似乎会影响他们遭受侵犯和羞辱的经历。有关MHC中员工与用户之间侵略动态的知识可用于保护员工和用户，防止强迫并提高护理质量。