Exposure of nurses to violence in Unified emergency hospital admission and Emergency medicine institute

Definicija mobinga glasi: „Psihološki teror ili mobing na radnom mjestu uključuje neprijateljsku i neetičnu komunikaciju, koja je na sustavan način usmjerena od jednoga ili više pojedinaca, uglavnom, jednom pojedincu, koji je zbog mobinga gurnut u bespomoćan položaj, bez mogućnosti obrane, te držan u njoj pomoću stalnih mobilizirajućih aktivnosti. Te aktivnosti odvijaju se s visokom učestalošću i u duljem razdoblju. Zbog visoke učestalosti i dugog trajanja neprijateljskog ponašanja, to dovodi do značajne mentalne, psihosomatske i socijalne patnje“. Mobing kao oblik nasilja na radnom mjestu Leymann ga je podijelio na 45 oblika u kojima se on može pojaviti. Prema načinu nasilje dijelimo na: fizičko, verbalno, psihičko i seksualno. Medicinske sestre i tehničari na radnom mjestu izloženi su nasilju od strane pacijenata, njihovih obitelji ili skrbnika, pratnje i suradnika bez obzira na profesiju. Mobing može imati različitih posljedica na psihofiziološku ravnotežu, socijalno – emotivnu ravnotežu, ponašanje i na samu radnu organizaciju. Potrebno je provoditi prevenciju na tri razine: primarnoj, sekundarnoj i tercijarnoj. Svrha ovoga rada bila je ispitati koliko su i na koji način medicinske sestre/tehničari izloženi nasilju na Odjelima hitnog bolničkog prijama i Zavodima za hitnu medicinu. Također cilj je bio saznati da li je nasilje imalo posljedica na njihov rad i osjećaju li se medicinske sestre/tehničari sigurno na svom radnom mjestu. Ustanove koje su bile uključene u istraživanje su: Županijska bolnica Čakovec na OHBP-u, Opća bolnica Koprivnica na OHBP-u, Zavod za hitnu medicinu Koprivničko-križevačke županije, Zavod za hitnu medicinu Varaždinske županije i Zavod za hitnu medicinu Međimurske županije. Dobiveni rezultati su uspoređeni sa drugim istraživanjima iz Hrvatske i svijeta. Uspoređeni su i rezultati istraživanja Hrvatske komore medicinskih sestara iz kojeg su prethodno preuzeta pitanja. Gotovo u svim pitanjima oba se istraživanja podudaraju. Istraživanje je pokazalo da su skoro svi ispitanici bili izloženi nekoj vrsti nasilja, a najviše njih bilo je izloženo verbalnom nasilju. Mali je broj onih koji su bili izloženi seksualnom nasilju, no nikako ne zanemariv.The definition of mobbing reads: “Psychological terror or mobbing in the workplace involves hostile and unethical communication, which is systematically directed by one or more individuals, mainly to one individual, who has been pushed to a helpless position without defence and held in it through constant mobilizing activities. These activities take place with high frequency and over a longer period. Due to the high frequency and long duration of hostile behaviour, it leads to significant mental, psychosomatic and social suffering". Mobbing as a form of workplace violence Leymann has divided it into 45 forms in which it can occur. According to the method of violence, we divide into: physical, verbal, psychological and sexual. Nurses and technicians in the workplace are exposed to violence by patients, their families or guardians, companions and associates regardless of profession. Mobbing can have different consequences on psycho-physiological balance, social-emotional balance, behaviour and on the work organization itself. Prevention is required at three levels: primary, secondary and tertiary. The purpose of this paper was to examine how much and to what extent nurses were exposed to violence at the Emergency Admissions Departments and Institutes of Emergency Medicine. The aim was also to find out if the violence had an impact on their work and whether the nurses felt safe in their workplace. The institutions that were involved in the research are: County Hospital Čakovec in Department of Emergency Medicine, County Hospital Koprivnica in Department of Emergency Medicine, Institute of Emergency Medicine Koprivničko-križevačka county, Institute of Emergency Medicine Varaždinska county and Institute of Emergency Medicine Međimurska county. The results obtained were compared with other studies from Croatia and the world. The results of a survey by the Croatian Chamber of Nurses, from which questions were previously taken, were also compared. Almost in every question, both studies are coinciding. Research has shown that almost all respondents were exposed to violence, and most of them were exposed to verbal violence. Very few of those who have been exposed to sexual violence, but by no means negligible