Identifying aggression of hospitalized patients towards nurses by means of measuring tools

Zuzana Kadlčková, Martina Tomagová
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Abstract

Abstract Aim. To identify and compare research results aimed at determining the incidence of aggression of hospitalized patients towards nurses using Violence and Aggression of Patients Scale (VAPS) and the Perceptions of Prevalence of Aggression Scale (POPAS) measuring tools. Material and methods. The sample consisted of 1012 nurses from selected healthcare settings in the Czech Republic. Data was collected from June to November 2018. Identification of the occurrence of aggression of hospitalized patients towards nurses was performed using two measuring tools: POPAS and VAPS. Both tools describe specific forms of aggressive behaviour. Results. We identified a very high incidence of aggression of hospitalized patients towards nurses. As much as 97% of respondents encountered various manifestations and forms of aggression from patients, 61.96% of respondents encountered physical aggression (spitting, biting, scratching, pinching), and 76.4% experienced verbal aggression. A significant difference was identified between results obtained with POPAS and VAPS. Conclusions. With the use of two reliable measuring tools, we identified different experiences with aggression of hospitalized patients towards nurses in the same set of respondents, which points to the issue of comparing results of the incidence patient aggression towards nurses identified by different measuring tools.
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利用测量工具识别住院病人对护士的攻击行为
抽象的目的。使用患者暴力与攻击量表(VAPS)和攻击流行感知量表(POPAS)测量工具,确定住院患者对护士攻击发生率的研究结果并进行比较。材料和方法。样本包括来自捷克共和国选定医疗机构的1012名护士。数据收集于2018年6月至11月。采用POPAS和VAPS两种测量工具来识别住院患者对护士的攻击行为。这两种工具都描述了特定形式的攻击行为。结果。我们发现住院病人对护士的攻击发生率非常高。多达97%的受访者遭受过患者的各种表现和形式的攻击,61.96%的受访者遭受过身体攻击(吐痰、咬、抓、掐),76.4%的受访者遭受过言语攻击。用POPAS和VAPS获得的结果有显著差异。结论。通过使用两种可靠的测量工具,我们确定了同一组受访者中住院患者对护士的攻击的不同经历,这指出了比较不同测量工具确定的患者对护士的攻击发生率结果的问题。
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