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Tougher laws, too few prosecutions? A mixed methods study of nurses’ experiences regarding the reporting of occupational violence to the police 更严厉的法律，太少的起诉?护士向警方报告职业暴力经验的混合方法研究

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.003

C.J. Cabilan , Chantelle Judge , Rachael Field , Rob Eley , Amy N.B. Johnston

Problem

Assaults on nurses by patients are common. To deter occupational violence against nurses, assaults attract penalties of longer imprisonment in many jurisdictions (domestically and internationally). However, the deterrent value of harsher penalties has been questioned when many assaults are underreported.

Aim

To identify the barriers and enablers to the reporting and prosecution of assaults experienced by nurses.

Methods

In this study participants were recruited using a snowballing technique through health workforce emails, social media channels, and professional organisations. The investigator-developed survey prompted for categorical and open-ended responses. Descriptive and qualitative content analyses were used to analyse the study data.

Findings

Of the N = 275 respondents, n = 237 nurses had been assaulted at work. Assaulted nurses were typically female, over 31 years old, had more than five years of nursing experience, and worked in an emergency department. Overwhelmingly, nurses indicated receiving poor support when they wanted to report an assault to the police. Dominant themes (N = 6) identified systemic barriers that hinder criminal reporting, which was found to be a consequence of organisational and policing lapses, and self-limiting nursing culture.

Discussion

This study identified several barriers for nurses to report and prosecute assaultive patients in Australia. The barriers point to a strong imperative for organisations that employ nurses and police to fulfil their responsibilities to enable and support assaulted nurses to prosecute.

Conclusion

The study findings led to important recommendations for organisations and police to support, encourage, and empower nurses to prosecute assaultive patients, and ultimately deter violence.

病人袭击护士的问题很常见。为了阻止针对护士的职业暴力，在许多司法管辖区（国内和国际），袭击行为会被判处更长的监禁。然而，当许多袭击事件被少报时，更严厉惩罚的威慑价值受到了质疑。目的确定护士遭受袭击事件报告和起诉的障碍和促成因素。方法在这项研究中，参与者是通过卫生工作者的电子邮件、社交媒体渠道和专业组织使用滚雪球技术招募的。研究者开发的调查提示了分类和开放式回答。使用描述性和定性内容分析来分析研究数据。调查结果在275名受访者中，237名护士曾在工作中遭到袭击。被袭击的护士通常是女性，年龄超过31岁，有五年以上的护理经验，在急诊科工作。绝大多数护士表示，当他们想向警方报案时，得到的支持很差。主导主题（N=6）确定了阻碍刑事报告的系统性障碍，这被发现是组织和警务失误以及自我限制的护理文化的结果。讨论这项研究确定了澳大利亚护士报告和起诉袭击患者的几个障碍。这些障碍表明，雇佣护士和警察的组织必须履行职责，使被袭击的护士能够起诉并得到支持。结论研究结果为组织和警察提供了重要建议，以支持、鼓励和授权护士起诉袭击患者，并最终阻止暴力行为。

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A survey of Australian midwifery intravenous fluid management during induction of labour 澳大利亚助产士在引产期间静脉输液管理的调查

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.07.003

Darren J. Lowen , Nicole Carlon , Russell Hodgson

Background

Guidelines are in place for obstetric indications that warrant an induction of labour as detailed by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists and Safer Care Victoria. However, no such guidelines or policies exist for the management of fluids during labour.

Aim

To determine if there is variability within Australia, as it pertains to the management of intravenous fluids, during induction of labour, as captured by Australian midwives’ responses to an electronic survey.