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Violence against Nursing Students during Clinical Practice: Experiences, Perception, Responses and Coping with Violence

임상실습 중 간호대학생에 대한 폭력: 폭력에 대한 경험, 인식, 대응 및 대처

  • Received : 2017.06.12
  • Accepted : 2017.10.13
  • Published : 2017.10.31

Abstract

This study was conducted to evaluate nursing students' experiences with violence, as well as their responses and behaviors subsequent to being subjected to violence. A descriptive survey was conducted and data were collected from April 30 to July 6, 2012. Responses were obtained from the 290 nursing students studying at six universities in four cities using self-administered questionnaires. About 91% of the students were subjected to violence. Verbal violence (85.2%) was the most frequently encountered type of violence, followed by physical threats (74.8%), sexual violence (41.0%), and physical violence (26.2%). Participants were abused by patients or patients' family members, as well as clinical staff, such as nurses and doctors. After the nursing students were exposed to violence, they responded more negatively to psychological aspects than to biophysical or social aspects. Most students did "not react to the person inflicting violence and continued clinical practice" (51.7%), and this response was cited by students as their most frequently used method of coping (79.5%) after violent confrontations. Strategies should be taken to prevent the violence inflicted upon nursing students in clinical settings, and nursing students should be provided with information related to communication and methods to cope with violence during their education.

본 연구는 간호대학생이 임상실습 중 경험하는 폭력, 폭력에 대한 반응과 차후 행동을 알아내기 위함이다. 조사연구가 실시되었고, 자료는 2012년 4월 30일부터 7월 6일까지 수집되었다. 4개 도시의 6개 대학에서 290명의 간호대학생을 대상으로 자기설문방식이 사용되었다. 약 91%의 학생들이 폭력을 당하였다. 언어적 폭력(85.2%)이 가장 빈번하게 맞닥뜨리는 폭력의 종류였고, 신체적 위협(74.8%), 성폭력(41.0%), 신체적 폭력(26.2%)의 순서였다. 참가자들은 환자 또는 환자 가족, 의사 및 간호사와 같은 임상스탭에 의해 학대를 당하였다. 간호대학생은 폭력에 노출된 이후 생리적 또는 사회적인 면보다는 심리적인 면에서 더 부정적으로 반응하였다. 대부분의 학생들의 대처 행동은 "폭력을 가한 사람에게 반응하지 않고, 임상실습을 지속함 (51.7%)"이었고, 이러한 반응은 폭력을 경험한 후의 대처행동에서 가장 빈번하게 사용되었다(79.5%). 간호대학생이 임상 현장에서 경험하는 폭력을 예방할 수 있도록 하는 전략이 수립되어야하며, 학생들은 교육 과정에서 폭력에 대처할 수 있는 의사소통 및 방법과 관련된 정보를 제공 받을 수 있어야 한다.

Keywords

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