• The Korean Journal of Emergency Medical Services
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• v.22 no.2
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• pp.51-65
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• 2018

Purpose: The purpose of this study was to investigate experiences of violence with patients or family members by paramedics working at emergency rooms. Methods: A questionnaire was administered from June 1 to 31, 2017 to 225 paramedics working at 27 emergency medical centers. The collected data were analyzed with SPSS statistics ver 24.0 program. Results: Within the past year, 208(92.9%) of 224 participants experienced violence among whom 202(90.2%) experienced verbal abuse, 193(86.2%) experienced physical threat, 89(39.7%) experienced physical violence, and 52(23.2%) experienced sexual violence. The level of violence response depending on the overlapping experience of violence type showed significant difference from emotional response (p= .001), social response (p= .001), physical response (p= .004), and overall violence response (p= .001). Conclusion: In conclusion, paramedics are frequently exposed to violence in the emergency rooms, of which they mostly experience verbal abuse. In addition, because the reporting system in the event of violence and the coping process are not well-informed, paramedics are unable to sufficiently utilize the reporting system and programs established within the institution. Therefore, the support of the legal system is needed to create a safe working environment for the medical staff who work in the emergency medical centers.

• The Korean Journal of Emergency Medical Services
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• v.26 no.1
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• pp.37-56
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• 2022

Purpose: This study aimed to identify and present suitable recognition types of policy alternative for before and after response, according to the recognition types of problems in response to violence. Methods: This study investigated 36 EMT's of 17 cities and provinces nationwide. The study was approved by the Kongju National University Institute Review Board (KNU_IRB_2021-17). Data were collected from May 1, 2021 to August 30, 2021 and analyzed by Q factor analysis using the PC-QUNAL program. Results: Recognition types of the problem in 119 EMT's response to violence were described as "I type; lack of professional manpower," "II type; inadequate policy on violence," and "III type; lack of awareness on the emergency field." Recognition types of policy alternative on response to violence by 119 EMT's were described as "Itype; training and public relations oriented," "II type; work environment improvement," "III type; violence handling specialization demand," and "IV type; recovery support seeker." Conclusion: This study provides the foundation required to develop and implement the policies regarding the response to violence; therefore, contributing to EMT's provision.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.1
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• pp.103-111
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• 2009

Purpose: The purpose of this study was to identify relationships between violence response, coping, and burnout among emergency department nurses. Method: This descriptive study using self report questionnaires was conducted from October 1 to October 20, 2008. Participants were 147 general nurses working in emergency departments in hospitals having over 500 beds and located in Busan. ANOVA and Pearson's correlation coefficients with SPSS PC+ WIN 14.0. were used to analyze the data. Results: Scores for violence response, coping, and burnout were 3.08 (1-5 scale), 2.57 (1-4 scale), and 3.22 (1-5 scale) respectively. There were significant differences in violence response and burnout by education, clinical careers, clinical careers in ED, and plans to work in the future, and no significant differences in coping by general characteristics. There was a significant and highly positive relationship between violence response and burnout. Conclusion: The degree of violence response and burnout was comparatively high, while that of coping was average. Therefore, it is necessary to develop effective programs related to prevention and coping with violence for nurses in emergency departments. Institutional measures by hospital authorities are also needed to improve the nursing quality by providing a safe workplace.

• Journal of the Korea Safety Management & Science
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• v.24 no.4
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• pp.15-23
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• 2022

This study investigated the effects of job stress, job attitude, and social support on the relationship between client violence and social worker job response. The multi-mediating effect of job stress, job attitude, and social support between client violence and social worker job response was empirically analyzed. 257 social workers in social welfare facilities were analyzed using SPSS. The following conclusions were drawn. First, there was a significant correlation between client violence, job stress, job attitude, social support, and job response variables. Client violence was affecting variables related to social worker job response. Second, job stress, job attitude, and social support had multiple mediating effects. The parallel mediation effect and the serial mediation effect were verified. Third, job attitude was found to be a variable of multiple mediating effects. Fourth, job stress and social support were found to be double mediating effect variables. In response, programs and manuals suitable for the type of social welfare facilities and the policy basis for preparing countermeasures for social workers were limited, and follow-up studies on various variables were suggested.

• Korean Journal of Adult Nursing
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• v.23 no.5
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• pp.494-502
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• 2011

Purpose: This correlation study was designed to examine the relationships among reported violence experience, hardiness, and job satisfaction of nurses in an emergency department and to identify the factors that predict their job satisfaction. Methods: The study was conducted using a convenience sample of one hundred and fifteen nurses from nine hospitals. Data were collected using structured questionnaires including Assault Response Questionnaire (Jung, 2008), Dispositional Resilience Scale-15 (Bartone, 1995) and job satisfaction Questionnaire (Yun, 2004). Data were analyzed by using descriptive statistics, Pearson correlation coefficients, and multiple regression. Results: Hardiness and job satisfaction were statistically significant positive correlation (r=.44, p<.001). Further, there was a negative correlation between response to violence experiences and job satisfaction (r=-.33, p<.001) and between hardiness and response to violence experiences (r=-.41, p<.001). Emotional response and physiological responses of violence experience and hardiness were significant predictors of job satisfaction, and explained 29.6% of the total variance. Conclusion: Previous experiences with violence were an important factor which contribute to lower job satisfaction as reported by emergency department nurses. However it was also noted that hardiness was an important factor that could be used to improve job satisfaction of emergency department nurses.

• Journal of Korean Clinical Nursing Research
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• v.24 no.3
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• pp.303-312
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• 2018

Purpose: The purpose of this study was to identify the relationship between response to violence, resilience and burnout and to investigate the factors that affect burnout in emergency room nurses. Methods: Data from 237 nurses in 15 emergency rooms were collected using a structured questionnaire. Data were analyzed using SPSS 23.0, and the analyses included descriptive statistics, t-test, Mann-Whitney test, ANOVA, Kruskall Wallis test, Pearson correlation, and hierarchical multiple regression. Results: Burnout was positively correlated with response to violence and negatively correlated with resilience in emergency room nurses. Response to violence (${\beta}=.466$, p<.001), resilience (${\beta}=-.308$, p<.001), and religion (${\beta}=-.131$, p=.011) were significant predictors of burnout, and they explained 39.9% of emergency room nurses' burnout. Conclusion: Response to violence and resilience were identified as significant factors affecting burnout in emergency room nurses. Therefore, it is necessary to develop strategies to cope effectively with violence and to develop programs that can strengthen resilience.

• The Korean Journal of Health Service Management
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• v.10 no.1
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• pp.93-104
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• 2016

Objectives : The purpose of this study was to identify the determinants of the long-term influence of violence on hospital nurses. Methods : Three-hundred hospital nurses were recruited in B city, South Korea. They were asked to complete a questionnaire, and 282 data- sets were included in the multiple regression analysis. Results : Subjects experienced more episodes of verbal violence than that of physical threats or physical violence. Assailants tended to be patients and their caretakers rather than internal customers. Nurses who had religion, worked in a surgical ward, and a 3-6 year career perceived a high level of violent experiences compared to their counterparts. The determinants of the long-term influence of violence were physical violence (t=-2.705, p=.007), emotion-focused coping (t=3.049, p=.003), and emotional response (t=3.611, p<.001). The model was statistically significant explaining 13.0% of the variance (F=14.981, p<.001). Conclusions : Nurse managers should help nurses who are victims of hospital violence by teaching them not to depend on emotion-focused coping and by alleviating their emotional response to violence.

• Journal of Convergence for Information Technology
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• v.9 no.8
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• pp.53-62
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• 2019

This study is a descriptive study to investigate the relationship between verbal violence type, emotional response and coping in the operating room nurse. The subjects of the study were 400 nurses working in 20 general hospitals and 372 nurses in the operating room. As a result of the analysis, it was found that the perpetrators of the verbal violence experienced by the subject were physicians, direct supervisors, and more than half of the subjects were considering the transition. The most frequent cases of language violence were when the equipment was inoperable or not used during surgery, There were significant differences in verbal violence experience according to marriage, clinical career, and work style. Language violence emotional response showed significant difference with gender, position and coping, age, academic background, clinical career, and position. There was a significant correlation between experience of verbal violence and emotional response, emotional response and coping. Therefore, the results of this study will contribute to the development of coping strategies and prevention education programs.

• Journal of Korean Clinical Nursing Research
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• v.21 no.1
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• pp.92-104
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• 2015

Purpose: The purpose of this study was to identify the types of violence and coping methods experienced by general hospital nurses. Methods: Data were collected from March 17 to 24, 2014, using self-report questionnaires. Responses from 449 nurses were analyzed. Results: The majority of the respondents experienced violence from patients, visitors, doctors, and other nurses. Verbal violence was more frequent than physical threats and physical violence. Most violence happened in ERs, followed by surgical units, and ICUs. The most frequent response by nurses after violence was an emotional response, especially 'anger' ($4.01{\pm}1.059$). Based on general characteristics, the responses were significant for professional experience (F=2.935, p=.013) and work areas (F=2.290, p=.021). The most frequent coping method for nurses after violence had occurred was to 'just complete their duties as if nothing happened'. Conclusion: Most nurses are exposed to frequent violence, but they feel defenseless. These results suggest that hospital should improve the respective organizational cultures and develop promotional programs and administrative policies to prevent violence. In addition, educational programs should be provided for nurses to improve their attitudes and abilities to cope with violence. Also, hospitals should offer sufficient support, stress reduction programs and counseling programs for nurses.

• Journal of Korean Clinical Nursing Research
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• v.24 no.2
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• pp.159-169
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• 2018

Purpose: The purpose of this study was to investigate the reality of workplace violence experienced by emergency nurses and the relationship of violence response to professional quality of life. Methods: The participants in this study were 899 emergency nurses from Korea nationwide. Data were obtained through an online survey done during October, 2017. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient. Results: Of the emergency nurses, 72.1% recognized that workplace violence is serious. Experience with workplace violence correlated positively with violence reaction (r=.32, p<.001), burnout (r-.20, p<.001) and secondary trauma (r=.22, p<.001). Also, reaction to violence was positively correlated with burnout (r=.28, p<.001) and secondary trauma (r=.56, p<.001). Conclusion: Findings indicate that the diverse workplace violence experienced by emergency nurses decreases their professional quality of life. Further study is needed to develop solutions to the problem of workplace violence in emergency settings.