中国护士工作场所欺凌发生现状的meta分析

摘要/Abstract

摘要： 目的系统评价中国护士工作场所欺凌的发生现状。方法检索PubMed、The Cochrane Library、Web of Science、EMbase、PsycINFO、CNKI、CBM、万方、维普数据库,收集关于我国护士工作场所欺凌发生状况的横断面研究,检索时限为各库建库至2022年3月。由2名研究员独立筛选文献、提取数据并对纳入研究进行偏倚风险评价后采用StataSE 16.0软件进行meta分析。结果最终纳入36篇横断面研究,总样本量为19 343例。Meta分析结果显示,我国护士工作场所欺凌发生率为53%（95%CI：41%~65%）,工作场所欺凌评分为36.00（95%CI：26.55~45.45）分。亚组分析结果显示,东北地区护士工作场所欺凌发生率为16%（95%CI：12%~19%）,华东地区为62%（95%CI：45%~79%）,华北地区为40%（95%CI：36%~43%）,华中地区为54%（95%CI：42%~65%）,华南地区为60%（95%CI：38%~82%）,西南地区为13%（95%CI：7%~19%）,西北地区为48%（95%CI：24%~71%）。男性、30~39岁、已婚、高学历、低职称、合同制、急诊科的护士工作欺凌发生评分更高。结论现有证据表明我国护士工作场所欺凌发生率较高,不同地域之间存在差异。护士工作场所欺凌受到性别、年龄、婚姻状况、文化程度、职称、用工性质及所在科室的影响。

关键词: 中国, 护士, 工作场所欺凌, Meta分析, 横断面研究

Abstract: Objective To systematically evaluate the status of workplace bullying among nurses in China. Methods The cross-sectional studies on workplace bullying of nurses in China were collected by searching PubMed,Cochrane,Web of Science,EMbase,PsycINFO,CNKI,CBM,Wanfang and VIP databases from the establishment of the database to March 2022.Two researchers independently screened literatures,extracted data,and evaluated the bias risk of the included studies. Meta-analysis was performed using StataSE 16.0 software. Results Totally 36 cross-sectional studies were included with a total sample size of 19 343.Meta-analysis results showed that the incidence of workplace bullying among nurses in China was 53%（95%CI：41%-65%）,and the workplace bullying score was 36.00（95%CI：26.55-45.45）points. The results of subgroup analysis showed that the incidence of workplace bullying among nurses was 16%（95%CI：12%-19%） in northeast China,62%（95%CI：45%-79%） in East China,40%（95%CI：36%-43%） in North China,54%（95%CI：42%-65%） in Central China. 60%（95%CI：38%-82%） in South China,13%（95%CI：7%-19%） in southwest China,48%（95%CI：24%-71%） in northwest China. The nurses who are male,30-39 years old,married,highly educated,low professional title,contractbased employment,and in emergency department rated higher incidence of workplace bullying. Conclusions The existing evidence indicates that the incidence of workplace bullying among nurses in China is high,and there are differences among different regions.The workplace bullying of nurses is affected by gender,age,educational level,professional title,nature of employment and department.

Key words: China, Nurse, Workplace bullying, Meta-analysis, Cross-sectional study

中图分类号:

R181.2

李宛霖, 云洁, 何思颖, 周子淇, 何玲. 中国护士工作场所欺凌发生现状的meta分析. [J]职业与健康, 2023, 39(20): 2847-2855.

LI Wanlin, YUN Jie, HE Siying, ZHOU Ziqi, HE Ling. Status of workplace bullying among nurses in China：A meta-analysis. [J]OCCUPATION AND HEALTH, 2023, 39(20): 2847-2855.

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