关键词: 急诊科护士；工作疏离感；攻击及暴力管理态度

Abstract: Objective: To explore the relationship between work alienation and the management of aggression and violence attitude of emergency nurses. Methods: Totally 252 emergency nurses from seven tertiary grade A hospitals were recruited by convenience sampling between July and September 2018. The Management of Aggression and Violence Attitude Scale (MAVAS) and the Nurses' Work Alienation Questionnaire were used in the investigation to collect relevant data. Results: The average score of MAVAS was 90.35±16.48 and the score of each dimension from high to low were internal reasons, interaction between medical workers and patients, external reasons and management dimension. The average score of work alienation was 45.12±7.23. Multiple regression analysis showed that experience of hospital violence, working time in emergency department, work alienation and training related to violence could influence the management of aggression and violence attitude of emergency nurses, which could explain 51.1% variation of MAVAS. Conclusion: Nursing managers in emergency department should strengthen the training and exercise of violence prevention and control, improve nurses' awareness, especially those who work in the emergency department for a short period of time, and take individualized measures to reduce the sense of work alienation, and ensure the effective implementation of violence management methods.

Key words: emergency nurses; work alienation; the management of aggression and violence attitude