{"id":117700,"date":"2018-03-11T10:47:18","date_gmt":"2018-03-11T10:47:18","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/violencia-de-los-usuarios-hacia-el-personal-de-enfermeria-evaluacion-del-riesgo-laboral-y-analisis-de-las-consecuencias-psicologicas\/"},"modified":"2018-03-11T10:47:18","modified_gmt":"2018-03-11T10:47:18","slug":"violencia-de-los-usuarios-hacia-el-personal-de-enfermeria-evaluacion-del-riesgo-laboral-y-analisis-de-las-consecuencias-psicologicas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/salud-laboral\/violencia-de-los-usuarios-hacia-el-personal-de-enfermeria-evaluacion-del-riesgo-laboral-y-analisis-de-las-consecuencias-psicologicas\/","title":{"rendered":"Violencia de los usuarios hacia el personal de enfermeria. evaluacion del riesgo laboral y analisis de las consecuencias psicologicas ."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Inmaculada Galian Mu\u00f1oz <\/strong><\/h2>\n<p>Resumen la presente tesis doctoral se centra en el estudio de la exposici\u00f3n a la violencia de los usuarios del personal de enfermer\u00eda de los hospitales p\u00fablicos de la regi\u00f3n de murcia, ya que el riesgo de violencia laboral presenta una especial importancia en el \u00e1mbito sanitario, siendo el colectivo de enfermer\u00eda uno de los m\u00e1s afectados tal y como se refleja en distintos estudios (franz, zeh, schablon, kuhnert y nienhaus, 2010; kling, yassi, smailes, lovato y koehoorn, 2009; roche, diers, duffield y catling-paull, 2010; shields y wilkins, 2009). los objetivos de este estudio son conocer la exposici\u00f3n a manifestaciones hostiles de los usuarios hacia los profesionales de enfermer\u00eda hospitalaria dependientes del servicio murciano de salud (sms) seg\u00fan variables sociodemogr\u00e1ficas y laborales; profundizar en el an\u00e1lisis de la exposici\u00f3n a violencia en el servicio detectado en el capitulo dos como m\u00e1s expuesto (urgencias), valorando, igualmente, la exposici\u00f3n a conductas hostiles seg\u00fan variables sociodemogr\u00e1ficas y laborales, e incluyendo la presencia de posibles consecuencias psicol\u00f3gicas, as\u00ed como una comparativa con los resultados de la muestra total de profesionales de enfermer\u00eda hospitalaria; y por \u00faltimo, estudiar la relaci\u00f3n entre la exposici\u00f3n a violencia y el nivel de burnout, valorando el papel de la satisfacci\u00f3n laboral como variable moduladora entre ambas. para realizar el estudio se ha llevado a cabo un cuestionario autoaplicado y an\u00f3nimo en 2010 en el personal de enfermer\u00eda de todos los hospitales del sms, para la que se realiz\u00f3 un muestreo aleatorio y estratificado por centros y servicios (30% de los profesionales de enfermer\u00eda), obteniendo finalmente un tama\u00f1o muestral de 1.489 sujetos (nivel de confianza 99%; error muestral 1,75%).  de los resultados obtenidos destacar que el 22,8% de los profesionales de enfermer\u00eda sufrieron semanal o diariamente al menos una de las manifestaciones de violencia verbal o no f\u00edsica recogida en la escala, alcanzando el 71% si consideramos una frecuencia al menos anual. Se han hallado diferencias significativas en las agresiones recibidas seg\u00fan estado civil, edad, hospital, profesi\u00f3n, tipo de contrato, turno, antig\u00ed\u00bcedad en la profesi\u00f3n y servicio, siendo los trabajadores de urgencias los que obtuvieron puntuaciones significativamente mayores en la escala. En estos \u00faltimos trabajadores se ha detectado que las manifestaciones de violencia m\u00e1s frecuentes a las que han estado expuestos han sido los enfados por la demora de asistencia y por la falta de informaci\u00f3n, siendo significativamente mayor la exposici\u00f3n en los hospitales de mayor tama\u00f1o, enfermeras respecto a auxiliares, y entre las personas que trabajan m\u00e1s horas, existiendo una correlaci\u00f3n entre la violencia no f\u00edsica con el grado de burnout, la satisfacci\u00f3n laboral y el bienestar psicol\u00f3gico. Por \u00faltimo, profundizando en la relaci\u00f3n entre esta exposici\u00f3n a la violencia y el nivel de burnout, hemos obtenido que el nivel de cinismo de los trabajadores se correlaciona directamente con la frecuencia de exposici\u00f3n a violencia no f\u00edsica cuando los niveles de satisfacci\u00f3n son bajos, pero cuando la satisfacci\u00f3n es alta, sea cual sea la exposici\u00f3n a violencia, se obtienen puntuaciones similares en cinismo.  de estos resultados podemos concluir que la distribuci\u00f3n del riesgo de exposici\u00f3n a violencia no es homog\u00e9nea dentro del colectivo de enfermer\u00eda y por ello es importante detectar aquellos grupos con una mayor exposici\u00f3n, para poder establecer y priorizar las medidas preventivas. Para establecer estos grupos recomendamos detectar donde existe un porcentaje de trabajadores mayor con una exposici\u00f3n alta respecto a una poblaci\u00f3n de referencia. Igualmente aconsejamos incluir, en la planificaci\u00f3n de actividades preventivas, actividades no solo dirigidas a una prevenci\u00f3n primaria del riesgo, sino tambi\u00e9n secundaria, que disminuyan las consecuencias psicol\u00f3gicas de la violencia en el trabajador, como puede ser el aumento de la satisfacci\u00f3n extr\u00ednseca.  palabras clave: salud laboral, violencia laboral, servicio de enfermer\u00eda en hospital, satisfacci\u00f3n laboral, s\u00edndrome de burnout.      abstract this doctoral thesis focuses on the study of the exposure to user violence of the nurses of public hospitals in the region of murcia. The  risk of workplace violence is especially relevant in the health sector, because the nursing collective is one of the most affected ones, as reflected in various studies (franz, zeh, schablon, kuhnert, &amp; nienhaus, 2010; kling, yassi, smailes, lovato, &amp; koehoorn, 2009; roche, diers, duffield, &amp; catling-paull, 2010; shields &amp; wilkins, 2009). the objectives of this study are: to determine the exposure to hostile user demonstrations of the nursing staff of the servicio murciano de salud (sms; in english, the health service of murcia), considering socio-demographic and work variables; to analyze in depth the exposure to violence in the service detected as the most exposed (emergencies), also appraising the exposure to hostile behaviors according to socio-demographic and work variables, and including the presence of possible psychological consequences, as well as a comparison with the results of the total sample of hospital nurses; and finally, to study the relationship between exposure to violence and the level of burnout, appraising the role of job satisfaction as a modulating variable between the two. for this purpose, a self-applied, anonymous questionnaire was administered to the nursing staff in all the sms hospitals, and a randomized, stratified sampling by centers and services (30% of nurses) was conducted, finally obtaining a sample size of 1,489 subjects (99% confidence level; 1.75% sampling error).  among the results obtained, we highlight that  22.8% of the nurses suffered weekly or daily at least one of the expressions of verbal or non-physical violence collected by the scale, reaching 71% if the past year is considered. Significant differences were found in aggressions received according to marital status, age, hospital, profession, type of contract, shift, seniority in the profession and service, with the emergency unit staff obtaining significantly higher scores on the scale. In these latter workers, we detected that the most frequent expressions of violence to which they have been exposed are anger due to the delay in assistance and the lack of information. Exposure was significantly higher in larger hospitals, in nurses compared with auxiliary staff, and among staff who worked more hours, and a correlation between non-physical violence and the degree of burnout job satisfaction, and psychological well-being was found. Finally, examining in greater depth the relationship between exposure to violence and the level of burnout, we found that workers&apos; level of cynicism directly correlates with the frequency of exposure to non-physical violence when job satisfaction levels are low, but when these are high, regardless of exposure to violence, similar scores were obtained in cynicism.  on the basis of these results, we can conclude that the distribution of the risk of exposure to violence is not homogenous within the nursing collective and for this reason, it is important to detect the groups with greater exposure in order to establish and prioritize preventive measures. To establish these groups, we recommend detecting workplaces in which there is a greater percentage of workers with high exposure to violence compared to a reference population. We also recommend including in the planning of preventive activities not only activities aimed at primary risk prevention, but also secondary prevention, such as the increase of the extrinsic job satisfaction, which would decrease the psychological consequences  of violence in the worker.  keywords: occupational health, patient violence, nursing staff, job satisfaction, burnout.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Violencia de los usuarios hacia el personal de enfermeria. evaluacion del riesgo laboral y analisis de las consecuencias psicologicas .<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Violencia de los usuarios hacia el personal de enfermeria. evaluacion del riesgo laboral y analisis de las consecuencias psicologicas . <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Inmaculada Galian Mu\u00f1oz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/06\/2015<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jos\u00e9 Antonio Ruiz Hernandez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: aurelio Luna maldonado <\/li>\n<li>wenceslao Pe\u00f1ate castro (vocal)<\/li>\n<li>Francisco Cruz quintana (vocal)<\/li>\n<li>Jos\u00e9 Antonio Jimenez barbero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Inmaculada Galian Mu\u00f1oz Resumen la presente tesis doctoral se centra en el estudio de la exposici\u00f3n a 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