婚姻暴力受害者對急診護理人員提供照護之看法與期待

Exploring the Factors Related to Perceptions and Expectations of Victims of Marital Violence in the Emergency Health Care Providers

急診護理人員是婚姻暴力受害者最常尋求的照護者，護理人員對受害者需求的了解程度將直接影響其照護品質的良窳，本研究旨在藉由探究婚姻暴力受害者對急診護理人員提供照護之看法與期待，以為護理人員執行急診照護之參考。研究方法係採用橫斷式設計，立意取樣選取經警察局通報之婚姻暴力個案50名為施測對象，以結構式問卷收集資料。研究結果發現婚姻暴力受害者對護理人員提供照護之看法，會因國籍及家庭型態而有顯著差異，而受害者對生命自我超越感愈佳，則對護理人員提供照護整體看法亦愈佳；受害者對壓力因應愈佳，則愈不會有婚姻暴力迷思之想法。受害者對急診照護最重要的期待為「縮短就醫時間」，其次為「設置安全隱密的檢查環境」及「提供完整驗傷診斷書」。研究結果除提供急診醫護人員在提供照護時之參考外，更期望能喚起台灣護理領域對刑事護理的重視。

In common, emergency room (ER) nurses are the frontline personnel to provide health care cares for marital violence victims. The victims' perception of quality of care provided by emergency nurses can be enhanced if ER nurses are fully aware of the needs and expectations for each patient. This study aims to determine the perceptions and expectations marital violence victims have of the emergency care provided by ER nurses. ER nurses can use the study results as a reference tool as they prepare to provide optimal future care for this class of patients. This study follows a cross-sectional research design that employs purposive sampling to select 50 of marital violence as taken from police reports. In addition, the relevant data for this study was collected using a structured questionnaire entitled ＂The perceptions and expectations of emergency nursing care from marital violence victims.＂ The results of this study found that the perceptions of marital violence victims of the ER nursing care varied with the victims' nationality, cultural subtype and nuclear family structure. Victims with a higher ability to cope with difficult life situations typically had better overall perceptions of the care provided by ER nurses. The victims who were more resilient to life stress events were less susceptible to believe myths regarding marital violence. The greatest ER nursing care request of the victims was for a ＂shortened length of stay or treatment time,＂ followed by a need for ＂establishing a secure and discreet inspection and examination environment.＂ The victims also expressed a need from the hospital to provide a ＂complete medical certificate of diagnosis＂ for their forensic purpose. The findings of this study not only provided a valuable reference for Taiwanese ER nurses but also evoked emphasis on forensic nursing issues in the field of nursing.