探討急診護理人員的性別角色態度對執行婚姻暴力臨床照護能力勝任感受之相關性

背景：性別角色態度是個人學習社會對性別期待所得的常態模式和價值，會影響一個人的行為。婚姻暴力受暴者可能遭受不同程度的醫療傷害，包含：身體、心理、靈性、社會等，急診護理人員常是受暴者尋求醫療協助之第一線人員。面對日益增加的家庭暴力事件時，護理人員是否會因個人性別角色態度的差異而影響其面對處理婚姻暴力臨床照護能力勝任感受。目的：探討急診護理人員的性別角色態度對執行婚姻暴力臨床照護能力之勝任感受相關性。方法：本研究採橫斷式設計，利用結構性問卷調查探討彰化、南投、雲林七家教學醫院之急診護理人員的性別角色態度對執行婚姻暴力臨床照護能力之勝任感受現況與相關影響因素。結果：研究發現性別及有受過婚姻暴力相關訓練者對於性別角色態度表現有顯著差異，而男性、沒有照護過婚姻暴力個案者較具有「傳統男性職責」的態度。護理總工作年資越資深者、護理職級N2、有受過婚姻暴力相關訓練的人、本身及親友有婚姻暴力受暴經驗者在「資源提供、保護措施及關懷」的婚姻暴力臨床照護能力勝任感受程度較好；已婚者、有宗教信仰、護理總工作年資越資深者、護理職級N2、有照護過婚姻暴力個案者、有受過婚姻暴力相關訓練者、本身及親友有婚姻暴力受暴經驗者，在「評估、通報、記錄、處置及預防」的照護能力勝任感受程度較好；年齡31-35歲者、已婚者、有宗教信仰、護理總工作年資越資深者、急診領域之工作年資越資深者、護理職級N2、護理職級N2、護理職級NP、有照護過婚姻暴力個案者、有受過婚姻暴力相關訓練者、本身及親友有婚姻暴力受暴經驗者，在「法律相關規範處理」的照護能力勝任感受程度較好。性別角色態度與婚姻暴力臨床照護能力勝任感受程度相關探討，發現「傳統女性職責」與「評估、通報、記錄、處置及預防」具有低度相關，但未達顯著性。結論：急診護理人員在針對婚姻暴力臨床照護能力勝任感受程度不會因為個人性別角色態度而有所影響。

Background: Gender role attitude is the individual''s learning from the learning of the society''s expectations of gender, and the normal pattern and value of shaping, affecting individual behavior. Marriage violence victims may suffer different degrees of medical harm, including: physical, psychological, spiritual, social, etc., emergency nurses are often the first line of personnel seeking medical assistance. In the face of increasing domestic violence, emergency nurses cause different degrees of competition of performing clinical care in marital violence because of differences in gender role attitude.Aim: Exploring emergency nurses’ gender role attitude competence of performing clinical care in marital violenceMethods: This study is a cross-sectional design that uses a structured questionnaire to investigate the current status and related factors of the gender role of emergency nurses in seven hospitals in Changhua, Nantou and Yunlin.Result: The study found that gender and marital violence-related trainers had significant differences in their attitudes toward gender roles. Men who did not take care of marital violence victim had a stronger gender role attitude on traditional male responsibilities. The older seniors in nursing work, the nursing grades N2, those who have received training related to marital violence, and their own and their relatives and friends who have experience in marital violence and violence have better perception to provide “resources, protection measures and care”. Married, religious, nursing seniors, nursing grade N2, nursing marital violence cases, training related to marital violence, and marital violence experience of themselves and relatives, have better perception on "evaluation, notification, recording, disposal and prevention." 31-35 years old, married, religious, senior nurse, senior emergency nurse, nursing grade N2, nursing grade N3, nursing grade NP, married violent violence cases, marital violence-related trainers, and their own friends and relatives have experience in marriage victimization, have better perception in “Legal related procedures.” The relationship between gender role attitudes and perception of clinical competence on domestic violence is weak.Conclusion: Emergency nurses'' perception of marital violence clinical care competence is not affected by the gender role attitude.