職場での暴力:臨床医が承認した予防指令を伝える戦略
Kathryn Jane Muir1, Sung Kook Aidan Moon2, Anish K Agarwal3
1Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA; The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Nursing outlook
|September 4, 2025
まとめ
ペンシルベニアの病院は 職場での暴力 (WPV) を予防し,緩和するための戦略を改良する必要があります. 医療従事者のための臨床プロトコル,行政の説明責任,安全スタッフの配置,安全訓練の強化が主な介入です.
科学分野:
- 医療管理
- 労働の安全性
- 緊急 医療
背景:
- ペンシルベニア州医療従事者暴力防止法のような州法では,職場での暴力 (WPV) の報告を義務付け,安全委員会を設置しています.
- WPV予防を担当する病院委員会にとって 優先順位付けされた介入の理解は極めて重要です
研究 の 目的:
- 病院でのWPVの予防と緩和を妨げる戦略を特定する.
- WPV予防のための介入の優先順位について病院委員会に知らせる.
主な方法:
- 定性的で記述的な研究デザイン
- 緊急治療室 (ED) の看護師と医師23人との個別面接とフォーカスグループ面接が行われました.
- 2023年8月から2024年2月にかけて ペンシルベニアの第1レベルの トラウマセンターで収集したデータです
主要な成果:
- 臨床プロトコル,WPVに対処する臨床医の対立,緊急ケアにおける社会的脆弱性,リソースとスループット,およびセキュリティの存在/責任が明らかになりました.
- 臨床医の入力により,WPVの緩和に重要な領域が強調されました.
結論:
- 優先すべき介入には,WPVの特定の臨床プロトコルの開発が含まれます.
- WPVイベントの際に臨床医を支援するための管理責任の強化は不可欠です.
- 推奨事項には,安全な看護師の配置レベルと学際的なセキュリティトレーニングが含まれています.
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