一般实践中患者对接待员的攻击性:系统性审查
Fiona Willer1,2, David Chua3, Lauren Ball3
1Centre for Community Health and Wellbeing, The University of Queensland, Saint Lucia, Queensland, Australia f.willer@uq.edu.au.
Family medicine and community health
|July 6, 2023
概括
患者对一般诊所接待员的攻击性是频繁且常规的,影响了工作人员的福祉和诊所的生产力. 需要基于证据的策略和支持来改善这些基本医疗保健工作者的工作场所安全.
科学领域:
- 医疗保健管理的管理
- 主要护理是指初级护理.
- 工作场所安全工作场所安全
背景情况:
- 一般诊所的接待员对医疗保健提供至关重要.
- 他们经常经历患者的粗鲁,敌意,虐待和暴力.
- 这会影响员工的福祉和诊所的运作.
研究的目的:
- 系统地审查有关患者对一般诊所接待员的侵略现有文献.
- 为了确定这种侵略对接待人员的影响.
- 总结当前的减缓策略.
主要方法:
- 系统性审查与融合综合合成.
- 在五个主要数据库 (CINAHL完整,Scopus,PubMed,医疗保健管理数据库,谷歌学者) 进行搜索,截至2022年8月.
- 包括来自五个经合组织国家的20项研究,以英语出版.
主要成果:
- 患者的攻击性,特别是口头虐待,是全科医院的常规事件.
- 不有效的安排,延迟访问和处方拒绝是常见的触发因素.
- 接待员经常适应平息患者,损害他们的福祉和生产力.
- 据报道,身体暴力虽然很少发生,但也很少发生.
- 培训提高了信心,但通常缺乏支持系统.
结论:
- 患者的攻击性在一般实践中构成重大工作场所安全风险.
- 这一问题对更广泛的医疗保健部门产生了负面影响.
- 基于证据的干预措施对于改善接待人员的工作条件和福祉至关重要.
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