ViSHWaS:卫生保健工作者和系统的暴力研究 - 全球调查调查
Akshat Banga1, Hans Mautong2, Razan Alamoudi3
1Department of Medicine, Sawai Man Singh Medical College and Hospital, Jaipur, India.
BMJ global health
|September 11, 2023
概括
针对医疗保健工作者 (HCW) 的暴力行为在全球范围内普遍存在,在COVID-19大流行期间,事件发生率上升. 这种暴力对工作满意度产生负面影响,并增加了辞职的意图,强调需要更好的报告和预防策略.
科学领域:
- 医疗保健管理的管理
- 职业健康和安全问题 职业健康和安全问题
- 公共卫生 公共卫生
背景情况:
- 对医疗保健工作者 (HCW) 的暴力行为是一个重要的全球问题.
- 这种事件的报道不足需要提高公众的意识和教育.
- 随着COVID-19的蔓延,医疗保健机构的工作场所暴力可能加剧了.
研究的目的:
- 调查卫生保健系统内暴力的性质,风险因素和影响.
- 检查现有的举报和预防针对高危工人的暴力行为的措施.
- 为了解全球针对HCW的暴力事件报告不足提供见解.
主要方法:
- 一项全球横截面研究,涉及79个国家的5405个响应.
- 通过使用研究电子数据捕获 (REDCap) 的调查问卷收集的数据.
- 后勤回归和千平方测试分析了暴力预测因素和关联.
主要成果:
- 超过55%的HCW报告直接经历暴力;16%报告对同事的暴力.
- 在50%以上的案件中,患者或他们的家人是事者;在16%的案件中,监督者煽动的暴力发生了.
- 在COVID-19大流行期间,暴力事件的发生率在80%的受访者中保持不变或增加.
结论:
- 全球大多数医疗保健工作者经历过暴力,在COVID-19大流行期间显著增加.
- 经历暴力导致55%受影响的HCW的工作动机和工作满意度下降.
- 在公共场所工作的护士,医生和辅助工作人员以及经常夜班的人面临更高的风险.
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