用户暴力预防和干预措施,以最大限度地减少和防止对医疗保健工作者的攻击:系统审查
Paloma López-Ros1, Reyes López-López2, David Pina2,3
1Department of Behavioral Sciences and Health, University Miguel Hernández, Elche, Spain.
Heliyon
|October 9, 2023
概括
本研究回顾了以用户为导向的策略,以减少对医疗保健专业人员的工作场所暴力. 它确定了38项重点关注沟通,共享决策和用户教育的措施,以促进态度的变化.
科学领域:
- 医疗保健管理的管理
- 职业安全 在职业安全.
- 社会科学 社会科学 社会科学
背景情况:
- 在医疗保健机构中,工作场所暴力是一个重大问题,大多数事件涉及患者或用户,目标是专业人员.
- 现有的研究主要集中在医疗人员的干预措施上,忽视了针对用户的策略.
- 需要探索和巩固以用户为中心的干预措施,以减轻对医疗保健工作者的暴力.
研究的目的:
- 系统地审查和综合关于减少医疗保健工作场所暴力的用户导向策略的证据.
- 识别和分类旨在改变用户对医疗保健专业人员的态度和行为的干预措施.
- 提供关于医疗保健中以用户为中心的暴力预防现有证据的全面概述.
主要方法:
- 按照系统性审查和元分析 (PRISMA) 准则的首选报告项目进行了系统性文献审查.
- 在主要数据库中对2022年12月之前的出版物进行了搜索.
- 在选了5231篇文章后,包括了11项研究 (3项定量研究,7项定性研究,1项混合研究),包括偏差风险评估和数据提取.
主要成果:
- 确定了38个不同的以用户为导向的措施,并分为四类:改善沟通和关系,用户参与决策,用户教育和信息以及其他独立提案.
- 调查结果强调了一系列旨在促进医疗保健系统用户积极态度转变的策略.
- 审查发现了研究中的一个差距,重点是以用户为中心的暴力预防,大多数研究集中在专业的干预措施.
结论:
- 以用户为导向的干预对于减少医疗保健工作场所暴力的综合方法至关重要.
- 鉴定的措施为制定和实施直接涉及用户的多组件预防计划提供了基础.
- 通过解决犯罪者的行为,进一步研究和实施这些策略可以为专业人员提供更安全的医疗环境.
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