工作场所暴力的普遍性和医院医生之间降级培训的影响:试点研究
Ishaan Gupta1,2, Shaker M Eid1,2, Che M Harris1,2
1Division of Hospital Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
Journal of community hospital internal medicine perspectives
|October 25, 2023
概括
在医院工作人员中,工作场所暴力是很常见的,大多数人经历了口头虐待. 缓和升级培训显著提高了医院工作人员对控制侵略的信心,在12个月内观察到持久的影响.
科学领域:
- 医疗保健工作人员的安全.
- 医学教育 医学教育
- 职业健康 职业健康 职业健康 职业健康
背景情况:
- 职场暴力 (WPV) 是医疗保健机构日益关注的问题,对医疗保健专业人员产生负面影响.
- 建议进行降级培训,以减轻患者和访客的WPV.
- 医院工作人员面临高风险的WPV,但这种风险的程度和降级培训的有效性仍然不清楚.
研究的目的:
- 为了确定医院医生所经历的工作场所暴力的普遍性.
- 评估面对面的降级培训对医院医生对管理患者侵略的信心的影响.
主要方法:
- 一项涉及37名单一中心医院医生的研究评估了基线WPV患病率.
- 参与者接受了面对面的降级培训.
- 医院医生在应对患者攻击的自我报告的信心被测量使用一个验证的尺度 (得分范围10-110) 预培训和多个随访点 (立即培训后,3个月,6个月和12个月).
主要成果:
- 在培训前的12个月里,86.5%的医院医生报告经历了WPV,包括口头虐待 (83.8%),种族虐待 (29.7%),身体暴力 (18.9%) 和性虐待 (16.2%).
- 平均信心分数从训练前的43.2分大幅增加到训练后的68.5分.
- 在培训后3个月 (57.2),6个月 (60.2) 和12个月 (59.9) 的时间内,信心水平仍然显著上升 (所有比较均为P < 0.05;P趋势<0.05).
结论:
- 医院工作者是工作场所暴力的高风险群体.
- 结构化,面对面的降级培训可以显著提高医院医生对应对WPV的信心.
- 降级培训对信心的积极影响似乎持续了12个月.
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