在急诊室暴力的危险因素:护士的观点
Elisa Ilarda1, Ainslie Senz2, Anna Tynan3,4
1School of Education, University of Southern Queensland, Ipswich, Queensland, Australia.
Emergency medicine Australasia : EMA
|February 29, 2024
概括
护士建议将布雷塞特暴力检查清单 (BVC) 增强为认知障碍和大喊大叫等特定因素,以更好地预测和减轻医疗保健环境中的工作场所暴力.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 与工作有关的暴力在医疗保健中是一个持续的问题,特别是在急诊室 (ED).
- 现有的暴力风险评估工具在标准医院程序中未得到充分利用.
- 护士的见解对于完善暴力风险评估策略至关重要.
研究的目的:
- 探索护士对布雷塞特暴力清单 (BVC) 的看法.
- 识别护士对改善暴力风险评估工具的建议.
- 加强将暴力风险评估纳入常规医院实践.
主要方法:
- 两个焦点小组由30名使用BVC至少5年的护士组成.
- 参与者评估了23个预先确定的暴力风险因素,以评估它们的有用性.
- 使用定性和定量方法收集关于描述符和术语的反.
主要成果:
- 大多数提出的风险因素被认为是暴力的预测因素,公开的行为获得了高评分.
- 首选的术语包括"大喊大叫和要求"而不是"喧"和"认知障碍"而不是"混乱".
- 关键考虑因素包括患者的临床特征,工作人员对危害的看法和环境因素.
结论:
- 建议对暴力风险评估的补充包括暴力史,认知障碍,精神病症状和物质影响.
- 诸如大喊大叫,言语虐待,冲动,激动和易怒等行为指标至关重要.
- 局势因素,如强加的限制和干预措施,也应该纳入一个全面的风险评估框架.
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