一项参与性和全面的干预措施,以改善两种高风险职业的暴力预防:一个阶段性子集群随机试验的效果和过程评估
Lars Peter Andersen1, S Jaspers2, D Andersen3
1Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Goedstrup Hospital, Hospitalsparken 15, 7400, Herning, Denmark. laande@rm.dk.
BMC public health
|April 15, 2024
概括
一项全面的暴力预防干预措施在高风险的工作场所显示出混合的结果. 这种方法改善了精神病学机构的实践,但并没有完全改善监狱和缓刑服务,这表明参与式策略的潜力.
科学领域:
- 职业健康 职业健康 职业健康
- 工作场所安全工作场所安全
- 预防暴力 预防暴力 预防暴力
背景情况:
- 来自客户,患者和客户的与工作相关的暴力是重要的职业健康风险.
- 减少工作场所暴力对员工福祉至关重要.
研究的目的:
- 在高风险的工作场所测试全面的暴力预防干预措施.
- 为了评估干预的有效性,使用一个阶梯集群随机对照试验.
主要方法:
- 在监狱和缓刑服务 (PPS) 单位和精神病房实施的干预.
- 使用阶段子集群随机对照试验设计.
- 测量了准确度,达到和剂量;应用了混合效应回归分析.
主要成果:
- 干预措施在精神病房的初级结局上取得了统计学上显著的改善.
- 在精神病房的二次结果中没有统计显著的改善.
- 在PPS单位的初级结果中没有统计学上显著的改善,但在三个次要结果中有显著的改善.
结论:
- 参与性暴力预防干预显示出不同的结果.
- 在精神病房观察到改善,在PPS单位观察到一些次要结果.
- 在高风险环境中,参与式,全面的方法可能是预防暴力的可行的方法.
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