针对初级保健医生的工作场所暴力:叙述审查
Nicholas D Tyau1, Kristin A Swedish2, Hector R Perez2
1Department of General Internal Medicine, Montefiore Medical Center, Bronx, NY, USA. ntyau@montefiore.org.
Journal of general internal medicine
|July 8, 2024
概括
工作场所暴力 (WPV) 在全球初级保健中普遍存在,大多数临床医生都经历了非身体性攻击. 需要更多的美国研究来解决这个职业危险.
科学领域:
- 职业健康 职业健康 职业健康
- 医疗保健管理的管理
- 主要护理医学 医疗保健
背景情况:
- 工作场所暴力 (WPV) 是医疗保健机构日益增加的职业危险.
- 关于WPV的数据有限,特别是在美国初级保健机构内.
- 初级保健环境与住院患者不同,需要集中研究.
研究的目的:
- 总结美国初级保健中关于WPV的现有文献.
- 在这种环境中识别有关WPV的关键知识缺口.
主要方法:
- 使用PubMed和OVID对美国成人初级保健研究进行了文献搜索.
- 由于美国数据稀缺,扩大了对国际研究的搜索.
- 进行了对70项已识别的研究 (5项美国研究) 的叙述性审查.
主要成果:
- 在全球范围内,WPV在初级保健中很常见;大多数临床医生都经历了非身体暴力.
- 研究主要使用横截面设计,报告了物理和非物理WPV.
- 女性更有可能经历性骚扰,而其他WPV形式没有一致的性别趋势.
结论:
- WPV的根本原因包括患者,临床医生,遭遇和操作因素.
- 非物理WPV显著影响临床医生在情感和专业方面.
- 美国初级保健机构的进一步研究对于了解和缓解WPV至关重要.
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