工作场所暴力对紧急医疗服务 (EMS) 的影响
Sarayna S McGuire1,2, Michelle A Lampman3, Olivia A Smith3
1Division of Prehospital Medicine, Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota.
Prehospital emergency care
|July 23, 2024
概括
紧急医疗服务 (EMS) 的工作场所暴力 (WPV) 显著影响员工福祉和患者护理,但许多人计划留下来. 需要进行系统性改变,以培养对WPV的零容忍文化.
科学领域:
- 紧急医疗 紧急医疗
- 职业健康 职业健康 职业健康
- 医疗保健的社会学 医疗保健的社会学
背景情况:
- 工作场所暴力 (WPV) 是一个影响紧急医疗服务 (EMS) 人员的普遍问题.
- 尽管WPV的非物理形式具有重大影响,但它们往往被低估.
研究的目的:
- 了解WPV对EMS工作人员的个人影响.
- 检查WPV如何影响患者互动和护理质量.
- 评估WPV对感知安全和在EMS中的保留的影响.
- 收集关于WPV预防和缓解的建议.
主要方法:
- 使用虚拟焦点组和个人访谈进行描述性的定性设计.
- 来自一个多州EMS机构的22名医院前人员参加了会议.
- 使用主题分析来确定关键的感知和主题.
主要成果:
- 人工暴力被认为是"工作的一部分",口头虐待通常是正常的.
- 经历WPV会导致个人影响,如过度警和减少患者护理中的同情心.
- 参与者认为EMS被低估了,需要培训降级和自卫,以及改进支持系统.
结论:
- 紧急救护人员经历了WPV的重大创伤,非身体暴力被低估了.
- 尽管有负面影响,但大多数员工打算继续在EMS领域工作.
- 系统层面的干预对于培养对WPV零容忍文化和支持员工福祉至关重要.
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