了解患者和家人对重症监护人员表现出的侵略性:系统性审查
Varadaraj Sridharan1, Kelvin Cy Leung2, Carmelle Peisah2,3
1Department of Psychiatry, Central Coast Local Health District, NSW, Australia.
Journal of the Intensive Care Society
|September 3, 2024
概括
患者和家庭暴力 (PFV) 对重症监护室 (ICU) 工作人员的理解和管理不佳. 不足够的支持,教育和非标准化的定义有助于解决这个问题,影响员工和患者的护理.
科学领域:
- 医疗保健管理的管理
- 护理 护理 护理
- 临界护理医学 临界护理医学
背景情况:
- 患者和家庭暴力 (PFV) 是医疗保健机构公认的职业危险.
- 重症监护室 (ICU) 具有独特的压力因素,可能会加剧PFV事件.
- 在ICU环境中,关于PFV在ICU环境中的具体挑战的综合研究有限.
研究的目的:
- 系统地审查和综合针对重症监护室 (ICU) 工作人员的关于患者和家庭暴力 (PFV) 的现有文献.
- 确定关键主题,风险因素,影响和潜在的解决方案与ICU中的PFV相关.
主要方法:
- 2000年1月至2023年3月期间以英语出版的经验和同行评审文献的系统审查.
- 在电子数据库中进行了搜索,包括定性,定量和混合方法研究.
- 通过使用验证的工具,研究的质量和偏差风险得到了批判性评估.
主要成果:
- 18项研究符合纳入标准,包括定量,定性和混合方法设计.
- 确定的主题包括虐待的性质,风险因素,患病率,工作场所的影响,对患者护理和员工福祉的影响以及机构应对措施.
- 在ICU中的PFV的特点是定义不标准化,滥用行为正常化,组织支持不足以及缺乏教育.
结论:
- 患者和家庭暴力在ICU是一个复杂的问题,没有被充分理解或充分管理.
- 多种因素,包括定义的模糊性和不充分的支持系统,阻碍了有效的管理.
- 调查结果强调需要改进研究,政策制定和教育举措,以解决ICU中的PFV问题.
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