前线的暴力遭遇:在医院前的环境中对身体暴力因素的连续解释性混合方法调查
Ali Afshari1, Majid Barati2, Fatemeh Darabi3
1Assistant Professor of Nursing, Department of Medical Surgical Nursing, Nursing and Midwifery School, Hamadan University of Medical Sciences, Hamadan, Iran.
BMC emergency medicine
|September 6, 2024
概括
对紧急医疗技术人员 (EMT) 的工作场所暴力是医院前护理中的一个重大问题. 这项研究确定了导致身体暴力的复杂因素,强调了需要改善支持和降级策略的必要性.
科学领域:
- 在医院前的护理.
- 紧急医疗服务 紧急医疗服务
- 职业健康和安全问题 职业健康和安全问题
背景情况:
- 工作场所暴力 (WPV) 对医院前环境中的急救医疗技术人员 (EMT) 构成重大风险.
- 由于EMT工作的性质增加了他们对身体暴力的脆弱性.
- 了解WPV的具体促成因素对于开发有效的干预措施至关重要.
研究的目的:
- 调查 EMT 在医院前环境中经历的身体工作场所暴力的根本原因.
- 直接了解EMT关于WPV的经验.
- 确定在医院前护理中导致身体WPV的因素.
主要方法:
- 在伊朗的五个西部省份 (2022-2023) 采用了一种连续的解释混合方法方法.
- 一个定量阶段涉及358名通过多阶段聚类选择的EMT,使用关于医疗保健中的WPV的问卷.
- 定性阶段包括对21名在过去12个月中经历过身体暴力的急救医生进行深入采访.
主要成果:
- 该研究包括358名EMT,平均年龄为33.96岁,经验为10.57年.
- 21.8%的急救人员报告经历过身体暴力;只有基地位置与WPV频率有显著的相关性.
- 定性阶段揭示了医院前环境中WPV的复杂性,其中有一个总体主题,四个类别和十个子类别.
结论:
- 需要全面的战略来解决在医院前护理中的WPV因素.
- 改善组织支持,响应者之间的沟通和降级培训是必不可少的.
- 解决贫困和缺乏教育等社区根本原因对于为患者和工作人员提供更安全的环境至关重要.
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