有风险的生意. 预防风险患者对卫生工作者的攻击的干预措施:综合性审查
Teresa McCamon1, Vicki Lowe2, Rinchu George2
1Johns Hopkins Suburban Hospital, Bethesda, Maryland, USA.
Journal of clinical nursing
|October 1, 2024
概括
防止患者对医护人员的攻击性需要有效的策略. 目前的证据有限,强调需要进一步研究在住院环境中减轻暴力.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 职业健康 职业健康 职业健康
背景情况:
- 针对医护人员的暴力行为是住院医疗机构的一个重大问题.
- 现有的管理侵略性患者的策略缺乏有效性的强有力的证据.
- 暴力事件的报道不足阻碍了实践的改变和改进.
研究的目的:
- 确定预防患者对医疗服务提供者暴力的最佳实践.
- 探索在成人住院患者环境中管理有侵略风险的患者的策略.
- 解决医疗保健中关于预防暴力的证据稀缺的问题.
主要方法:
- 使用约翰·霍普金斯基于证据的实践模型进行了综合性审查.
- 从2019年1月到2023年2月搜索数据库 (PubMed,CINAHL,Embase,JBI) 进行了搜索.
- 选了4186篇文章,其中14篇符合完整文本审查的纳入标准.
主要成果:
- 通常使用的策略包括行为干预团队,环境变化和沟通计划.
- 没有一项经过审查的策略显示,工作场所暴力事件有显著下降.
- 有关有效预防患者对医疗服务提供者暴力的证据显著缺乏.
结论:
- 卫生系统应实施全球公认的战略,以减少医疗保健暴力.
- 由于缺乏一致的证据,需要进一步研究减轻暴力.
- 需要进一步的研究来为医疗保健工作者提供有效的患者管理技术.
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