工作场所暴力在一个大型城市紧急情况部门
Marla C Doehring1, Megan Palmer1, Ashley Satorius1
1Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis.
JAMA network open
|November 5, 2024
概括
工作场所暴力 (WPV) 每3.7个轮班都会影响急诊部 (ED) 的医疗保健工作者 (HCW). 护士和年轻的医疗保健工作者面临更高的风险,这强调了有针对性的干预措施的必要性.
科学领域:
- 紧急医疗 紧急医疗
- 职业健康 职业健康 职业健康
- 医疗保健工作者安全安全
背景情况:
- 对医疗保健工作者 (HCW) 的工作场所暴力 (WPV) 很普遍,但往往没有得到充分报道.
- 缺乏关于WPV对HCW的发病率和影响的可靠数据.
研究的目的:
- 为了确定WPV与HCW在急诊部 (ED) 的频率.
- 确定与WPV风险增加相关的人口因素.
- 探索WPV对HCW的影响.
主要方法:
- 在一个大型的城市学术医院的ED中进行了为期2个月的横截面研究.
- 医疗保健工作者 (医生,护士) 完成了轮班表,以记录WPV事件.
- 收集的数据包括事件类型,严重程度,偏差和感知影响;多变量逻辑回归分析了风险因素.
主要成果:
- 病重工每3.7个班次经历一次WPV;记录了155次事件.
- 语言虐待 (类型1) 是最常见的 (50%),其次是身体暴力 (类型3,25%).
- 40岁或更年轻的护士 (OR,3.1) 和医疗保健工作者 (OR,2.0) 患WPV的可能性更高.
结论:
- 在ED的HCW经常经历WPV,护士和年轻员工面临更高的风险.
- 调查结果强调,迫切需要采取干预措施来保护HCW.
- 解决WPV对于保持安全的医疗保健环境至关重要.
相关概念视频
Obedience
32.8K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.8K
Bystander Effect
9.5K
The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
9.5K
Types of Reports II: Incident or Occurrence Report
804
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
804
Specialized Care Centers and Settings-II
716
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
716
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
Ethical Issues
856
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
856


