哈登矩阵模型:在医院环境中应用于工作场所暴力
Della J Derscheid1, Christopher Meyer1, Judith E Arnetz2
1Mayo Clinic, Rochester, Minnesota, USA.
概括
这项研究使用哈登矩阵模型在医院中确定了工作场所暴力风险因素. 该模型有效地对风险进行了分类,为预防医疗保健工作场所暴力提供了一个全面的方法.
科学领域:
- 医疗保健管理的管理
- 职业安全 在职业安全.
- 公共卫生 公共卫生
背景情况:
- 职场暴力 (WPV) 是医疗保健机构的一个重要问题.
- 现有的模型可能无法完全捕捉WPV风险的多因素性质.
- 哈登矩阵模型 (HMM) 为风险评估提供了一个结构化的框架.
研究的目的:
- 用哈登矩阵模型确定医院工作场所暴力风险因素.
- 评估哈登矩阵模型在对WPV事件多重风险的概念化中的实用性.
- 分析患者和医疗保健工作人员的数据,以了解WPV触发因素.
主要方法:
- 使用两个独立的方便样本进行描述性研究:患者暴力数据 (N=192) 和医疗保健工作人员调查答案 (N=380).
- 分析包括了与患者相关的暴力因素的后勤回归.
- 奇方位和两个样本的t测试检查了与WPV相关的员工,环境和文化因素.
主要成果:
- 在事件前和事件时间框架内,在四个哈登矩阵领域 (东道主,代理人,物理环境,社会环境) 确定了暴力风险因素.
- 事件发生前的风险包括工人人口统计学,患者特征,物理环境特征和社会环境安全.
- 事件时间风险涉及患者行为/妄想和药物/患者识别过程.
结论:
- 哈登矩阵模型成功地识别和分类了许多医院工作场所暴力风险.
- 该HMM证明了作为了解和解决WPV在医疗保健中的综合框架的实用性.
- 应用HMM可以为针对性干预提供信息,以减轻医院中的暴力风险.
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