武器选计划如何减少武装医院袭击? 关于公共卫生原则的全面审查
Carmen Black1,2,3, Jordyn Williams4, Noah Sobel4
1Institute of Living, Hartford Healthcare, 200 Retreat Ave, Hartford, CT, 06102, USA. carmengblack@gmail.com.
Journal of racial and ethnic health disparities
|March 11, 2025
概括
医院的武器查计划 (WSP) 没有证据表明减少了工作场所暴力 (WPV). 目前的文献不支持WSPs.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 犯罪学 犯罪学
背景情况:
- 医院工作场所暴力 (WPV) 的上升率促使医疗保健组织实施武器查计划 (WSP),例如金属探测器.
- 关于WSPs在减少医院WPV方面的有效性,现有的文献需要基于公共卫生原则进行批判性分析.
研究的目的:
- 确定,分析和报告支持武器查计划 (WSPs) 减少医院工作场所暴力 (WPV) 能力的证据.
- 根据既定的公共卫生原则,评估WSPs在降低医院WPV绝对率方面的有效性.
主要方法:
- 从2023年7月到2024年12月,在6个数据库中进行了全面的文献搜索,以对美国医院公共入口的WSP进行原始研究.
- 通过混合方法评估工具和2010年Melnyk和Fineout-Overholt证据等级体系,严格评估了研究质量和稳定性.
主要成果:
- 包括29项非实验性研究,主要是定量描述性研究,所有来自具有中等质量分数的学术机构.
- 只有两项研究直接测量了WSP实施前和之后的WPV率,而这两项研究都没有显示出统计学上显著的减少.
- 关于WSP在减少武装WPV有效性的结论通常基于有缺陷的假设,将武器存在与袭击发生率和武器移除与暴力减少相结合.
结论:
- 没有直接证据支持声称武器查计划 (WSPs) 有效降低医院工作场所暴力 (WPV) 的绝对率.
- 医院暴力计划没有解决大多数非武装的医院暴力事件,并且可能会将资源从驱动WPV的临床因素中转移.
- 虽然武装WPV是一个严重的问题,但其基线低的流行率意味着WSP不太可能对整体医院暴力率产生重大影响.
更多相关视频
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
Preventive Healthcare Services
957
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
957
Hand hygiene
3.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.1K
Standard Precaution
1.8K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.8K
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Healthcare Agencies II
678
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
678


