探索工作场所暴力对城市急救部门的影响:一项定性研究
Brendan Lyver1, Brendan Singh1, Nathan Balzer1
1University Health Network, Toronto, ON M5G 1X6, Canada.
Healthcare (Basel, Switzerland)
|March 28, 2025
概括
在急救部门 (ED) 的工作场所暴力 (WPV) 正在增加,影响医疗保健提供者 (HCP). 解决WPV需要改进领导力,员工沟通和安全系统,以减少燃烧和增强保留.
科学领域:
- 医疗保健管理的管理
- 职业健康 职业健康 职业健康
- 紧急医疗 紧急医疗
背景情况:
- 在医疗机构,特别是急诊室 (ED) 的工作场所暴力 (WPV) 在COVID-19后升级.
- 增加WPV有助于医疗保健提供者 (HCP) 倦怠,士气下降和保留挑战.
- 了解医疗保健人员对WPV的看法对于开发有效干预至关重要.
研究的目的:
- 探索医疗保健提供者 (HCPs) 在紧急部门 (EDs) 中对工作场所暴力 (WPV) 的观点.
- 收集有关质量改善倡议的见解,旨在减轻学术卫生中心的WPV.
- 为针对性干预提供信息,解决ED中WPV的复杂问题.
主要方法:
- 一项定性研究利用半结构化采访,在两个城市急诊室 (ED) 接受52名医疗保健提供者 (HCP) 的采访.
- 参与者代表了不同的角色和班次,分享了关于安全,领导,培训和安全的经验.
- 对匿名采访记录的主题分析确定了与WPV相关的关键主题.
主要成果:
- 四个主要主题出现了:"暴力是工作的一部分"",关于WPV的领导力学"",WPV响应期间ED工作人员之间的断开"和"提高有效WPV管理的系统和文化".
- 调查结果突出了需要改善的关键领域,即在ED中解决WPV的问题.
- 从HCP的经验中得出可行的建议,以指导组织战略.
结论:
- 定性见解强调需要解决在ED中管理WPV的文化,结构和程序差距.
- 该研究为制定支持性策略以提高ED工作人员的安全提供了基础.
- 未来的研究将评估医疗人员对WPV的感知和经验的干预后变化.
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