患者和公众对全科医生工作人员的暴力和虐待:一个范围审查
Shihning Chou1, Luke Sawyers2, Giulia Cianci2
1University of Nottingham, Nottingham, United Kingdom shihning.chou@nottingham.ac.uk.
概括
患者对全科医院工作人员的暴力和虐待是常见的,影响了心理健康和服务. 预防和支持干预措施的研究严重缺乏,尽管这个问题很普遍.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 职业安全 在职业安全.
背景情况:
- 在全球范围内,全科医院是第二级护理的主要门户.
- 一般诊所的工作人员面临着来自患者和公众的暴力和虐待的独特风险.
- 现有的研究往往忽略了与二级护理环境相比,初级护理中的暴力.
研究的目的:
- 确定患者/公众暴力和虐待对全科医院工作人员的流行,特征和影响.
- 在一般实践环境中确定现有的暴力和虐待预防和支持策略.
- 突出评估干预措施的研究缺口,以解决初级保健中的暴力和虐待问题.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA ScR指南进行了全面的范围审查.
- 在六个数据库和谷歌学者的系统搜索中,发现了相关的研究.
- 来自24个国家的50项研究的数据被提取和分析.
主要成果:
- 报告的针对全科医生工作人员的暴力和虐待率差异很大,去年的比例从13.8%到90.3%.
- 常见的触发因素包括漫长的等待时间和未满足的患者期望.
- 对员工的影响包括不良心理健康结果,增加营业额的意图和减少服务能力.
结论:
- 针对全科医院工作人员的暴力和虐待是普遍存在的问题,具有重大个人和服务层面的后果.
- 在一般实践中,明显缺乏评估的预防和支持干预措施.
- 迫切需要进一步的研究来开发和评估有效的策略来解决这个问题.
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