护理同行暴力对患者安全的影响:综合性审查
1Faculty of Nursing and Medical Care, Keio University Shonan Fujisawa Campus, Fujisawa, Japan.
International nursing review
|July 3, 2025
概括
护士间的横向和横向暴力对患者的安全有负面影响. 解决这种同行暴力需要培养积极的工作环境和专业行为,以保护患者.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
背景情况:
- 护士间的横向和横向暴力是一个有记录的问题,但它对患者安全的确切影响需要进一步澄清.
- 目前对横向和横向暴力的定义各不相同,这阻碍了对它们的区别和集体影响的清晰理解.
研究的目的:
- 澄清护士职业内横向和横向暴力的性质.
- 评估横向和横向暴力对患者安全结果的影响.
主要方法:
- 一个综合性审查,遵循PRISMA检查清单.
- 在科学网络,PubMed和CINAHL数据库 (1991-2023) 中进行系统搜索.
- 关键词包括"患者安全"",护理"",横向暴力"和"侧向暴力".
主要成果:
- 从最初的105项研究中提取了29项研究,其中27项证实了横向/侧向暴力与患者安全之间的联系.
- 有证据表明,护理,横向暴力,横向暴力和患者安全之间存在关联.
- 区分横向和横向暴力是很有挑战性的,因为两者都经常被归类为同行暴力.
结论:
- 横向和横向暴力,包括重复的虐待,是医疗保健中的系统性问题,对患者安全产生负面影响.
- 不礼貌的文化,工作压力和组织的沉默有助于同行暴力,创造了一个危害患者护理的循环.
- 建议包括促进专业行为,安全文化,建设性同行关系和健康的工作环境,以提高患者安全.
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