环境设计干预措施的有效性,以减少紧急部门的侵略和暴力:一个范围审查
Darren Jacob1, Belinda Jacob1, Elisabeth Jacob1
1Australian Catholic University, Australia.
HERD
|July 7, 2025
概括
物理设计干预措施显示,减少急诊室暴力的证据有限. 工作人员认为设计对安全有影响,但需要对患者和旁观者攻击的有效干预措施进行更多研究.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健设计的设计方法
- 犯罪学 犯罪学
背景情况:
- 在急救部门 (ED) 的工作场所暴力对医疗保健人员和组织构成重大风险.
- 电阻器的物理布局可能会影响患者和旁观者暴力的发生.
- 了解设计的作用对于提高高压环境中的安全至关重要.
研究的目的:
- 系统地审查有关物理设计干预措施在减少急诊室内患者和旁观者暴力的有效性的证据.
- 确定可能影响ED环境中的侵略和暴力的关键物理设计元素.
- 突出目前关于设计策略经验有效性的研究中的差距.
主要方法:
- 在CINAHL,Medline,Scopus和PsycINFO数据库中进行了全面的范围审查.
- 包括标准集中在物理设计,暴力和急救部门,不包括心理健康,儿科和非研究论文.
- 数据提取和内容分析确定了与设计干预及其结果相关的主题.
主要成果:
- 包括10项研究,主要报告员工对设计对暴力有效性的看法.
- 出现了四个主题:防止武器伤害,控制访问,增强观察和提高患者舒适度.
- 有限的经验数据存在,大多数发现基于工作人员的意见,而不是客观的结果措施.
结论:
- 显著缺乏强有力的证据支持物理设计干预措施减少ED暴力的有效性.
- 医疗保健工作人员认为,ED的物理设计会影响他们的安全和暴力事件的发生.
- 进一步的研究对于经验验验证设计干预措施及其对紧急环境中的侵略行为影响至关重要.
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