医疗保健工作者暴露于II型工作场所暴力的预测模型:系统性审查和元分析
Jingxian Shang1, Kexin Xue, Chaochao Yang
1Author Affiliations: College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu City, China.
Journal of nursing care quality
|July 14, 2025
概括
对于医疗保健工作者来说,工作场所暴力风险模型是有希望的,但需要改进. 未来的研究应该专注于提高模型准确性和用于实际临床使用的验证.
科学领域:
- 医疗保健安全 医疗保健安全
- 职业健康 职业健康 职业健康 职业健康
- 风险预测建模风险预测建模
背景情况:
- 职场暴力对医疗保健工作人员的安全和福祉构成重大风险.
- 现有的职场暴力预测模型需要严格的评估.
研究的目的:
- 系统地审查和评估工作场所暴力风险预测模型的准确性和适用性.
- 在这些模型中评估质量并确定关键预测因素.
主要方法:
- 在2025年5月之前,对10个数据库进行了系统搜索.
- 模型质量使用预测模型偏差风险评估工具进行评估.
- 预测因素使用就业需求-资源框架进行分类.
主要成果:
- 十项研究,详细介绍了18个预测模型,被纳入了审查.
- 曲线下的聚合面积 (AUC) 为0.87 (95% CI,0.81-0.93),表明预测准确度中等.
- 鉴定的预测因素被分为三个主要类别和七个子类别.
结论:
- 目前的工作场所暴力风险模型的临床实用性有限.
- 加强研究严谨性和验证对于这些模型在医疗保健环境中的实际应用至关重要.
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