在精神病学环境中预防侵略:一个最佳实践实施项目的项目
Louis Prod'hom1,2, Stéphanie Mahé1,2, Pierre Lequin1,3
1Psychiatry Department, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
JBI evidence implementation
|October 10, 2025
概括
实施基于证据的实践改善了精神病学环境中的侵略管理. 虽然专业实践有所进步,但医疗保健专业人员仍然是先进的.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健管理的管理
- 改善临床实践的改善
背景情况:
- 侵略性在精神病学环境中很常见,对患者护理,工作人员和机构产生负面影响.
- 复杂的多因素现象是医疗环境中攻击性行为的基础.
- 有效的预防和管理策略对于精神病医疗的质量至关重要.
研究的目的:
- 实施和评估基于证据的预防和管理异性侵略的实践.
- 为了改善瑞士大学医院精神病学部门的临床实践.
- 为了减少在精神病医疗机构中的侵略事件和影响.
主要方法:
- 使用了乔安娜·布里格斯研究所 (JBI) 证据实施框架.
- 进行了基线和后续审计,将实践与八项最佳实践建议进行比较.
- 实施的干预措施重点是改善对侵略管理最佳实践的遵守.
主要成果:
- 基线审计发现暴力风险评估的文档不一致.
- 后续审计显示,验证过的查工具和预防干预措施的使用增加.
- 尽管实践有所改善,但医疗保健专业人员对暴力的接触仅有有限的减少,患者参与度仍然很低.
结论:
- 通过JBI的方法,在暴力风险评估方面的专业实践得到了显著的提高.
- 该项目成功地缩小了最佳实践建议和临床应用之间的差距.
- 临床实践分析会议有效地促进了对侵略预防干预措施的理解.
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