关于事件后干预措施的VA工作人员观点,以应对患者实施的性骚扰,并支持受影响的工作人员
Karissa M Fenwick1, Shay Cannedy2, Rachel Lesser2
1HSR Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA. Karissa.Fenwick@va.gov.
Journal of general internal medicine
|October 20, 2025
概括
医疗保健机构的患者性骚扰是一个重大问题. 这项研究强调需要改进培训,程序和支持系统,以保护退伍军人事务 (VA) 工作人员并促进更安全的工作环境.
科学领域:
- 医疗保健管理的管理
- 工作场所安全工作场所安全
- 医务人员福利 医务人员福利
背景情况:
- 患者对医疗保健工作人员的性骚扰是普遍存在的,这会对保留,福祉和护理质量产生负面影响.
- 退伍军人事务 (VA) 设施缺乏系统的程序来解决患者实施的性骚扰和支持受影响的员工.
研究的目的:
- 确定当前和理想的实践,以支持VA初级保健人员应对和应对患者的性骚扰.
- 为VA医疗保健系统中制定有针对性的干预措施和资源提供信息.
主要方法:
- 在8个VA设施中,与31名初级保健提供者,管理人员和工作场所暴力专家进行了定性采访.
- 采用半结构面试指南和混合演/感应主题分析来确定需求和建议.
主要成果:
- 一个关键的发现是需要改变VA的组织气候,优先考虑员工安全,而不是容忍患者的性骚扰.
- 在四个领域确定了未满足的需求和建议:前线人员培训,监督员支持,情绪支持资源和报告程序.
结论:
- 涉及前线工作人员,监督人员和设施级程序的多方面的方法对于有效解决患者性骚扰至关重要.
- 调查结果可以指导培训,程序和资源的创建,以提高员工的能力,改善VA的反骚扰气候,并确保员工的安全和尊重.
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