一个暴力预防计划对护士对管理患者侵略的信心的影响
1Diane Regan is Associate Chief Nursing Officer at Tufts Medicine Lowell General Hospital in Lowell, MA.
Nursing management
|October 31, 2025
概括
一个捆绑的工作场所暴力 (WPV) 预防教育计划,包括患者暴力风险评估,显著增加了护士.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 护理安全护理安全
- 医疗保健中的基于证据的实践
背景情况:
- 工作场所暴力 (WPV),特别是患者对工人的侵略,是急症医院日益关注的问题.
- 复杂的患者群体和劳动力变化加剧了护理和患者安全的风险.
- 现有的WPV培训缺乏标准化,捆绑的方法,包括住院患者的患者风险评估.
研究的目的:
- 为住院护士实施和评估一个捆绑的WPV预防教育计划.
- 引入一个标准化的患者暴力风险评估工具,用于跨学科沟通和护理协调.
- 为了提高护士在管理患者攻击的信心.
主要方法:
- 一个使用爱荷华州模型修订以证据为基础的实践的质量改进项目.
- 临床医生对应患者侵略的信心 (CCPA) 调查在干预前和后进行.
- 实施了一个捆绑的WPV教育策略,结合了患者暴力风险评估工具.
主要成果:
- 护士报告说,在干预后处理患者侵略时,他们的信心在统计上显著增加 (P < .05).
- 综合教育和风险评估工具对护士的自我效能产生了积极影响.
结论:
- 一个捆绑的WPV预防教育计划,包括基于证据的风险评估工具,是标准护理教育的宝贵增强.
- 实施这种策略可以提高护士的信心,并可能减轻与医院工作场所暴力相关的风险.
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