[参与性开发和评估暴力预防多式联通概念 (PEKo):分析三个护理机构的实施成功情况]
Anja Bergmann1, Natalie Nguyễn2, Laura Püschel3
1Institut für Pflegewissenschaft (IfP), Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Gleueler Straße 176-178, 50935, Köln, Deutschland. anja.bergmann@uk-koeln.de.
参与式开发和评估暴力预防多模式概念 (PEKo) 项目提高了对医疗保健机构的认识和信心. 持续的外部支持对于持续的实施至关重要,特别是在长期护理中.
科学领域:
- 医疗保健管理的管理
- 护理 护理 护理
- 患者安全 患者安全
背景情况:
- 暴力在护理保健中很普遍,影响员工和患者.
- 德国缺乏有效的,基于证据的干预措施,以预防医疗保健中的暴力.
- 这项研究探讨了在各种护理环境中需要暴力预防策略的需求.
研究的目的:
- 分析参与式多式联络暴力预防概念 (PEKo) 的实施情况.
- 评估PEKo在养老院,门诊服务和医院的有效性.
- 确定影响成功实施的因素和需要改进的领域.
主要方法:
- 采用多专业团队的方法来开发和实施特定设施的措施.
- 来自员工调查的定量数据评估了人们对应暴力行为的感知变化.
- 处理数据分析了PEKo干预的实施忠实度,剂量和范围.
主要成果:
- 在2021年至2023年期间,PEKo项目在42个养老院,7个门诊服务和12家医院中实施.
- 大多数门诊服务和医院都实施了PEKo的所有组件,而大约一半的养老院也这样做了.
- 443名员工参加了调查,报告增加了交流和处理暴力的变化.
结论:
- "PEKo"概念在提高人们对护理环境中的暴力行为的认识和信心方面表现有前途.
- 特别是在长期住院护理中,人们注意到了实施忠实性的挑战.
- 持续实施需要持续的外部支持和更多地纳入护理接收者的观点.
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