护士决定对表现出暴力行为的假设患者提出指控
Darcy Copeland1,2, Susan Tipton3, Debra Culter4
1St. Anthony Hospital, CommonSpirit Health Mountain Region, Lakewood, CO 80228, USA.
Nursing reports (Pavia, Italy)
|January 27, 2026
概括
护士通常不会对暴力患者提出指控,即使他们受伤了. 提出指控的决定涉及伤害,意图和潜在的隐含偏见,根据患者的年龄,性别和种族而有所变化.
科学领域:
- 护理 护理 护理
- 医疗保健法律 医疗保健法律
- 医学伦理 医学伦理
背景情况:
- 患者经常对护士进行身体暴力.
- 对护士的攻击在美国大多数州都被法律认定为重罪.
- 影响护士提起诉讼决定的因素在很大程度上仍未得到研究.
研究的目的:
- 调查护士在决定是否对表现出暴力行为的患者提出指控时使用的决策过程.
- 探索护士在患者对护士暴力案件中采取法律行动的选择背后的逻辑.
主要方法:
- 采用了一种混合方法,横截面,描述性研究设计.
- 护士们回应了一项电子调查,展示了三个展开的病例研究,不同患者人口统计学 (青少年,成人,老年人).
- 调查的12个随机版本改变了患者的视觉表现,同时保持了相同的叙述.
主要成果:
- 在499名接受调查的护士中,大多数表示他们不会对假设的患者提起诉讼.
- 损害的存在和故意的假设对控告的决定产生了重大影响.
- 护士比老年患者更容易对青少年和成年患者提出指控,对女性比男性青少年/老年患者,对白人比黑人成年患者更容易提出指控.
结论:
- 护士之间没有一个明确的共识,即对患者对护士的暴力采取法律行动.
- 诸如伤害,感知的故意性和潜在的隐含偏见等因素可能会影响这些决定.
- 需要进一步的研究,才能充分理解护士在暴力患者遭遇时的决策的复杂性.
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