探索对EMS人员的暴力行为:一个多专业的定性研究
Heikki Riihimäki1, Laura-Maria Peltonen2, Mari Lahti3
1Turku University of Applied Sciences and Turku University Hospital, Turku, Finland. heikki.riihimaki@varha.fi.
BMC emergency medicine
|March 17, 2026
概括
对紧急医疗服务 (EMS) 人员的暴力行为是一个复杂的问题,受到攻击者,EMS人员和组织因素的影响. 有效的预防需要加强培训,系统保障和事件后的支持.
科学领域:
- 公共卫生 公共卫生
- 职业安全 在职业安全.
- 紧急医疗 紧急医疗
背景情况:
- 针对紧急医疗服务 (EMS) 人员的暴力行为普遍存在,但报告不足,包括口头,身体和性虐待.
- 后果从心理困扰到身体伤害以及重大组织负担.
- 这种暴力的动态,情境和互动方面,以及有效的预防策略,需要进一步了解.
研究的目的:
- 检查导致对EMS人员的暴力行为的因素.
- 分析涉及EMS人员的暴力事件的动态.
- 确定改善预防和支持策略的领域.
主要方法:
- 在芬兰使用两个多专业利益相关者研讨会 (n=36) 进行的定性研究.
- 参与者包括EMS专业人员,相关领域专家和患者代表.
- 使用专题分析来解释有关事件动态和促成因素的数据.
主要成果:
- 暴力通过三个相互影响的主题出现:侵略者,EMS人员和组织/系统.
- 攻击因素 (物质使用,精神状态) 和EMS漏洞 (疲劳,缺乏经验) 增加了风险.
- 组织问题 (不清楚的协议,警察合作不足,支持不足) 提出了关键挑战.
结论:
- 针对EMS的暴力是一个多因素,动态的问题,涉及侵略者,人员和组织元素.
- 降级和解除干预的培训,加强保障措施以及事件后的支持至关重要.
- 开发用于EMS任务的预测风险管理模型是有必要的.
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