Morton Paula G
VA Medical Center, Roseburg, Oregon, USA.
J Nurses Staff Dev. 2002 Jan-Feb;18(1):41-7. doi: 10.1097/00124645-200201000-00009.
Patient violence is a growing problem in healthcare institutions. Incidents of violence lead to injuries and increased operating costs. An innovative organizational approach to this problem is inclusion of interdisciplinary competency-based staff education and practice, as a key component of a comprehensive violence prevention program.Interdisciplinary competencies include a variety of behavioral responses, aimed at prevention, environmental, interpersonal, and physical interventions and postvention techniques for aggression and violence. Methods to maintain, monitor, document, and improve staff performance and skills are delineated. Organizational investment in such interdisciplinary competency-based education and practice evolves over time. Results include fewer incidents and injuries and enhanced interdisciplinary cooperation.
患者暴力行为在医疗机构中是一个日益严重的问题。暴力事件会导致人员受伤以及运营成本增加。针对这一问题的一种创新型组织方法是将基于跨学科能力的员工教育与实践纳入其中,作为全面预防暴力计划的关键组成部分。跨学科能力包括各种行为反应,旨在进行预防、环境、人际和身体干预以及针对攻击和暴力行为的事后干预技术。文中还阐述了维持、监测、记录和提高员工绩效与技能的方法。随着时间的推移,组织对这种基于跨学科能力的教育与实践的投入不断发展。结果是暴力事件和伤害减少,跨学科合作得到加强。