Winstanley S, Whittington R
Division of Psychology and Speech & Language Therapy, De Montfort University, Leicester, UK.
Acta Psychiatr Scand Suppl. 2002(412):144-7. doi: 10.1034/j.1600-0447.106.s412.31.x.
This study sought to compare the characteristics of aggressive incidents occurring on inpatient (medical and surgical) wards with those occurring in the accident and emergency department in terms of assailant, employee and other factors.
A prospective interview-based survey design was adopted. Forty-eight assaulted staff were interviewed about 69 incidents within 7 days on average of the incident occurring. The presence or absence of various assailant, employee, situation, interaction and outcome factors derived from the UK Health Services Advisory Committee's model was compared between the two settings.
Inpatient ward incidents were significantly more likely to have the following characteristics: female perpetrator, perpetrator aged over 70 years, daytime occurrence in a restricted area, resolved by support from other health care staff.
Aggression frequently occurs on inpatient (medical and surgical) wards of a general hospital. Aggression management training for staff working in both accident and emergency and inpatient settings should be cognisant of the similarities and differences within general health care specialisms.
本研究旨在比较综合医院内科和外科住院病房与急诊科发生的攻击事件在攻击者、员工及其他因素方面的特征。
采用前瞻性访谈式调查设计。对48名遭受攻击的工作人员就平均在事件发生7天内的69起事件进行了访谈。比较了两种环境下源自英国卫生服务咨询委员会模型的各种攻击者、员工、情境、互动和结果因素的有无情况。
住院病房事件更有可能具有以下特征：女性攻击者、年龄超过70岁的攻击者、在受限区域白天发生、由其他医护人员的支持得以解决。
攻击事件在综合医院的内科和外科住院病房经常发生。应对急诊科和住院部工作人员进行攻击管理培训，应认识到普通医疗专业内部的异同。
