Calabro Karen, Baraniuk Sarah
University of Texas Health Services, University of Texas School of Nursing at Houston, USA.
AAOHN J. 2003 Oct;51(10):425-32.
Physical assaults on mental health care workers by aggressive patients were the leading cause of occupational injuries to staff working in a community psychiatric hospital. More than dollar 1 million was estimated to be lost in 1 year because of these occupational injuries. This problem was assessed by examining the organizational factors related to safety at the hospital. The cross sectional survey design measured the perceptions of mental health care workers about the commitment of management to safety (i.e., safety climate). Overall, results indicated the subscale for safety climate was high (3.77 +/- .66 [mean +/- SD] on a 5 scale), given the magnitude of recalled incidents and injuries involving patients against staff. Safety climate was associated with three variables that included administrative controls, occupational stress, and job task demands. Results of the study were useful in determining specific changes for improving safety. The study findings demonstrated the practicality and feasibility of in-house assessments to diagnose areas that require attention, support, and improvement.
在社区精神病医院工作的员工中，具有攻击性的患者对精神卫生保健工作者的人身攻击是导致职业伤害的主要原因。据估计，由于这些职业伤害，一年的损失超过100万美元。通过检查与医院安全相关的组织因素对这一问题进行了评估。横断面调查设计衡量了精神卫生保健工作者对管理层安全承诺（即安全氛围）的看法。总体而言，鉴于回忆起的患者对工作人员的事件和伤害的严重程度，结果表明安全氛围子量表得分较高（在5分制量表上为3.77±0.66[平均值±标准差]）。安全氛围与行政控制、职业压力和工作任务要求这三个变量相关。该研究结果有助于确定改善安全的具体变革措施。研究结果证明了内部评估在诊断需要关注、支持和改进的领域方面的实用性和可行性。
