Hodgson Michael J, Reed Richard, Craig Thomas, Murphy Frances, Lehmann Larry, Belton Linda, Warren Nick
Occupational Health Program, Office of Public Health and Environmental Hazards, Veterans Health Administration, USA.
J Occup Environ Med. 2004 Nov;46(11):1158-65. doi: 10.1097/01.jom.0000141658.91805.47.
The authors examined assault frequency and risk factors in health care.
The authors conducted a cross-sectional questionnaire survey in 142 hospitals. Analyses are presented at the level of the individual and aggregated by facility.
Thirteen percent of employees described at least 1 assault in the last year; the proportion assaulted per facility ranged from 1% to 26%. Patients were the most common assaulters. Working in geriatrics, mental health, and rehabilitation or in nursing represented a high risk for assault. Hours of work and work patterns represented major risk factors for assault, as were higher measures of organizational stress. The penetration of training in alternate dispute resolution strategies was associated with lower rates of assaults.
Although work in health care is associated with high rates of assaults, closer scrutiny suggests specific possible intervention strategies.
作者研究了医疗保健领域的攻击频率及风险因素。
作者在142家医院开展了一项横断面问卷调查。分析在个体层面进行，并按机构进行汇总。
13%的员工称在过去一年中至少遭受过1次攻击；每个机构遭受攻击的比例在1%至26%之间。患者是最常见的攻击者。在老年医学、心理健康与康复科室工作或从事护理工作面临着较高的攻击风险。工作时长和工作模式是攻击的主要风险因素，组织压力较大时也是如此。替代性纠纷解决策略培训的普及与较低的攻击发生率相关。
虽然医疗保健工作与高攻击发生率相关，但进一步审查表明存在具体可行的干预策略。
