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华南地区医疗工作场所暴力的前因。

Antecedents of medical workplace violence in South China.

机构信息

Southern Medical University, Guangzhou, People's Republic of China.

出版信息

J Interpers Violence. 2011 Jan;26(2):312-27. doi: 10.1177/0886260510362885. Epub 2010 May 10.

Abstract

It has been noted that workplace violence most frequently occurs in hospitals. The purpose of this study was to explore antecedents of workplace violence in south China. The authors conducted face-to-face, in-depth, semistructured interviews with 30 hospital staff who had experienced at least one incident of workplace violence from patients during the past 12 months at three general hospitals in south China. The interviews were tape-recorded, then transcribed, and analyzed. The authors' analyses identified five major antecedents of workplace violence. First, 93.0% of medical workplace violence was related to insufficient communication between hospital staff and patients. Second, inadequate medical service quality was found to be a factor in 56.7% of the incidences. Third, unsatisfactory treatment outcome was reported in 60.0%. Fourth, heavy workload accounted for 43.3%. Fifth, patient frustration due to high medical expenses was reported in 40.0% of cases. The authors recommended a reengineering of hospital service delivery to create a more supportive and safer working environment for prevention of workplace violence.

摘要

已有研究指出,工作场所暴力最常发生于医院。本研究旨在探讨华南地区工作场所暴力的前置因素。研究人员在华南的三家综合医院,对过去 12 个月内至少经历过一次来自患者的工作场所暴力事件的 30 名医院工作人员进行了面对面、深入的半结构化访谈。访谈进行了录音,然后进行转录和分析。作者的分析确定了工作场所暴力的五个主要前置因素。首先,93.0%的医疗工作场所暴力与医院工作人员和患者之间沟通不足有关。其次,56.7%的事件中发现医疗服务质量不足是一个因素。第三,60.0%的报告显示治疗结果不理想。第四,工作量大占 43.3%。第五,40.0%的案例报告称患者因医疗费用高而感到沮丧。作者建议对医院服务提供进行重新设计,以创造一个更具支持性和安全性的工作环境,从而预防工作场所暴力。

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