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与医院工作人员遭受的患者和访客暴力(第二类)有关的施害者、工人和工作场所特征:文献回顾和现有职业伤害数据。

Perpetrator, worker and workplace characteristics associated with patient and visitor perpetrated violence (Type II) on hospital workers: a review of the literature and existing occupational injury data.

机构信息

The University of Texas, School of Public Health, 1200 Herman Pressler, RAS E617, Houston, Texas 77030, USA.

出版信息

J Safety Res. 2013 Feb;44:57-64. doi: 10.1016/j.jsr.2012.09.004. Epub 2012 Nov 30.

DOI:10.1016/j.jsr.2012.09.004
PMID:23398706
Abstract

PROBLEM

Non-fatal type II violence experienced by hospital workers (patient/visitor-on-worker violence) is not well described.

METHODS

Hospital administration data (2004-2009) were examined for purposes of calculating rates of type II violent events experienced by workers. We also conducted a review of the hospital-based literature (2000-2010) and summarized findings associated with type II violence.

RESULTS

484 physical assaults were identified in the data, with a rate of 1.75 events/100 full-time equivalents. Only few details about events were captured, while non-physical events were not captured. The literature yielded 17 studies, with a range proportion of verbal abuse (22%-90%), physical threats (12%-64%) and assaults (2%-32%) reported. The literature lacked rigorous methods for examining incidence and circumstances surrounding events or rates of events over time.

DISCUSSION

For purposes of examining the impact of type II violence on worker safety, satisfaction and retention, rigorous surveillance efforts by hospital employers and researchers are warranted.

摘要

问题

医院工作人员(患者/访客对工作人员的暴力)所经历的非致命性 II 型暴力行为并未得到充分描述。

方法

为了计算工作人员经历的 II 型暴力事件的发生率,我们检查了医院管理数据(2004-2009 年)。我们还对基于医院的文献(2000-2010 年)进行了回顾,并总结了与 II 型暴力相关的发现。

结果

在数据中确定了 484 起身体攻击事件,发生率为每 100 名全职等效人员 1.75 起事件。只有很少的事件细节被捕捉到,而非身体事件则没有被捕捉到。文献中包含了 17 项研究,报告的言语虐待比例范围为 22%-90%,身体威胁为 12%-64%,攻击为 2%-32%。文献缺乏关于事件发生率和周围环境或随时间变化的事件发生率的严格方法。

讨论

为了研究 II 型暴力对工人安全、满意度和保留率的影响,医院雇主和研究人员需要进行严格的监测工作。

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