Allen Diane E
J Psychosoc Nurs Ment Health Serv. 2013 Sep;51(9):37-41. doi: 10.3928/02793695-20130612-04. Epub 2013 Jun 21.
An educational program for staff in an acute, involuntary inpatient setting has led to positive change by challenging the widely held belief that getting hurt is an expected part of the job in acute psychiatric care settings. The Staying Safe program encouraged staff to think differently about their roles and to explore alternative responses to patient behaviors. Cultural change takes time: Staff have requested that the program be repeated multiple times over the past 5 years, and key concepts have been incorporated into employee orientation and refresher programs. During that same time, staff have learned to call for help more often and to have a plan for such help before physically intervening with patients. The strategies described in this program have resulted in decreased number of assaults on staff, injuries from assaults, and lost work time from those injuries.
针对急症非自愿住院环境下的工作人员开展的一项教育项目带来了积极变化，它挑战了一种广泛存在的观念，即受伤是急症精神科护理工作中预料之中的一部分。“安全保障”项目鼓励工作人员以不同方式思考自身角色，并探索应对患者行为的替代反应。文化变革需要时间：在过去5年里，工作人员多次要求重复开展该项目，关键概念已被纳入员工入职培训和进修项目。在同一时期，工作人员学会了更频繁地呼救，并在对患者进行身体干预之前制定求助计划。该项目中描述的策略已使针对工作人员的袭击数量、袭击造成的伤害以及因这些伤害导致的误工时间减少。
