Gillespie Gordon Lee, Gates Donna M, Fisher Bonnie S
College of Nursing, University of Cincinnati, Cincinnati, OH, USA.
School of Criminal Justice, University of Cincinnati, Cincinnati, OH, USA.
Work. 2015;51(1):67-71. doi: 10.3233/WOR-141890.
Workplace violence from coworkers, patients, and visitors is a problem affecting every occupational group in the health and social service sector [1-3]. Workplace violence is demonstrated by coworkers through bullying behaviors and by patients and visitors through physical threats and assaults.
The purpose of this article is to highlight the special issue authors' and guest editors' recommendations for protecting healthcare workers from being victimized and incurring the negative consequences of having experienced workplace violence.
Recommendations from the special issue were categorized and discussed in relation to the Social-Ecological Model and the prevention efforts targeting individuals, relationships, communities, and society.
Individual-level recommendations focused on the personal risk reduction for healthcare workers. Relationship-level recommendations addressed the problem of bullying between coworkers and physical violence derived from patients and visitors. Workplace-level recommendations discussed a multi-faceted systems approach to violence management. Societal-level recommendations centered on a universal health policy approach.
The use of a model such as the Social-Ecological Model can be helpful in planning violence prevention efforts in the healthcare setting.
来自同事、患者及访客的工作场所暴力是一个影响卫生和社会服务部门每个职业群体的问题[1-3]。同事通过欺凌行为表现出工作场所暴力，患者和访客则通过身体威胁和攻击表现出来。
本文旨在强调特刊作者和客座编辑提出的关于保护医护人员免受伤害以及避免遭受工作场所暴力负面影响的建议。
根据社会生态模型以及针对个人、人际关系、社区和社会的预防措施，对特刊的建议进行分类和讨论。
个人层面的建议侧重于降低医护人员的个人风险。人际关系层面的建议解决了同事之间的欺凌问题以及患者和访客引发的身体暴力问题。工作场所层面的建议讨论了针对暴力管理的多方面系统方法。社会层面的建议以普遍的卫生政策方法为核心。
使用社会生态模型等模型有助于规划医疗环境中的暴力预防工作。
