1 Veterans Health Administration, The Villages Outpatient Clinic, The Villages, FL, USA.
Trauma Violence Abuse. 2017 Oct;18(4):445-456. doi: 10.1177/1524838015627148. Epub 2016 Jan 13.
Patient-perpetrated violence and aggression toward health-care workers, specifically in noninstitutional health-care settings, cause concerns for both health-care providers and the clients whom they serve. Consequentially, this presents a public affairs problem for the entire health-care system, which the current research has failed to adequately address. While the literature overwhelmingly supports the assertion that accurate incident reporting is critical to fully understanding patient violence and aggression toward health-care providers, there is limited research examining provider decision making related to reporting incidents of patient violence and aggression targeted toward the provider. There is an even greater paucity of research specifically examining this issue in noninstitutional health-care settings. It is therefore the objective of this review to examine this phenomenon across disciplines and service settings in order to offer a comprehensive review of incident reporting and to examine rationales for providers reporting or failing to report instances of patient violence and aggression toward health-care providers.
患者对医护人员的暴力和攻击行为，特别是在非医疗机构环境中，引起了医护人员和他们所服务的患者的关注。因此，这给整个医疗保健系统带来了一个公共事务问题，而当前的研究还没有充分解决这个问题。虽然文献资料压倒性地支持这样一种说法，即准确报告事件对于充分了解患者对医护人员的暴力和攻击至关重要，但关于医护人员报告针对医护人员的患者暴力和攻击事件的决策的研究有限。专门研究这一问题在非医疗机构环境中的研究就更少了。因此，本综述的目的是跨学科和服务环境来研究这一现象，以便对事件报告进行全面审查，并探讨提供者报告或不报告患者对医疗保健提供者的暴力和攻击事件的理由。
