工作场所巡查干预：基于数据的医院病房工作场所暴力预防。
Worksite Walkthrough Intervention: Data-driven Prevention of Workplace Violence on Hospital Units.
机构信息
Department of Family Medicine, Michigan State University, East Lansing, Michigan (Drs Hamblin, Judith Arnetz); Detroit Medical Center, Occupational Health Services, Detroit, Michigan (Ms Essenmacher, Mr Russell, Dr Upfal); Institute of Gerontology, Wayne State University, Detroit, Michigan (Dr Luborsky); Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Stockholm, Sweden (Dr Luborsky); Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, Michigan (Dr Janisse); Department of Emergency Medicine, Wayne State University, Detroit, Michigan (Dr Upfal), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden (Dr Arnetz); and Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden (Dr Arnetz).
出版信息
J Occup Environ Med. 2017 Sep;59(9):875-884. doi: 10.1097/JOM.0000000000001081.
OBJECTIVE
The aim of this study was to describe the implementation of a data-driven, unit-based walkthrough intervention shown to be effective in reducing the risk of workplace violence in hospitals.
METHODS
A structured worksite walkthrough was conducted on 21 hospital units. Unit-level workplace violence data were reviewed and a checklist of possible prevention strategies and an Action Plan form guided development of unit-specific intervention. Unit supervisor perceptions of the walkthrough and implemented prevention strategies were reported via questionnaires. Prevention strategies were categorized as environmental, behavioral, or administrative.
RESULTS
A majority of units implemented strategies within 12 months' postintervention. Participants found the walkthrough useful, practical, and worthy of continued use.
CONCLUSIONS
Structured worksite walkthroughs provide a feasible method for workplace violence reduction in hospitals. Core elements are standardized yet flexible, promoting fidelity and transferability of this intervention.
目的
本研究旨在描述一种基于数据的、以单位为基础的现场巡查干预措施的实施情况，该措施已被证明可有效降低医院工作场所暴力的风险。
方法
对 21 个医院单位进行了结构化的现场巡查。审查了单位层面的工作场所暴力数据，并使用检查表和行动计划表指导制定了针对特定单位的干预措施。通过问卷调查报告了单位主管对现场巡查和实施预防策略的看法。预防策略分为环境、行为和管理三类。
结果
大多数单位在干预后 12 个月内实施了策略。参与者认为现场巡查有用、实用且值得继续使用。
结论
结构化的现场巡查为医院工作场所暴力的减少提供了一种可行的方法。核心要素是标准化但具有灵活性，促进了该干预措施的保真度和可转移性。
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