Kelly Erin L, Fenwick Karissa M, Brekke John S, Novaco Raymond W
University of Southern California, Los Angeles, USA.
University of California, Los Angeles, USA.
J Interpers Violence. 2021 Jan;36(1-2):NP1003-NP1028. doi: 10.1177/0886260517738779. Epub 2017 Oct 31.
Patient assault is a serious issue for the well-being of staff in psychiatric hospitals. To guide workplace responses to patient assault, more information is needed about social support from different sources and whether those supports are associated with staff well-being. The present study examines social support after patient assault from work-based and nonwork-based sources, and whether inpatient psychiatric staff desires support from them and perceive the support received as being effective. Received support across sources was examined in relations to staff well-being (physical health, mental health, anger, sleep quality) and perceptions of safety. Survey data was collected from 348 clinical staff in a large public forensic mental hospital. Among the 242 staff who reported an assault in the last year, 71% wanted support and 72% found effective support from at least one source. Generally, effective support from supervisors, coworkers, and their combination was associated with better well-being. Support from nonwork sources was related to less concerns about safety, but not to other well-being measures. However, 28% of staff did not receive effective support from any source postassault. Gaps in support as reported in this study and as found by other investigators call for systematic programming by hospital organizations to enhance the well-being of clinical staff, which in turn has implications for patient care.
患者攻击行为对精神病医院工作人员的福祉而言是个严重问题。为指导工作场所应对患者攻击行为，需要更多关于不同来源的社会支持以及这些支持是否与工作人员福祉相关的信息。本研究考察患者攻击行为发生后来自工作场所和非工作场所的社会支持，以及住院精神科工作人员是否渴望获得这些支持并认为所获得的支持是有效的。考察了不同来源的支持与工作人员福祉（身体健康、心理健康、愤怒情绪、睡眠质量）及安全感认知之间的关系。从一家大型公立法医精神病医院的348名临床工作人员处收集了调查数据。在去年报告遭受过攻击行为的242名工作人员中，71%的人希望获得支持，72%的人从至少一个来源获得了有效的支持。总体而言，来自上级、同事以及两者结合的有效支持与更好的福祉相关。来自非工作来源的支持与对安全的担忧减少有关，但与其他福祉指标无关。然而，28%的工作人员在遭受攻击行为后未从任何来源获得有效支持。本研究以及其他调查人员所发现的支持方面的差距，要求医院组织进行系统规划，以提高临床工作人员的福祉，这反过来又会对患者护理产生影响。
