Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL.
Human Resources, Northwestern University, Feinberg School of Medicine, 446 E Ontario St, 7th Floor, Chicago, IL 60611.
Psychosomatics. 2018 Nov;59(6):584-590. doi: 10.1016/j.psym.2018.04.007. Epub 2018 May 9.
Threatening and assaultive behaviors against healthcare workers are a growing national concern. OBJECTIVE: To assess the incidence and impact of aggression against healthcare workers, a safety and quality improvement project was initiated in an academic, tertiary care, urban hospital.
Through the Northwestern Academy of Quality and Safety Initiatives program, an invitation to complete an online survey was sent to healthcare workers. The survey inquired about prevalence, location, and type of experience of physical or verbal abuse by patients or families. Other goals were: 1) worker knowledge and use of reporting systems, 2) effect on healthcare worker engagement, and 3) report of posttraumatic symptoms.
34.4% of healthcare workers reported any incident of verbal or physical violence in the preceeding 12 months, with 13.5% reporting physical assault. Of those with any incident of physical or verbal violence, 60.2% endorsed at least one posttraumatic symptom, 9.4% missed work, and 30.1% had thoughts about leaving their job or career. The reported impact was the same for physical or verbal incidents.
Physical and verbal abuse of healthcare workers is prevalent and has a significant impact on employee engagement and posttraumatic spectrum symptoms. These results are based on a cross-sectional survey at one institution and may have a significant selection and response bias.
Assessment of both verbal and physical aggression against healthcare workers should be standard. Front-line consulting psychiatrists and psychiatric programs for employee wellness could assess and manage this impact.
针对医护人员的威胁和攻击行为是一个日益严重的全国性问题。目的：评估针对医护人员的侵犯行为的发生率和影响，在一家学术性、三级保健、城市医院发起了一项安全和质量改进项目。
通过西北质量和安全倡议学院计划，向医护人员发送了完成在线调查的邀请。该调查询问了医护人员在过去 12 个月中是否有过患者或家属的身体或言语虐待的经历，包括频率、地点和类型。其他目标包括：1）工人对报告系统的了解和使用情况，2）对医护人员工作投入的影响，以及 3）创伤后症状的报告。
34.4%的医护人员报告在过去 12 个月中有过任何言语或身体暴力事件，其中 13.5%报告遭受过身体攻击。在有任何身体或言语暴力事件的医护人员中，60.2%至少有一个创伤后症状，9.4%请了病假，30.1%有离职或转行的想法。身体或言语事件的报告影响相同。
医护人员身体和言语虐待的现象普遍存在，对员工敬业度和创伤后谱系症状有重大影响。这些结果基于一家机构的横断面调查，可能存在显著的选择和反应偏差。
应将对医护人员的言语和身体攻击行为的评估标准化。一线咨询精神科医生和员工健康计划的精神科项目可以评估和管理这种影响。
