Schwartz Franklin, Bjorklund Pamela
Department of Graduate Nursing, The College of St Scholastica, Duluth, Minnesota.
J Nurs Care Qual. 2019 Apr/Jun;34(2):114-120. doi: 10.1097/NCQ.0000000000000358.
The study of workplace violence has focused on quantifying the problem and profiling perpetrators and victims. Intervention studies are scarce. The diverse nature of violence risk in hospitals highlights the need for broad training in risk recognition and de-escalation.
A violence management program was piloted on a general medical unit following staff requests for measures to protect them from patient and visitor violence.
An independent pre/posttest design measured changes in participant knowledge. The Staff Observation Assessment Scale Revised (SOAS-R) was used for data collection on aggression pre- and postimplementation.
The violence management training program included in situ simulation training in de-escalation techniques.
Knowledge of de-escalation techniques to reduce violence risk increased. Important lessons were learned for ongoing program implementation.
Violence management programs can lead to more effective risk management. Instruments to collect data on aggression should be linked to mandatory incident reporting, and existing behavioral response teams should be involved in incident tracking.
职场暴力研究主要集中在对该问题进行量化以及描绘施暴者和受害者的特征。干预研究较为匮乏。医院暴力风险的多样性凸显了开展风险识别和缓和冲突方面广泛培训的必要性。
应工作人员要求采取措施保护他们免受患者及访客暴力侵害，在一个普通内科病房试点了一项暴力管理项目。
采用独立的前后测设计来衡量参与者知识的变化。使用修订后的工作人员观察评估量表（SOAS-R）在实施前后收集攻击行为的数据。
暴力管理培训项目包括缓和冲突技巧的现场模拟培训。
降低暴力风险的缓和冲突技巧知识有所增加。在项目持续实施过程中吸取了重要经验教训。
暴力管理项目可带来更有效的风险管理。收集攻击行为数据的工具应与强制事件报告挂钩，现有的行为反应团队应参与事件跟踪。
