Burkoski Vanessa, Farshait Nataly, Yoon Jennifer, Clancy Peter V, Fernandes Kevin, Howell Micheal R, Solomon Shirley, Orrico Michael E, Collins Barbara E
Chief Nursing Executive & Chief, People Strategy, Humber River Hospital, Toronto, ON.
Senior Director, Evidence Based Practice Integration, Humber River Hospital, Toronto, ON.
Nurs Leadersh (Tor Ont). 2019 May;32(SP):58-70. doi: 10.12927/cjnl.2019.25814.
Nurses are disproportionately prone to experience incidents of violent victimization. Despite the vast literature on violence in healthcare settings, few studies have identified effective violence prevention interventions.
The aim of the study was to explore the experiences of nurses regarding the implementation of technology-based violence prevention interventions.
Qualitative data were collected through semi-structured focus groups and interviews with 11 nurses at Humber River Hospital. Interviews were audiotaped, transcribed and subjected to a content analysis to identify core themes from the data.
Three themes were identified: reassurance of safety, an increase in proactive measures and limitations of technology. Nurses held positive perceptions of the impact of technology-based interventions on violent incidents. The interventions were regarded as effective for the detection of potentially violent patients as well as for providing assistance from security staff when a violent incident occurs or appears imminent. However, nurses also acknowledged that patient-related violence was "unavoidable" and that technology cannot fully prevent violence from occurring.
The findings from this study support the replication of these interventions in other healthcare facilities. Engaging staff, patients and families in this unique digital and technology-enriched environment has been critical for the successful implementation of the violence prevention electronic flagging system. Patient and family education and communication were essential for addressing concerns related to "labelling."
护士遭受暴力侵害事件的比例过高。尽管关于医疗环境中暴力行为的文献众多，但很少有研究确定有效的暴力预防干预措施。
本研究的目的是探讨护士对基于技术的暴力预防干预措施实施情况的体验。
通过半结构化焦点小组和对洪伯河医院11名护士的访谈收集定性数据。访谈进行录音、转录，并进行内容分析以从数据中识别核心主题。
确定了三个主题：安全保障、主动措施增加以及技术的局限性。护士对基于技术的干预措施对暴力事件的影响持积极看法。这些干预措施被认为对检测潜在暴力患者以及在暴力事件发生或即将发生时向安保人员提供协助有效。然而，护士也承认与患者相关的暴力是“不可避免的”，并且技术不能完全防止暴力的发生。
本研究结果支持在其他医疗设施中复制这些干预措施。让工作人员、患者和家属参与这个独特的数字化和技术丰富的环境对于成功实施暴力预防电子标记系统至关重要。患者和家属教育及沟通对于解决与“贴标签”相关的担忧至关重要。
