Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Int Emerg Nurs. 2020 May;50:100813. doi: 10.1016/j.ienj.2019.100813. Epub 2020 Feb 13.
The purpose of this study was to evaluate the effects of an education program, risk assessment checklist and preventive protocol on violence against emergency department nurses.
The design was a quasi-experimental before and after study of a group. A hospital emergency department's nurses participated in a workshop in which they were taught a method of using a risk assessment checklist and preventive protocol. The intervention lasted six weeks. The mean score and type of violence was measured before and after the intervention. The data were analyzed by SPSS.
The mean score of violence before the intervention was 8.4 and after the intervention it was 2.7, which was statistically a significant difference (p < 0.0001). In addition, there were significant differences in the mean frequency of verbal abuse (p < 0.0001), assessment of workplace security (p = 0.006), fear of injury (p < 0.02) and type of reaction to violence (p < 0.01) before and after the intervention among the nurses.
Using the BVC risk assessment checklist and preventive protocol can reduce the experience of violence and verbal abuse, which is the most common form of violence for emergency department nurses. Using this checklist and preventive protocol when patients arrive in emergency departments is recommended.
本研究旨在评估教育计划、风险评估检查表和预防方案对急诊护士遭受暴力侵害的影响。
采用群组准实验前后设计，对某医院急诊护士进行了风险评估检查表和预防方案教学的培训。干预持续 6 周。在干预前后测量暴力的平均得分和类型。数据采用 SPSS 进行分析。
干预前暴力的平均得分为 8.4，干预后为 2.7，差异具有统计学意义（p<0.0001）。此外，护士在言语虐待（p<0.0001）、工作场所安全性评估（p=0.006）、受伤恐惧（p<0.02）和暴力反应类型（p<0.01）的平均频率方面，干预前后也存在显著差异。
使用 BVC 风险评估检查表和预防方案可以减少急诊护士遭受暴力和言语虐待的体验，言语虐待是急诊护士最常见的暴力形式。建议在患者到达急诊室时使用此检查表和预防方案。
