School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Occupational Health, Research Center for Health Science, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
J Nurs Manag. 2020 May;28(4):777-786. doi: 10.1111/jonm.12989.
The present study aimed to identify and prioritize control measures of violence against health care workers (HWs) using the fuzzy analytical hierarchy process (FAHP) and fuzzy additive ratio assessment (ARAS-F).
Occupational violence is a pervasive problem in health care centres. Reducing violence against staff is one of the challenges for health care managers.
At the first stage, the most common criteria and control options for violence against HWs were identified and extracted using a review of previous studies. At the next stage, criteria for selection of control measures were prioritized using the FAHP. Finally, control measures of workplace violence were prioritized using the ARAS-F method.
Results of the FAHP indicated that safety and efficiency were the most important criteria. Results of the ARAS-F also revealed that 'increasing number of security personnel' and 'training staff' were the best recommendations for controlling violence against HWs.
Based on expert's opinions, administrative measures are the optimal ways to control violence at health centres; therefore, it is suggested that violence control programmes should be more focused on administrative measures.
These results could assist nursing management to take best strategies for controlling occupational violence based on multi-criteria decision-making methods.
本研究旨在使用模糊层次分析法（FAHP）和模糊加法比率评估（ARAS-F）确定和优先考虑针对医疗保健工作者（HWs）暴力的控制措施。
职业暴力是医疗中心普遍存在的问题。减少对员工的暴力行为是医疗保健管理人员面临的挑战之一。
在第一阶段，使用先前研究的回顾，确定和提取针对 HWs 暴力的最常见标准和控制选项。在下一阶段，使用 FAHP 对选择控制措施的标准进行优先级排序。最后，使用 ARAS-F 方法对工作场所暴力的控制措施进行优先级排序。
FAHP 的结果表明，安全和效率是最重要的标准。ARAS-F 的结果还表明，“增加安全人员数量”和“培训员工”是控制 HWs 暴力的最佳建议。
根据专家意见，行政措施是控制医疗中心暴力的最佳方法；因此，建议暴力控制方案应更加侧重于行政措施。
这些结果可以帮助护理管理部门根据多准则决策方法采取最佳策略来控制职业暴力。
