解决急诊科的工作场所安全问题：一项关于医护人员受袭经历的多机构定性调查。
Addressing Workplace Safety in the Emergency Department: A Multi-Institutional Qualitative Investigation of Health Worker Assault Experiences.
作者信息
Vrablik Marie C, Lawrence Madelyn, Ray Jessica M, Moore Megan, Wong Ambrose H
机构信息
Department of Emergency Medicine, University of Washington, Seattle, Washington (Dr Vrablik, Dr Lawrence); Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut (Dr Ray, Dr Wong); University of Washington School of Social Work and Harborview Injury Prevention and Research Center, Seattle, Washington (Dr Moore).
出版信息
J Occup Environ Med. 2020 Dec;62(12):1019-1028. doi: 10.1097/JOM.0000000000002031.
OBJECTIVE
This study aims to identify interventions to address workplace violence in the emergency department based on direct evidence from experiences of patient assault.
METHODS
We performed de novo coding and thematic analysis of datasets from two geographically distinct institutions and five different sites that contained interviews with 80 health workers.
RESULTS
We identified concepts that corresponded to the micro (workers and patients), meso (organizations and clinical units), and macro (society at large, worldviews, and values) levels of the healthcare system. Within each level, potential interventions fell into the prevention, response, and recovery phases of emergency preparedness.
CONCLUSION
Efforts to address workplace violence should consider interconnected influences from individual workers, organizations, and society at large. Comprehensive approaches at multiple phases of preparedness are needed to have sustained impact on safety.
目的
本研究旨在根据患者攻击事件的直接经验，确定应对急诊科工作场所暴力的干预措施。
方法
我们对来自两个地理位置不同的机构和五个不同地点的数据集进行了重新编码和主题分析，这些数据集包含对80名医护人员的访谈。
结果
我们确定了与医疗系统的微观（工作人员和患者）、中观（组织和临床单位）和宏观（整个社会、世界观和价值观）层面相对应的概念。在每个层面内，潜在的干预措施分为应急准备的预防、应对和恢复阶段。
结论
应对工作场所暴力的努力应考虑个体工作人员、组织和整个社会的相互关联影响。需要在准备的多个阶段采取综合方法，才能对安全产生持续影响。
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