Mater Health, Evidence in Practice Unit, South Brisbane, QLD, Australia.
The Queensland Centre for Evidence Based Nursing and Midwifery: A JBI Centre of Excellence, Brisbane, QLD, Australia.
JBI Evid Synth. 2021 Jul 1;19(7):1691-1697. doi: 10.11124/JBIES-20-00249.
The objective of this review is to determine the most effective strategies for educating health care staff to manage or prevent aggressive patient behaviors within an acute care setting.
Health care workers in acute settings are frequently at risk of being injured by aggressive patients. Staff are often ill-prepared to de-escalate such behaviors and, therefore, are at greater exposure to verbal or physical injury. This protocol outlines methods for a systematic review on the effectiveness of educational strategies to manage and/or prevent aggressive patient behaviors in hospitals.
Quantitative studies that report on programs used to educate or train hospital staff in managing or preventing an episode of aggressive behavior by an adult patient while in an acute health care facility will be included. Individual, program, and organizational outcomes, such as confidence, behavior, knowledge, or attitudes, as well as recorded rates of injury, sick leave, stress, anxiety, or detection/prevention of aggression before and/or after the intervention will be analyzed. Psychiatric patients or settings are excluded from this review.
Two reviewers will independently select and appraise eligible studies and extract data following methods outlined by JBI for systematic reviews of effectiveness. Multiple databases will be searched for studies in English and Chinese from 2008 to the present. The JBI System for the Unified Management, Assessment and Review of Information (JBI SUMARI) will be used to manage studies and, where possible, meta-analysis will be undertaken. Results will be presented in a Summary of Findings following the GRADE approach.
PROSPERO CRD42020190538.
本综述旨在确定在急症环境中教育医护人员管理或预防患者攻击性行为的最有效策略。
急症环境中的医护人员经常面临被攻击型患者伤害的风险。工作人员通常没有充分准备好缓和此类行为，因此更容易遭受言语或身体伤害。本方案概述了在医院中管理和/或预防攻击性患者行为的教育策略有效性的系统评价方法。
将纳入报告用于教育或培训医院工作人员管理或预防成年患者在急性医疗保健机构中出现攻击性行为的方案的定量研究。个体、计划和组织结果，如信心、行为、知识或态度，以及在干预前后记录的伤害、病假、压力、焦虑或攻击行为的检测/预防率，将进行分析。本综述不包括精神病患者或环境。
两名审查员将独立选择和评估合格的研究，并按照 JBI 对有效性系统评价的方法提取数据。将用英文和中文从 2008 年至今在多个数据库中搜索研究。将使用 JBI 统一管理、评估和信息审查系统（JBI SUMARI）来管理研究，并在可能的情况下进行荟萃分析。结果将按照 GRADE 方法在“发现总结”中呈现。
PROSPERO CRD42020190538。
