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用于评估医疗环境中工作场所暴力的问卷的开发与验证

Development and Validation of a Questionnaire to Evaluate Workplace Violence in Healthcare Settings.

作者信息

Kumari Archana, Singh Amandeep, Ranjan Piyush, Sarkar Siddharth, Kaur Tanveer, Upadhyay Ashish D, Verma Kirti, Kappagantu Vignan, Mohan Ajay, Baitha Upendra

机构信息

Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, IND.

Internal Medicine, All India Institute of Medical Sciences, New Delhi, IND.

出版信息

Cureus. 2021 Nov 28;13(11):e19959. doi: 10.7759/cureus.19959. eCollection 2021 Nov.

Abstract

Introduction This study aims to develop and validate a questionnaire to assess workplace violence (WPV) domains in the healthcare setting. Methods The study used a mixed-method design. In Phase 1, qualitative methods for developing the questionnaire were employed, including literature review, focus-group discussion, expert evaluation, and pre-testing. During Phase 2, quantitative methods were employed for establishing the construct validity of the questionnaire. In Phase 1, experts from departments like emergency medicine, medicine, obstetrics and gynecology, psychiatry, trauma, anesthesia, and critical care unit participated. For Phase 2, data were collected from 213 participants; mean age (30.48±5.95) in metropolitan cities. Results The questionnaire consists of 37 items in five domains: (A) Forms of violence, (B) Impact of violent incidences, (C) Reporting of incidence, (D) Mitigation strategies, and (E) Risk factors. The Cronbach's alpha value of the questionnaire is 0.86, suggesting an excellent internal consistency. Conclusion A reliable and valid tool for gathering information regarding WPV in the healthcare system from around the world has been developed. The tool can be used to study the elements that may contribute to violence and its consequences, which will help policymakers curate various mitigation methods to safeguard WPV victims.

摘要

引言 本研究旨在开发并验证一份用于评估医疗环境中工作场所暴力(WPV)领域的问卷。方法 本研究采用混合方法设计。在第一阶段,采用定性方法来开发问卷,包括文献综述、焦点小组讨论、专家评估和预测试。在第二阶段,采用定量方法来确定问卷的结构效度。在第一阶段,来自急诊医学、内科、妇产科、精神病学、创伤、麻醉和重症监护病房等部门的专家参与其中。在第二阶段,从213名参与者中收集数据;大城市参与者的平均年龄为(30.48±5.95)岁。结果 该问卷由五个领域的37个项目组成:(A)暴力形式,(B)暴力事件的影响,(C)事件报告,(D)缓解策略,以及(E)风险因素。该问卷的克朗巴哈系数值为0.86,表明具有出色的内部一致性。结论 已开发出一种可靠且有效的工具,用于收集世界各地医疗系统中有关工作场所暴力的信息。该工具可用于研究可能导致暴力及其后果的因素,这将有助于政策制定者制定各种缓解方法以保护工作场所暴力受害者。

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