Pediatrics Resident, Postgraduate Year 3, Stanford University School of Medicine, Stanford, CA, USA.
Education Programs and Services, Stanford University School of Medicine, Stanford, CA, USA.
BMC Med Educ. 2022 Mar 1;22(1):133. doi: 10.1186/s12909-022-03198-w.
Mistreatment of health care professionals by patients is an ongoing problem. We aimed to construct and evaluate a curriculum that would prepare health care professionals for mistreatment by patients.
Lessons learned from 15 interviews and 2 focus groups with health care professionals were distilled into a multi-modal curriculum including didactics, simulation videos and role-play scenarios aimed to improve confidence in addressing mistreatment. This curriculum was disseminated at five educational workshops to health care professionals of various training groups and experience levels. Pre- and post-surveys were distributed to assess changes in participant's perspectives on readiness to address mistreatment. The signed-rank test was implemented to compare pre- and post- data.
Participants were more likely to agree post-workshop that they had the right words to say, had a plan for what to do, and were more willing to speak up when they themselves or someone else was mistreated (p < .001). They were also more likely to agree post-workshop that there was something they could do to address patient mistreatment (p < .001).
Participant familiarity and confidence in responding to patient mistreatment increased. Our curriculum may serve as a foundation for institutions seeking to equip their educators, health care professionals, and trainees with strategies for addressing this important issue.
患者对医疗保健专业人员的虐待是一个持续存在的问题。我们旨在构建和评估一门课程，使医疗保健专业人员能够应对患者的虐待。
从与医疗保健专业人员的 15 次访谈和 2 次焦点小组中汲取经验教训，将其提炼成一种多模式课程，包括教学、模拟视频和角色扮演场景，旨在提高应对虐待的信心。该课程已在五个教育研讨会中传播给不同培训群体和经验水平的医疗保健专业人员。在课前和课后分发调查问卷，以评估参与者对处理虐待的准备情况的看法的变化。实施了符号秩检验来比较课前和课后的数据。
与研讨会前相比，参与者更有可能在研讨会后同意他们有正确的话要说，有应对虐待的计划，并且更愿意在自己或他人受到虐待时挺身而出（p<0.001）。他们也更有可能在研讨会后同意他们可以采取措施来解决患者的虐待问题（p<0.001）。
参与者对回应患者虐待的熟悉程度和信心有所提高。我们的课程可以为那些希望为其教育者、医疗保健专业人员和学员提供应对这一重要问题的策略的机构提供基础。
