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护理团队特征与封闭式精神科病房患者攻击行为的相关性。

Association between characteristics of nursing teams and patients' aggressive behavior in closed psychiatric wards.

机构信息

Department of Psychiatry, Amsterdam UMC, location Academic Medical Center, Amsterdam, The Netherlands.

Urban Vitality - Centre of Expertise, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.

出版信息

Perspect Psychiatr Care. 2022 Oct;58(4):2592-2600. doi: 10.1111/ppc.13099. Epub 2022 May 3.

Abstract

PURPOSE

Estimate the effect of nursing, shift, and patient characteristics on patients' aggression.

DESIGN AND METHODS

Follow-up study on a closed psychiatric ward was performed to estimate the effect of nursing team characteristics and patient characteristics on the incidence of aggression.

FINDINGS

The incidence of aggression (n = 802 in sample) was lower in teams with >75% male nurses. Teams scoring high on extraversion experienced more verbal aggression and teams scoring high on neuroticism experienced more physical aggression. Younger patients and/or involuntarily admitted patients were more frequently aggressive.

PRACTICE IMPLICATIONS

These findings could stimulate support for nurses to prevent aggression.

摘要

目的

评估护理、班次和患者特征对患者攻击行为的影响。

设计和方法

对封闭式精神科病房进行随访研究,以评估护理团队特征和患者特征对攻击行为发生率的影响。

发现

攻击行为发生率(样本中 802 例)在男护士比例>75%的团队中较低。外向得分较高的团队经历更多的言语攻击,神经质得分较高的团队经历更多的身体攻击。年轻患者和/或非自愿入院患者更频繁地出现攻击行为。

实践意义

这些发现可以鼓励支持护士预防攻击行为。

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