J Psychosoc Nurs Ment Health Serv. 2023 Aug;61(8):17-24. doi: 10.3928/02793695-20230221-02. Epub 2023 Mar 5.
Health care personnel who have close, face-to-face patient contact experience more workplace violence (WPV) than employees in other fields. Certain health care departments (i.e., high-incidence care areas) have elevated rates of WPV that can have adverse emotional, physical, and financial consequences for patients, employees, and institutions. Health care workers need de-escalation training to efficiently manage patient aggression while also safeguarding patients' dignity and patient-provider trust. The current Plan, Do, Study, Act quality improvement project used insights from an in-depth literature review to create a 1-hour, evidence-based, in-service de-escalation training for personnel from high-incidence care areas. A pre/post design was used to evaluate participants' responses to the Confidence Coping with Patient Aggression Instrument. Post-training, participants reported significantly increased feelings of safety regarding potential patient aggression ( = 0.001) and more efficacy regarding their aggression management techniques ( = 0.039). Based on the training's results, recommendations were made for future institutional de-escalation initiatives. [(8), 17-24.].
与其他领域的员工相比，有密切、面对面患者接触的医护人员经历更多的工作场所暴力（WPV）。某些医疗保健部门（即高发护理区域）的 WPV 发生率较高，会对患者、员工和医疗机构造成不良的情绪、身体和经济后果。医护人员需要进行降级培训，以便在有效管理患者攻击行为的同时维护患者的尊严和医患信任。目前的“计划-执行-研究-行动”质量改进项目利用深入文献回顾的见解，为高发护理区域的人员创建了 1 小时的基于证据的在职降级培训。采用预/后设计来评估参与者对《患者攻击应对信心量表》的反应。培训后，参与者报告称，他们对潜在患者攻击的安全感显著提高（=0.001），对其攻击管理技术的效能感也显著提高（=0.039）。基于培训结果，为未来的机构降级计划提出了建议。 [(8), 17-24.].
