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识别针对医护人员的工作场所暴力的预测因素:一项系统综述。

Identifying Predictors of Workplace Violence Against Healthcare Professionals: A Systematic Review.

作者信息

Kumari Archana, Ranjan Piyush, Sarkar Siddharth, Chopra Sakshi, Kaur Tanveer, Baitha Upendra

机构信息

Department of Obstetrics and Gynaecology, Treatment Centre, All India Institute of Medical Sciences, New Delhi, India.

Department of Medicine, Treatment Centre, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Occup Environ Med. 2022 Oct-Dec;26(4):207-224. doi: 10.4103/ijoem.ijoem_164_21. Epub 2022 Dec 24.

Abstract

Understanding the predictors of workplace violence amongst healthcare professionals is important to develop and implement prevention and mitigation strategies. We conducted a systematic review to synthesize the recent evidence on predictors of workplace violence across healthcare settings. The review has been done as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two electronic databases (PubMed and Google Scholar) were used to search peer-reviewed studies published for the year 2009-2020 to identify studies reporting predictors of workplace violence. The significant predictors were analyzed using descriptive statistics such as proportions in most of the studies and some studies used inferential statistics such as logistic regression analysis, Chi-square test, ANOVA and Student's t-test. A total of 46 studies were identified and overall evidence was graded using an adapted GRADE approach. Some of the moderate quality predictors associated with workplace violence were the patient with a history of mental health disease, psychiatric setting, professional's gender and work experience and evening shift workers. Being a nurse was the only high-quality predictor. Healthcare professionals and administration can identify the predictors relevant to their setting to mitigate episodes of violence against healthcare personnel.

摘要

了解医疗保健专业人员工作场所暴力的预测因素对于制定和实施预防及缓解策略非常重要。我们进行了一项系统综述,以综合近期关于不同医疗环境中工作场所暴力预测因素的证据。该综述按照系统综述和Meta分析的首选报告项目(PRISMA)指南进行。使用两个电子数据库(PubMed和谷歌学术)搜索2009年至2020年发表的同行评审研究,以确定报告工作场所暴力预测因素的研究。在大多数研究中,使用描述性统计(如比例)分析显著预测因素,一些研究使用推断性统计(如逻辑回归分析、卡方检验、方差分析和学生t检验)。共识别出46项研究,并采用改良的GRADE方法对总体证据进行分级。与工作场所暴力相关的一些中等质量预测因素包括有精神疾病病史的患者、精神科环境、专业人员的性别和工作经验以及夜班工作人员。护士身份是唯一的高质量预测因素。医疗保健专业人员和管理人员可以确定与其环境相关的预测因素,以减少针对医护人员的暴力事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5583/10077728/e2a03d813798/IJOEM-26-207-g001.jpg

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