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评估工作场所暴力风险因素问卷(QAWRF)的开发与验证:医疗环境中特定工作场所决定因素的三方视角

Development and Validation of Questionnaires to Assess Workplace Violence Risk Factors (QAWRF): A Tripartite Perspective of Worksite-Specific Determinants in Healthcare Settings.

作者信息

Mohd Hatta Faizul Haris, Samsudin Ely Zarina, Aimran Nazim, Ismail Zaliha

机构信息

Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Selangor, Malaysia.

College of Computing, Informatics, and Media, Universiti Teknologi MARA, Shah Alam, Selangor, Malaysia.

出版信息

Risk Manag Healthc Policy. 2023 Jul 5;16:1229-1240. doi: 10.2147/RMHP.S411335. eCollection 2023.

Abstract

INTRODUCTION

Workplace violence (WPV) incidences are prevalent in healthcare, and existing WPV interventions have only moderate evidence for effectiveness. This study aimed to develop and validate an instrument to assess worksite-specific WPV risk factors in healthcare settings based on a tripartite perspective of key stakeholders to facilitate improved interventions.

METHODS

Three questionnaires were developed to get the responses from healthcare administrators, workers, and clients, representing the three components of Questionnaires to Assess Workplace Violence Risk Factors (QAWRF). The domains of the questionnaires were developed based on The Chappell and Di Martino's Interactive Model of Workplace Violence, and the items were generated from 28 studies identified from a systematic review of the literature. Six experts, 36 raters, and 90 respondents were recruited to assess the content validity, face validity, and usability and reliability of the QAWRF respectively. Item and Scale Level Content Validity Index, Item and Scale Level Face Validity Index, and Cronbach's alpha values were determined for QAWRF-administrator, QAWRF-worker, and QAWRF-client.

RESULTS

The psychometric indices for QAWRF are satisfactory.

CONCLUSION

QAWRF holds good content validity, face validity, and reliability, and findings from QAWRF can contribute towards worksite-specific interventions that are expected to be resource efficient and more effective than general WPV interventions.

摘要

引言

职场暴力(WPV)事件在医疗保健领域普遍存在,而现有的WPV干预措施的有效性证据有限。本研究旨在基于关键利益相关者的三方视角,开发并验证一种工具,以评估医疗保健环境中特定工作场所的WPV风险因素,从而促进干预措施的改进。

方法

开发了三份问卷,以获取医疗保健管理人员、工作人员和客户的反馈,这三份问卷构成了评估职场暴力风险因素问卷(QAWRF)的三个部分。问卷的领域基于查佩尔和迪马蒂诺的职场暴力互动模型开发,项目则来自对28项文献系统综述中确定的研究。分别招募了6名专家、36名评分者和90名受访者,以评估QAWRF的内容效度、表面效度、可用性和信度。确定了QAWRF-管理人员、QAWRF-工作人员和QAWRF-客户的项目和量表层面的内容效度指数、项目和量表层面的表面效度指数以及克朗巴赫α值。

结果

QAWRF的心理测量指标令人满意。

结论

QAWRF具有良好的内容效度、表面效度和信度,QAWRF的研究结果有助于制定特定工作场所干预措施,这些措施预计比一般的WPV干预措施更具资源效率且更有效。

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