Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran.
PLoS One. 2023 Nov 27;18(11):e0284758. doi: 10.1371/journal.pone.0284758. eCollection 2023.
This project aimed to assess compliance with evidence-based criteria' for the prevention and management of workplace violence against nursing staff in Shahid-Beheshti hospital, Maragheh, Iran. Workplace violence is a managerial and workplace occupational health and safety issue that can affect the performance of an institution. Further, it might turn the work environment into an insecure and hostile one which can influence the performance of employees and their professional relationships negatively. Nevertheless, staff have their own legal rights, and their organizations are legally and ethically in charge of providing them with safe work environments.
Following the JBI Practical Application of Clinical Evidence System and Getting Research into Practice audit and feedback tool with three phases of activities, this project utilized an implementation framework incorporating quality improvement. Furthermore, the audit tool was used to establish the project and set up the measurement and evaluation of three evidence-based criteria.
The post-implementation audit results indicated a significant improvement in violence management and prevention. The compliance rate on the first criterion, i.e. aggression management training, increased from 49% at baseline to 81% at the end. The second criterion, i.e. timely support and assistance following an incident, exhibited greater increase from eight to 73%. Finally, an increased compliance was noted on the third criterion, i.e. policy for risk management and safe environment, from 22 to 77%.
The current project successfully implements evidence-based violence management in Shahid-Beheshti hospital. It reveals significant results on compliance and the increasing knowledge of nurses on evidence-based stress management, communication skills and self-companion.
本项目旨在评估伊朗马拉盖沙希德贝赫什提医院护理人员预防和管理工作场所暴力事件是否符合循证标准。工作场所暴力是一个管理和工作场所职业健康和安全问题，会影响机构的绩效。此外，它可能会使工作环境变得不安全和敌对，从而对员工的表现及其职业关系产生负面影响。然而，员工有自己的合法权利，他们的组织在法律和道德上有责任为他们提供安全的工作环境。
本项目采用循证实践临床证据系统 JBI 的实施应用和获取研究到实践审核和反馈工具，分三个阶段开展活动，应用包含质量改进的实施框架。此外，审核工具用于设立项目，并对三个循证标准进行测量和评估。
实施后审核结果表明，暴力管理和预防有显著改善。第一项标准（即攻击性管理培训）的合规率从基线时的 49%提高到了实施后的 81%。第二项标准（即事件发生后及时的支持和援助）的合规率从 8%提高到了 73%。最后，在第三项标准（即风险管理和安全环境政策）方面，合规率从 22%提高到了 77%。
本项目在沙希德贝赫什提医院成功实施了循证暴力管理。结果显示，在合规方面取得了显著成效，护士对循证压力管理、沟通技巧和自我陪伴的知识也有所增加。
