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医疗机构中应用相关心理社会干预措施预防工作场所心理暴力的共识:德尔菲法。

Consensus on relevant psychosocial interventions applied in health institutions to prevent psychological violence at work: Delphi method.

机构信息

Research Institute in Psychology, University of San Martín de Porres, Lima, Peru.

Faculty of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.

出版信息

BMC Res Notes. 2024 Jan 5;17(1):19. doi: 10.1186/s13104-023-06680-w.

Abstract

OBJECTIVE

Studies on psychological violence in the workplace (PVW) in Latin America have focused on incidence values. In contrast, studies on preventive interventions (PIs) in the health sector are very limited. Our objective was to determine to what extent there is consensus on the most relevant characteristics of the psychosocial interventions applied in the prevention of PVW in health institutions in Peru. To that end, health professionals with knowledge and experience in PVW at the national level were recruited, and the Delphi consensus technique was applied.

RESULTS

The consensus study was developed in four stages that included three phases of Delphi consultation. In the third consultation phase, 428 experts participated in 25 analysis groups from 66 health institutions in the country. A total of 70.3% of the participants were women, and 27.6% of the participants worked in nursing and emergency services. After the Delphi consensus analysis, we obtained a list of 10 hierarchical psychosocial interventions to prevent PVW in the country. Most notable were interventions based on the prior resolution of interprofessional conflicts, on the visibility of incidents to generate an inverse effect and on experiential training to improve assertive and empathic communication skills.

摘要

目的

拉丁美洲关于工作场所心理暴力(PVW)的研究集中在发病率值上。相比之下,卫生部门关于预防干预(PI)的研究非常有限。我们的目的是确定在多大程度上,针对秘鲁卫生机构中预防 PVW 的心理社会干预措施的最相关特征,存在共识。为此,我们招募了在国家一级具有 PVW 知识和经验的卫生专业人员,并应用了德尔菲共识技术。

结果

这项共识研究分为四个阶段进行,包括三轮德尔菲咨询。在第三轮咨询中,来自该国 66 家卫生机构的 25 个分析小组有 428 名专家参与。共有 70.3%的参与者为女性,27.6%的参与者从事护理和急救服务。在德尔菲共识分析之后,我们得出了一份预防该国 PVW 的 10 项分层心理社会干预措施清单。最值得注意的是基于解决先遣职业冲突、使事件可见以产生反作用以及经验培训以提高自信和同理心沟通技巧的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/10768250/b272f53fb842/13104_2023_6680_Fig1_HTML.jpg

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