People's Hospital of Deyang City, Deyang, China.
West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Front Public Health. 2024 Jul 3;12:1296525. doi: 10.3389/fpubh.2024.1296525. eCollection 2024.
Workplace violence against healthcare workers has become a serious global public health problem. The incidence of workplace violence towards Psychiatric nurses is higher than in all other medical institutions, up to 84.2% per year. It not only negatively affects many aspects of healthcare workers' lives, but also destroys the harmony of the nurse-patient relationship and reduces the quality of nursing care. The number of psychiatric nurses in China was approximately 96,000, far lower than most other countries and unable to meet the growing demand for mental health. However, the increase in workplace violence has future exacerbates the current shortage of nurses. Therefore, it is necessary to develop effective strategies to prevent psychiatric nurses from suffering from workplace violence, thereby to reduce nurse turnover and improve the quality of nursing care. A comprehensive understanding of psychiatric nurses' preferences and priorities for preventing workplace violence is an important prerequisite before formulating strategies and taking measures. Unfortunately, to date, no research has investigated the psychiatric nurses' preferences. Therefore, a discrete choice experiment (DCE) is conducting to explore the psychiatric nurses' preferences for workplace violence prevention. This article reports on methodological details of the DCE.
Six attributes were developed through a literature review, one-on-one interviews and focus group discussions. D-efficient design in NGENE was used to generate choice sets. SPSS 24.0 will be used for descriptive analysis of social Demography, and Stata 16.0 will be used for analysis of DCE data. A multinomial logit model will be used to preliminarily explore trade-offs between workplace violence prevention characteristics included in the choice tasks. Then, in a mixed logit model, we plan to choose some arbitrarily defined base violence prevention program and will use the nlcom command to evaluate the probability of an alternative violence prevention program.
The study was approved by the relevant ethics committees. Our findings will emphasize priority intervention areas based on the preferences of psychiatric nurses and provide references for hospitals to develop and improve workplace violence prevention strategies. The results will be shared through seminars, policy briefs, peer-reviewed journal articles and online blogs.
医疗机构工作场所暴力已成为一个严重的全球公共卫生问题。精神科护士遭受工作场所暴力的发生率高于所有其他医疗机构，每年高达 84.2%。这不仅对医护人员生活的多个方面产生负面影响，还破坏了护患关系的和谐，降低了护理质量。中国的精神科护士人数约为 9.6 万人，远低于大多数其他国家，无法满足日益增长的心理健康需求。然而，工作场所暴力的增加未来会使护士短缺的情况更加严重。因此，有必要制定有效的策略来防止精神科护士遭受工作场所暴力，从而减少护士离职率，提高护理质量。全面了解精神科护士对预防工作场所暴力的偏好和优先事项是制定策略和采取措施的重要前提。遗憾的是，迄今为止，尚无研究调查精神科护士的偏好。因此，正在进行离散选择实验（DCE）以探讨精神科护士对预防工作场所暴力的偏好。本文报告了 DCE 的方法学细节。
通过文献回顾、一对一访谈和焦点小组讨论，制定了六个属性。使用 NGENE 中的 D-高效设计生成选择集。SPSS 24.0 将用于社会人口统计学的描述性分析，Stata 16.0 将用于 DCE 数据的分析。将使用多项逻辑回归模型初步探讨选择任务中包含的工作场所暴力预防特征之间的权衡。然后，在混合逻辑回归模型中，我们计划选择一些任意定义的基础暴力预防计划，并使用 nlcom 命令评估替代暴力预防计划的概率。
该研究已获得相关伦理委员会的批准。我们的研究结果将根据精神科护士的偏好强调优先干预领域，并为医院制定和改进工作场所暴力预防策略提供参考。研究结果将通过研讨会、政策简报、同行评议期刊文章和在线博客等方式分享。
