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医学生对针对医生的暴力行为不断增加的态度。

Attitude of Medical Students Toward Rising Violence Against Doctors.

作者信息

Jith Arya, Lakshmi Anju, Methala Sharon, Mathew Kathleen A

机构信息

Psychiatry, Sree Uthradom Thirunal (SUT) Academy of Medical Sciences, Thiruvananthapuram, IND.

Psychiatry, Amrita Institute of Medical Sciences, Kochi, IND.

出版信息

Cureus. 2024 Dec 4;16(12):e75078. doi: 10.7759/cureus.75078. eCollection 2024 Dec.

Abstract

INTRODUCTION

In the past three years, there has been an increase in incidents of violence against healthcare workers in Kerala. The aim of the study is to explore the attitude of medical students toward violence against doctors.

METHODOLOGY

This was a cross-sectional study undertaken at three of the four medical colleges in Ernakulam district in India as a part of our convenience sampling, which included around 1,500 students. Students from first-year Bachelor of Medicine, Bachelor of Surgery (MBBS) to students doing internships were included in the study. The authors prepared a semi-structured questionnaire assessing the attitude of medical students toward rising violence against doctors, which was circulated among the students.

RESULTS

A total of 347 medical students participated in the study. Of these, 338 (97.4%) expressed concern about such incidents. 248 (71.5%) reported that emergency medicine doctors were more prone to such violence than any other specialties, and 221 (63.7%) of the participants preferred to go abroad for higher studies and continue their careers there. Two hundred ten (60.5%) of the students were not aware of any legal provision to safeguard doctors from workplace violence. Primary contributing factors to violence were "unrealistic expectations of the family from the doctors," "poor communication skills of the doctor," "inadequate time spent by the doctor in explaining the prognosis," and "not taking proper action against the violators."

CONCLUSION

In order to prevent such incidents, changes should be made at various levels. Adequate training should be done to improve soft skills, including the communication skills of doctors. Adequately trained security staff should be provided at the hospital, especially the casualty. The government should make a stringent central law that protects hospitals and healthcare staff.

摘要

引言

在过去三年里,印度喀拉拉邦针对医护人员的暴力事件有所增加。本研究的目的是探讨医学生对针对医生的暴力行为的态度。

方法

这是一项横断面研究,作为便利抽样的一部分,在印度埃纳库拉姆区的四所医学院中的三所进行,研究对象包括约1500名学生。研究纳入了从医学学士、外科学士(MBBS)一年级学生到正在实习的学生。作者编制了一份半结构化问卷,评估医学生对针对医生的暴力事件增多的态度,并在学生中进行了分发。

结果

共有347名医学生参与了该研究。其中,338名(97.4%)对这类事件表示担忧。248名(71.5%)报告称,急诊医学医生比其他任何专科医生更容易遭受此类暴力,221名(63.7%)参与者更倾向于出国深造并在国外继续他们的职业生涯。210名(60.5%)学生不知道有任何法律条款来保护医生免受工作场所暴力。暴力的主要促成因素包括“患者家属对医生不切实际的期望”“医生沟通技巧差”“医生解释预后的时间不足”以及“对违法者未采取适当行动”。

结论

为防止此类事件发生,应在各个层面进行变革。应进行充分培训以提高软技能,包括医生的沟通技巧。医院应配备训练有素的安保人员,尤其是在急诊室。政府应制定一项严格的中央法律来保护医院和医护人员。

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本文引用的文献

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Violence against doctors: A viral epidemic?针对医生的暴力行为:一种传染性流行病?
Indian J Psychiatry. 2019 Apr;61(Suppl 4):S782-S785. doi: 10.4103/psychiatry.IndianJPsychiatry_120_19.
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Violence against doctors in the Indian subcontinent: A rising bane.印度次大陆针对医生的暴力行为:日益严重的祸害。
Indian Heart J. 2016 Sep-Oct;68(5):749-750. doi: 10.1016/j.ihj.2016.07.023. Epub 2016 Aug 2.
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Delivering bad news to patients.向患者传达坏消息。
Proc (Bayl Univ Med Cent). 2016 Jan;29(1):101-2. doi: 10.1080/08998280.2016.11929380.
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Defensive medicine: a bane to healthcare.防御性医疗:医疗保健的一大祸害。
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