Muir Kathryn Jane, Moon Sung Kook Aidan, Agarwal Anish K
Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA; The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA.
Nurs Outlook. 2025 Sep 3;73(5):102539. doi: 10.1016/j.outlook.2025.102539.
State legislation such as the Pennsylvania Healthcare Worker Violence Prevention Act would mandate hospital reporting of workplace violence (WPV) incidents and require committees that advance safety measures.
Since it is unknown what interventions should be prioritized by hospital committees if such legislation were passed, we described strategies that hinder or facilitate the prevention and de-escalation of WPV.
Qualitative, descriptive study using individual and focus group interviews with emergency department (ED) nurses and physicians (n = 23) at a level I trauma center ED in Pennsylvania between August 2023 and February 2024.
Five clinician-informed themes were identified: a) clinical protocols, b) clinician conflict in addressing WPV, c) social vulnerability in emergency care, d) resources and throughput, and e) the presence and responsibility of security.
Priority interventions included WPV clinical protocols; holding hospital administrators accountable to support clinician decision-making during WPV events, safe nurse staffing levels, and cross-disciplinary training of security personnel.
诸如《宾夕法尼亚州医护人员暴力预防法案》之类的州立法将强制要求医院报告工作场所暴力（WPV）事件，并要求成立推进安全措施的委员会。
由于尚不清楚如果此类立法通过，医院委员会应优先采取哪些干预措施，我们描述了阻碍或促进WPV预防及缓和的策略。
采用定性、描述性研究，于2023年8月至2024年2月期间，对宾夕法尼亚州一家一级创伤中心急诊科的急诊科护士和医生（n = 23）进行个人访谈和焦点小组访谈。
确定了五个基于临床医生见解的主题：a）临床方案，b）临床医生在应对WPV方面的冲突，c）急诊护理中的社会脆弱性，d）资源与诊疗流程，以及e）安保人员的配备及职责。
优先干预措施包括WPV临床方案；要求医院管理人员在WPV事件期间支持临床医生的决策、确保护士安全的人员配备水平，以及对安保人员进行跨学科培训。
