Risk Management and Healthcare Policy最新文献

{"title":"Epidemiology, Controversies, and Dilemmas of Perioperative Nutritional Risk/Malnutrition: A Narrative Literature Review.","authors":"Miao He, Yuanzhu Long, Rong Peng, Pinglin He, Yue Luo, Yan Zhang, Weiwei Wang, Xiaoqian Yu, Lei Deng, Zhaoqiong Zhu","doi":"10.2147/RMHP.S496098","DOIUrl":"10.2147/RMHP.S496098","url":null,"abstract":"<p><p>Current perioperative nutrition management is discouraging due to the under-recognition of clinical nutrition and the lagging development of clinical nutriology. This review aimed to identify and explore epidemiology, related adverse outcomes, controversies, and dilemmas of perioperative nutritional risk/malnutrition to call for further development of perioperative nutritional medicine. Databases including PubMed, Embase, Cochrane Library, Wanfang Database, China National Knowledge Infrastructure, China Biology Medicine disc, and Chongqing VIP Database were searched for articles published between January 1, 2014 and August 31, 2024 using the following MeSH terms: (\"nutritional risk\"[Title/Abstract] OR \"malnutrition\"[Title/Abstract] OR \"undernutrition\"[Title/Abstract]) AND (\"surgery\"[Title/Abstract] OR \"surgical\"[Title/Abstract] OR \"operative\"[Title/Abstract] OR \"operation\"[Title/Abstract]). The incidence of nutritional risk was in the 20% range in patients undergoing elective surgery, 54% in older adults, 44-70% in patients with tumors or major elective surgeries, and 50-55% in children. The incidence of malnutrition ranged from 11-77% in surgical patients. Nutrition-related perioperative adverse events included mainly infection, wound healing disorders, reoperation and unplanned readmission, prolonged hospital stay, mortality, perioperative neurocognitive dysfunction, and venous thrombosis. Current controversies and dilemmas in this field include the low rates of nutrition screening and medical nutrition therapy, numerous nutrition screening tools and malnutrition diagnostic criteria, no consensus on optimal assessment method, low level of evidence-based clinical nutrition research and lack of in-depth mechanistic studies, inconsistent timing of nutrition assessment, lack of reports for community hospitals, small hospitals, and low/middle-income countries or regions, and under-recognition of micronutrient malnutrition. It is, therefore, necessary for perioperative patients to undergo nutritional screening at the first outpatient visit before surgery and/or on admission. Perioperative nutritional management needs urgent attention and requires a multidisciplinary team, including anesthesia, nursing, nutrition, and surgery.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"143-162"},"PeriodicalIF":2.7,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Trends in the Incidence and Primary Causes of Femoral Fractures, Excluding Femoral Neck Fractures: A Global Epidemiological Study.","authors":"Fanyu Fu, Bo Liu, Haifang Pu, Yuebin Wang, Pengfei Zhang, Song Wei, Hao Gu, Qian Zhang, Hengli Ye","doi":"10.2147/RMHP.S498918","DOIUrl":"10.2147/RMHP.S498918","url":null,"abstract":"<p><strong>Purpose: </strong>Fractures pose a significant global health challenge, with varying incidence trends and causes across demographics and regions. This study aims to analyze global patterns in the incidence and primary causes of femoral shaft fractures.</p><p><strong>Methods: </strong>Data from the Global Burden of Disease database were analyzed for femoral fractures (excluding femoral neck fractures) by age, gender, and socio-demographic index regions. The estimated annual percentage change (EAPC) was calculated to assess trends in the incidence of femoral shaft fractures.</p><p><strong>Results: </strong>Global femoral fracture cases increased from 8,559,886 in 1990 to 11,566,429 in 2021, a rise of 35.12%. However, the incidence rate dropped from 160.49 to 146.57 per 100,000 (EAPC: -0.35). Males consistently had higher rates, reaching 155.53 per 100,000 in 2021. The 15-49 age group recorded the most cases, while individuals aged 75 and older saw the largest rise in incidence, from 445.91 to 603.32 per 100,000. In 2021, Slovenia (616.1 per 100,000), Croatia (568.51 per 100,000), and Czechia (434.77 per 100,000) reported the highest rates, while Malawi, Kiribati, and Liberia had the lowest (<63 per 100,000). Leading causes were mechanical forces, motor vehicle injuries, and pedestrian injuries, with notable regional disparities.</p><p><strong>Conclusion: </strong>Although the global incidence rate of femoral shaft fractures has declined, it has risen significantly among older adults, increasing their burden. Understanding regional variations in causes is crucial for developing targeted public health interventions to address this growing issue.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"117-129"},"PeriodicalIF":2.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Order Restrictions on Hemoglobin A1c Requests at Primary Health Care Centers in Riyadh, Saudi Arabia.","authors":"Maha Alakeely, Nazish Masud, Fatemah Bin Saleh, Razan Alghassab, Nouf AlFagih, Moath Abdulmohsen Alkathiri, Sarrah Albakri","doi":"10.2147/RMHP.S499918","DOIUrl":"10.2147/RMHP.S499918","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to assess the effect of policy intervention on the physician ordering of HbA1c for the patients seen at the primary health care center in Riyadh, Saudi Arabia.</p><p><strong>Methods: </strong>The study included patients over the age of 18 for whom HbA1c tests were ordered before and after the policy restrictions were implemented at the three main Primary Health Care Centers under the Ministry of National Guard Health Affairs (MNGHA) in Riyadh, between October 2020 and August 2023. Several data management steps and restrictions were carried out to identify the patients seen before and after the intervention and controlled for the confounders. The outcome variable was inappropriate testing, and early testing was defined based on standard cutoffs of HbA1c, diabetic control, and patient history. The logistic regression analysis was used to identify predictors for early testing.</p><p><strong>Results: </strong>Among 16,290 participants, the mean age was 50 ± 16 years, with a predominance of females (66.5%). Approximately 22.3% of participants were diabetic, and the mean HbA1c level was 6.2 ± 1.55%. About 89.6% of tests were deemed inappropriate based on criteria for glycemic control, diabetic status, and duration of testing. Policy restrictions led to a 70.3% reduction in the odds of early testing (OR = 0.297, 95% CI: 0.246-0.358, p < 0.001). Each unit increase in HbA1c decreased the odds of early testing by 1.517 (OR = 0.219, 95% CI: 0.193-0.249, p < 0.001). Additionally, younger participants were more likely to undergo early testing, with odds decreasing by 3% for each additional year of age (OR = 0.970, 95% CI: 0.966-0.974, p < 0.001).</p><p><strong>Conclusion: </strong>We conclude that policy restriction alone might not be effective in reducing the burden of early testing. The early testing tendency was less in the post-intervention period. However, early testing was a common practice in both pre- and post-intervention phases. As physicians are the ones ordering the tests, deeper insight is needed from the physician's perspective.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"95-104"},"PeriodicalIF":2.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Physical Activity Levels and Periodontal Health Status Among College Students: A Cross-Sectional Study.","authors":"Piaopiao Qiu, Bo Dong, Rongkai Cao, Junli Hu, Jiaao Yang, Ruoqi Yu, Zhen Fan","doi":"10.2147/RMHP.S498108","DOIUrl":"10.2147/RMHP.S498108","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the relationship between physical activity levels and periodontal health status among college students in Shanghai, with the goal of informing oral health policy recommendations.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from March 2023 to March 2024 involving 120 university students aged 18-29. Data was collected using the World Health Organization (WHO) oral health survey methods. Periodontal status was assessed using the Community Periodontal Index (CPI), and physical activity was measured with a simplified version of the International Physical Activity Questionnaire (IPAQ). Data analysis was performed using Statistical Package for the Social Sciences (SPSS) version 27.0 (IBM, USA), employing chi-square tests and multivariable logistic regression.</p><p><strong>Results: </strong>Among the participants (77 males, 43 females), 70% met physical activity guidelines. Adjusting for gender, age, tooth brushing frequency, and dental floss use, insufficient physical activity was associated with higher odds of periodontitis (adjusted model: OR = 5.293, 95% CI = 1.334 to 20.993, <i>p</i> = 0.018). High-intensity physical activity significantly reduced the incidence of periodontitis (<i>p</i> = 0.006), while sedentary behavior showed no significant correlation (<i>p</i> = 0.176).</p><p><strong>Conclusion: </strong>Promoting physical activity among college students may enhance periodontal health, underscoring the need to integrate oral and public health initiatives.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"131-141"},"PeriodicalIF":2.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions to Improve Sexual and Reproductive Health Related Knowledge and Attitudes Among the Adolescents: Scoping Review.","authors":"Yayu Handayani Syaidar Putri, Ida Maryati, Tetti Solehati","doi":"10.2147/RMHP.S490395","DOIUrl":"10.2147/RMHP.S490395","url":null,"abstract":"<p><p>Many interventions have been studied to improve sexual and reproductive health (SRH) knowledge and attitudes. These interventions aim to prevent adolescents from the risk of sexually transmitted infections (STIs), unwanted pregnancy, and abortion. The lack of comprehensive sex education contributes to adolescents' limited understanding of SRH. This study aims to describe reproductive health educational interventions aimed at preventing the RH triad (STIs, unintended pregnancies, and abortions) in adolescents. This study employed a scoping review method. Articles were searched from three databases: CINAHL, PubMed, and Scopus. The keywords used were: reproductive health, sex education, adolescent, knowledge, behavior, intervention. Inclusion criteria included quantitative intervention research, quasi-experimental, or randomized controlled trials; involving adolescents aged 10-19 years; describing at least one intervention to improve knowledge, attitudes, or awareness about reproductive health; and published in English or Indonesian between 2019-2024. Data were manually extracted and analyzed descriptively using qualitative methods. Based on the search results, 13 articles were identified that discussed interventions to improve adolescents' knowledge and attitudes towards reproductive health. The types of interventions included smartphone-based, school-based, game-based, educational, and family-based interventions. The duration of interventions varied from a few sessions to several months. Activities included watching videos, accessing educational materials through apps, participating in discussions and demonstrations at school, playing educational games, and engaging in interactive family sessions. These interventions generally aim to enhance adolescents' knowledge and attitudes towards reproductive health through various methods and durations. Further studies are needed to explore and develop more comprehensive and contextual interventions for diverse adolescent groups.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"105-116"},"PeriodicalIF":2.7,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Mortality and Prognostic Factors of Heart Failure with In-Hospital and Emergency Patients by Electronic Medical Records: A Machine Learning Approach.","authors":"Cheng-Sheng Yu, Jenny L Wu, Chun-Ming Shih, Kuan-Lin Chiu, Yu-Da Chen, Tzu-Hao Chang","doi":"10.2147/RMHP.S488159","DOIUrl":"10.2147/RMHP.S488159","url":null,"abstract":"<p><strong>Purpose: </strong>As HF progresses into advanced HF, patients experience a poor quality of life, distressing symptoms, intensive care use, social distress, and eventual hospital death. We aimed to investigate the relationship between morality and potential prognostic factors among in-patient and emergency patients with HF.</p><p><strong>Patients and methods: </strong>A case series study: Data are collected from in-hospital and emergency care patients from 2014 to 2021, including their international classification of disease at admission, and laboratory data such as blood count, liver and renal functions, lipid profile, and other biochemistry from the hospital's electrical medical records. After a series of data pre-processing in the electronic medical record system, several machine learning models were used to evaluate predictions of HF mortality. The outcomes of those potential risk factors were visualized by different statistical analyses.</p><p><strong>Results: </strong>In total, 3871 hF patients were enrolled. Logistic regression showed that intensive care unit (ICU) history within 1 week (OR: 9.765, 95% CI: 6.65, 14.34; p-value < 0.001) and prothrombin time (OR: 1.193, 95% CI: 1.098, 1.296; <0.001) were associated with mortality. Similar results were obtained when we analyzed the data using Cox regression instead of logistic regression. Random forest, support vector machine (SVM), Adaboost, and logistic regression had better overall performances with areas under the receiver operating characteristic curve (AUROCs) of >0.87. Naïve Bayes was the best in terms of both specificity and precision. With ensemble learning, age, ICU history within 1 week, and respiratory rate (BF) were the top three compelling risk factors affecting mortality due to HF. To improve the explainability of the AI models, Shapley Additive Explanations methods were also conducted.</p><p><strong>Conclusion: </strong>Exploring HF mortality and its patterns related to clinical risk factors by machine learning models can help physicians make appropriate decisions when monitoring HF patients' health quality in the hospital.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"77-93"},"PeriodicalIF":2.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11727332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing the Willingness of Hospitalized Children's Parents to Engage in Patient Safety: A Cross-Sectional Study.","authors":"Yujeong Kim, Mingi Chang","doi":"10.2147/RMHP.S478114","DOIUrl":"10.2147/RMHP.S478114","url":null,"abstract":"<p><strong>Background: </strong>Hospitalized children's patient safety incidents can have a significant long-term impact on their physical, psychological, cognitive, and social development. Family-centered care emphasizes engaging parents, and parental involvement is an effective way to ensure child safety. This study aims to identify the factors influencing parents of children with hospitalization experiences in their willingness to engage in patient safety.</p><p><strong>Methods: </strong>In this cross-sectional study, we surveyed 210 parents whose children had been hospitalized within the past one year in South Korea. We used a structured questionnaire including patient safety knowledge, patient safety literacy, children's hospitalization experience, and the willingness to engage in patient safety. The collected data were analyzed using descriptive statistics, <i>t</i>-test, chi-square test, analysis of variance, correlational analysis, and regression analysis.</p><p><strong>Results: </strong>The willingness to engage in patient safety had significant positive correlations with patient safety knowledge (r=0.36,<i> p<</i>0.001) and patient safety literacy (r=0.24,<i> p<0</i>.001). The variables that had a statistically significant influence on the willingness to engage in patient safety were the birth order of the hospitalized child (β=0.41, <i>p</i>=0.014), patient safety knowledge (β=0.25, <i>p</i><0.001), communication with the child (β= -0.25, <i>p</i>=0.018), and attention to safety and comfort (β=0.21, <i>p</i>=0.026).</p><p><strong>Conclusion: </strong>This study found that the birth order of the hospitalized child, patient safety knowledge, and children's hospitalization experience are important factors in parents' willingness to engage in patient safety. The findings indicated the need to develop patient safety education programs for parents, considering the facilitators of and barriers to their willingness to engage in patient safety.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"53-63"},"PeriodicalIF":2.7,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distance and Direction Matters: Risk Perception Among Residents Around a Dump Yard in Kerala, India.","authors":"Antony Paul Payyappilly, Priya Babu, Manju R Nair","doi":"10.2147/RMHP.S491900","DOIUrl":"10.2147/RMHP.S491900","url":null,"abstract":"<p><strong>Purpose: </strong>Waste mismanagement is a growing concern in developing countries where unsustainable practices such as open dumping and open burning are rampant. This study examined the risk perceptions of the residents living in proximity to the Brahmapuram dump yard, situated in Ernakulam district of Kerala State, India- A site marked by persistent local protests, public outrage, and legal disputes arising from issues related to waste mismanagement. The study focused on the geospatial and sociodemographic factors that might influence these perceptions.</p><p><strong>Patients and methods: </strong>A cross-sectional survey was conducted among 302 respondents living within 4 kilometers from the borders of the dump yard using a structured interview schedule. The responses of the participants were used to compute a risk perception score, which reflected participants' risk perception regarding the environment and their health.</p><p><strong>Results: </strong>Among the participants in the study, those who lived within 2 kilometers (2.3 (95% CI 0.96, 3.7; p<0.001)), those who lived to the east (2.7 (95% CI 1.1, 4.2; p<0.001)) and those who reported perceiving strong malodor from the dump yard (2.0 (95% CI 0.54, 3.4; p=0.007)), had a higher risk perception in the multivariate linear regression model. Women had a lesser risk perception compared to men (-2.6 (95% CI -3.7, -1.4; p<0.001)).</p><p><strong>Conclusion: </strong>The findings highlight the importance of geospatial characteristics (distance and direction), malodor and gender differences in shaping the risk perceptions among the proximate residents living around a waste dump yard. Consideration of geospatial and sociodemographic determinants in risk assessment and management could potentially reduce the perceived risks and public discontent around waste management facilities.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"65-76"},"PeriodicalIF":2.7,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Summary of the Best Evidence for Wet Pack Management.","authors":"Liangying Yi, Yanhua Chen, Ruixue Hu","doi":"10.2147/RMHP.S497773","DOIUrl":"10.2147/RMHP.S497773","url":null,"abstract":"<p><strong>Background: </strong>Wet pack after steam sterilization of medical devices in healthcare facilities are unacceptable.</p><p><strong>Purpose: </strong>To retrieve, evaluate and integrate the best evidence related to wet pack management.</p><p><strong>Methods: </strong>We searched the JBI, Up To Date, BMJ, National Guideline Clearinghouse (NGC), National Institute for Health and Care Excellence (NICE), Scottish Intercollegiate Guidelines Network (SIGN), Cochrane library, PubMed, Guideline International Network (GIN), AORN Journal, and other databases using the pyramid \"6S\" model for guidelines, expert consensus, systematic reviews, evidence summaries, decisions, recommended practices, and technical reports on wet pack management. The period of the literature search is from the establishment of the database to January 2024. Two researchers evaluated the literature quality independently, and evidence was extracted from the literature that met the quality standards. AGREE II assessment system, Cochrane bias risk assessment, and JBI Evidence-Based Health care center authenticity assessment were used as the literature evaluation criteria and the JBI 2014 edition evidence pre-grading system for intervention studies. For all types of research, the literature quality and evidence level was evaluated, extracted, and summarized according to the theme.</p><p><strong>Results: </strong>Based on the inclusion criteria, seven pieces of literature were selected, including three guidelines, three randomized controlled trials, and consensus from an expert. Twenty pieces of evidence were obtained from seven different aspects: device packaging stage, loading stage, sterilization stage, unloading and cooling stage, distribution stage, wet package evaluation and analysis, and personnel training.</p><p><strong>Conclusion: </strong>This study summarizes the best evidence on wet pack management and can provide a reference for staff practices in disinfection supply centers to reduce the incidence of wet packs.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"43-52"},"PeriodicalIF":2.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Management of Workplace Violence Competence Among Chinese Nursing Interns.","authors":"Lingyao Meng, Lifang He, Lu Ouyang, Mengxue Fu, Pan Li, Yongmei He","doi":"10.2147/RMHP.S491989","DOIUrl":"10.2147/RMHP.S491989","url":null,"abstract":"<p><strong>Purpose: </strong>The cases of workplace violence (WPV) experienced by nurses and nursing students in recent years has become alarming high. However, managing and developing WPV competence among nursing students remain underreported. Therefore, this study investigated the current status of management of workplace violence competence (MWVC) and identify associated factors affecting their MWVC among nursing interns.</p><p><strong>Participants and methods: </strong>A total of 817 nursing interns from six tertiary hospitals in Hunan Province, China, participated in this study in July 2023. Data were collected via online survey questionnaires using the Management of Workplace Violence Competence Scale (MWVCS), the Patient Risk Identification Ability Assessment Questionnaire, and the Professional Identity Questionnaire for Nursing Students (PIQNS).</p><p><strong>Results: </strong>Among participants, 91.1% were female (n=744), 68.1% (n=556) were between 21 to 23 years old, and 54.1% (n=442) obtained a bachelor's degree. The score of management of workplace violence competence was 123.25 (SD=11.06). The multiple linear regression analysis showed that the diploma degree (B=3.152, p<0.001, 95% CI: 2.087-4.217), witnessed a workplace violence incident in a hospital (B=4.274, p<0.001, 95% CI: 3.164-5.384), trained in WPV prevention skills (B=7.196, p<0.001, 95% CI: 6.007-8.386), patient risk identification ability (B=1.006, p<0.001, 95% CI: 1.163-0.893), and professional identity (B=0.693, p<0.001, 95% CI: 0.571-0.815) were the associated factors of MWVC among nursing interns.</p><p><strong>Conclusion: </strong>The MWVC among nursing interns was at an intermediate level. To enhance MWVC, it is recommended to strengthen WPV prevention and management training, particularly for interns with diploma degrees, no experience witnessing WPV incidents, no prior training in WPV prevention skill, and lower levels of patient risk identification ability and professional identity. Our findings may guide the establishment of focused training programs and support measures to improve interns' capacity to manage WPV, increasing their professional growth and mental health while giving significant insights and intervention techniques for nursing educators and managers.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"33-42"},"PeriodicalIF":2.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}