急诊科中的暴力行为:对印度医疗服务提供者的定量调查研究。

IF 2 Q2 EMERGENCY MEDICINE
Tania Ahluwalia, Sukhpreet Singh, Navvin Gandhi, Serkan Toy, Katherine Douglass, Janice Blanchard, Kevin Davey
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引用次数: 0

摘要

背景:急诊科(ED)中的工作场所暴力(WPV)是医疗服务提供者在低资源环境中面临的一个日益公认的挑战。虽然有研究强调了 WPV 在医疗保健领域的日益普遍性,但现有的研究大多是在发达国家进行的,这些国家对针对医疗服务提供者的暴力行为有明确的法律规定和惩罚措施。有必要提供更多有关针对在低资源环境中执业的急诊室医疗服务提供者的 WPV 的数据,以了解这些医疗服务提供者所面临的独特挑战:本研究旨在深入了解印度急诊室医护人员中 WPV 的发生率和特征:本研究在印度地理位置不同的两个急诊室进行。调查旨在评估急诊室医护人员中的暴力行为。调查表分发给急诊室工作场所的医护人员,由他们亲手填写并匿名寄回。数据被输入并存储在 RedCAP 数据库中,以便于分析:印度急诊室的医生、护士和护理人员共完成了 200 份调查问卷。报告的大多数事件涉及辱骂(68%),其次是身体虐待(26%)、外部冲突(17%)和跟踪(5%)。到目前为止,针对医护人员的暴力行为最常见的施暴者是旁观者,包括患者家属或其他陪同人员。值得注意的是,报案的情况很有限,大多数案件都是向急诊室或医院管理部门反映的:这些结果表明,WPV 在印度急诊室医护人员中非常普遍。令人担忧的是,辱骂和身体虐待的发生率很高。在本研究中,针对医护人员的 WPV 施暴者大多是患者家属或旁观者,而非患者本人。当务之急是优先实施预防策略,为医护人员创造更安全的工作环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Violence in the emergency department: a quantitative survey study of healthcare providers in India.

Background: Workplace violence (WPV) in Emergency Departments (EDs) is an increasingly recognized challenge healthcare providers face in low-resource settings. While studies have highlighted the increased prevalence of WPV in healthcare, most of the existing research has been conducted in developed countries with established laws and repercussions for violence against healthcare providers. More data on WPV against ED providers practicing in low-resource settings is necessary to understand these providers' unique challenges.

Objective: This study aims to gain insight into the incidence and characteristics of WPV among ED healthcare providers in India.

Methods: This study was conducted at two EDs in geographically distinct regions of India. A survey was designed to assess violence in EDs among healthcare providers. Surveys were distributed to ED workplace providers, completed by hand, and returned anonymously. Data was entered and stored in the RedCAP database to facilitate analysis.

Results: Two hundred surveys were completed by physicians, nurses, and paramedics in Indian EDs. Most reported events involved verbal abuse (68%), followed by physical abuse (26%), outside confrontation (17%), and stalking (5%). By far, the most common perpetrators of violence against healthcare workers were bystanders including patient family members or other accompanying individuals. Notably, reporting was limited, with most cases conveyed to ED or hospital administration.

Conclusion: These results underscore the prevalence of WPV among Indian ED healthcare providers. High rates of verbal abuse followed by physical abuse are of concern. Most perpetrators of WPV against healthcare providers in this study were patient family members or bystanders rather than the patients themselves. It is imperative to prioritize implementing prevention strategies to create safer work environments for healthcare workers.

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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
63
审稿时长
13 weeks
期刊介绍: The aim of the journal is to bring to light the various clinical advancements and research developments attained over the world and thus help the specialty forge ahead. It is directed towards physicians and medical personnel undergoing training or working within the field of Emergency Medicine. Medical students who are interested in pursuing a career in Emergency Medicine will also benefit from the journal. This is particularly useful for trainees in countries where the specialty is still in its infancy. Disciplines covered will include interesting clinical cases, the latest evidence-based practice and research developments in Emergency medicine including emergency pediatrics.
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