使用高保真模拟来减少工作场所的暴力和不文明行为

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-06-16 DOI:10.1016/j.ecns.2025.101762

Caroline Ferzoco MSN, RN, CCRN , Kathleen Ryan Avery MSN, RN, CCRN , Barbara E. Lakatos DNP, PMHCNS-BC, APRN , Christine Murphy MS, PMHCNS-BC, CARN-AP , Mary “Maggie” Ryan MS, RN, CHSE , Pamela Brown Linzer PhD, RN, CPHQ, NEA-BC , Mary Pennington MS, RN, SCRN , Kimberly Leger MSN, RN, NE-BC

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引用次数: 0

摘要

工作场所暴力（WPV）对护理人员产生了重大影响。有效的缓解工作可以通过早期识别、降级、改进报告和支持护士福利来提高安全性。方法开发了一个基于模拟的创伤性伤害项目，重点是定义创伤性伤害，概述缓解策略的使用，并强调在创伤知情框架内可用的工作人员资源。利用标准化患者的模拟增强了患者对工作人员和工作人员对工作人员的场景。结果实施后，WPV事件和关键学习要点的报告有所增加。总的来说，从干预前到干预后，SAFE反应激活率增加了100%，夜班的增加幅度最大。来自护士的职业行为安全报告增加了14%。结论基于模拟的培训是一种有效的、创新的培训方法，可以适应不同医疗机构的需求。

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Using high fidelity simulation to mitigate workplace violence and incivility

Background

Workplace violence (WPV) significantly impacts the nursing workforce. Effective mitigation efforts can enhance safety through early recognition, de-escalation, improved reporting, and support of nurse wellbeing.

Methods

A simulation-based WPV program was developed focusing on defining WPV, outlining use of mitigation strategies and highlighting available staff resources within a trauma-informed framework. Simulation utilizing standardized patients enhanced the patient to staff and staff to staff scenarios.

Results

Increased reporting of WPV incidents and key learning takeaways were noted post-implementation. Overall, there was a 100% increase in SAFE Response activations from the pre-intervention to post-intervention period with the night shift having the most profound increase. Professional conduct safety reports from nurses increased by 14%.

Conclusions

A simulation-based program is an effective and innovative method for providing WPV mitigation training to staff and can be adapted to meet the needs of various healthcare organizations.

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.