管理和预防针对卫生工作者的暴力行为:评估医院控制程序的审查结果

IF 0.7 Q4 CRIMINOLOGY & PENOLOGY
S. Ferracuti, Benedetta Barchielli, C. Napoli, A. Giannini, G. Parmigiani
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引用次数: 5

摘要

针对保健工作者的暴力行为是一个影响到个人和组织并可能产生法律后果的公共卫生问题。在意大利,工作场所暴力构成“哨点事件”,定义为特别严重、可能可避免的不良事件,可能导致卫生保健工作者死亡或严重伤害,并导致公众对卫生保健系统失去信心。2007年,意大利卫生部发布了第8号建议,"预防针对卫生工作者的暴力行为",邀请意大利各医院制定处理和预防侵略行为的程序和准则。这项研究的目的是调查意大利医院制定的程序和准则的适当性。设计/方法/方法通过网络搜索回顾性收集了意大利29家医院2007年至2020年发布的关于防止暴力侵害保健工作者的程序,并根据其遵守2007年意大利部长级建议的情况进一步进行了评估。29份文件中有9份完全符合2007年部长建议,18份部分符合,2份完全不符合。共有24份文件明确涉及言语和身体攻击的管理,而20份文件为护士和医务人员提供了降级技术的适当培训。11例充分考虑了心理支持,14例部分考虑了心理支持,4例完全不考虑心理支持。独创性/价值关于在意大利医院防止暴力侵害保健工作者的公共程序几乎不符合部长建议。缺乏解决地区一级需求的具体指示,以及缺乏向保健工作者提供的支持,是有效管理野生脊灰病毒的薄弱环节。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Managing and preventing acts of violence against health workers: results of a review evaluating hospital control procedures
Purpose Violence against health-care workers represents a public health issue that affects individuals, organizations and may have legal consequences. In Italy, workplace violence (WPV) constitutes a “sentinel event”, defined as a particularly serious, potentially avoidable adverse event, which may result in death or serious harm to health-care workers, and which leads to a loss of public confidence in the health-care system. In 2007, the Italian Ministry of Health issued Recommendation No. 8, “Preventing acts of violence against health workers”, inviting each Italian Hospital to develop procedures and guidelines for dealing with and preventing acts of aggression. This study aimed at investigating the appropriateness of the procedures and guidelines developed by the Italian hospitals. Design/methodology/approach Procedures on preventing violence against health-care workers published by 29 Italian Hospitals between 2007 and 2020 were collected retrospectively via Web searches and further evaluated according to their compliance with the 2007 Italian ministerial recommendations. Findings A total of 9 documents out of 29 were fully compliant with the 2007 Ministerial Recommendation, 18 were partially compliant, while 2 were totally non-compliant. A total of 24 documents explicitly addressed the management of verbal and physical aggression, whereas 20 set appropriate training on de-escalation techniques for nurses and medical staff. Psychological support was fully considered in 11 procedures, partially considered in 14, while not included at all in 4. Originality/value Public procedures on preventing violence against health-care workers in Italian hospitals are scarcely compliant with the Ministerial Recommendations. The absence of specific instructions to address the needs at territorial level and the lack of support provided to health-care workers is a weak point in the effective management of WPV.
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CiteScore
1.40
自引率
0.00%
发文量
32
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