Abstract：
BACKGROUND: Workplace violence (WPV), such as physical violence, harassment, intimidation, or other threatening behavior, commonly occurs within healthcare settings including dentistry. The objective of this study was to analyze the behavioral and environmental factors contributing to WPV, determine its prevalence within one dental institution, and develop a WPV prevention and management protocol that is dental specific.
METHODS: To identify factors that impact WPV occurrence, the PRECEDE-PROCEED planning model was employed. A pilot cross-sectional survey was then conducted among faculty, staff, and dental learners (students/residents) to evaluate the prevalence of WPV incidents experienced and witnessed over the past year. The survey also assessed the locations where incidents took place, their type, and the strategies employed to manage them. A comprehensive protocol aimed at preventing and managing WPV in dental settings was subsequently developed.
RESULTS: Multiple factors influence the occurrence of WPV. The prevalence of experienced and witnessed WPV incidents was 22% and 24% among faculty/staff and 7% and 5% among learners, respectively. Verbal aggression was the most common type of WPV. Most respondents lacked awareness of the available reporting mechanisms for WPV. A WPV prevention and management protocol was developed, consisting of five steps: intervene, report, document, access support services, and resolve (IRDAR).
CONCLUSIONS: Administrators must have a comprehensive understanding of the prevalence of violence in their workplace and the underlying factors that contribute to it in order to take appropriate action. IRDAR is a clearly defined and easily implemented protocol designed for preventing and managing WPV in dental learning environments.
METHODS: To identify factors that impact WPV occurrence, the PRECEDE-PROCEED planning model was employed. A pilot cross-sectional survey was then conducted among faculty, staff, and dental learners (students/residents) to evaluate the prevalence of WPV incidents experienced and witnessed over the past year. The survey also assessed the locations where incidents took place, their type, and the strategies employed to manage them. A comprehensive protocol aimed at preventing and managing WPV in dental settings was subsequently developed.
RESULTS: Multiple factors influence the occurrence of WPV. The prevalence of experienced and witnessed WPV incidents was 22% and 24% among faculty/staff and 7% and 5% among learners, respectively. Verbal aggression was the most common type of WPV. Most respondents lacked awareness of the available reporting mechanisms for WPV. A WPV prevention and management protocol was developed, consisting of five steps: intervene, report, document, access support services, and resolve (IRDAR).
CONCLUSIONS: Administrators must have a comprehensive understanding of the prevalence of violence in their workplace and the underlying factors that contribute to it in order to take appropriate action. IRDAR is a clearly defined and easily implemented protocol designed for preventing and managing WPV in dental learning environments.
摘要：
背景：工作场所暴力（WPV），比如身体暴力，骚扰,恐吓,或其他威胁行为，通常发生在包括牙科在内的医疗机构中。这项研究的目的是分析导致WPV的行为和环境因素，确定其在一个牙科机构内的患病率，并制定针对牙科的WPV预防和管理协议。
方法：为了确定影响WPV发生的因素，采用了预过程规划模型。然后在教师中进行了试点横断面调查，工作人员,和牙科学习者（学生/居民）评估过去一年中经历和目睹的WPV事件的发生率。调查还评估了事件发生的地点,他们的类型,以及管理它们的策略。随后制定了旨在预防和管理牙科环境中的WPV的综合方案。
结果：多种因素影响WPV的发生。有经验和见证的WPV事件的发生率在教职员工中分别为22％和24％，在学习者中分别为7％和5％。分别。言语攻击是最常见的WPV类型。大多数答复者缺乏对WPV可用报告机制的认识。制定了WPV预防和管理协议，包括五个步骤:干预，报告,文档,访问支持服务，和解决（IRDAR）。
结论：管理人员必须全面了解工作场所暴力的普遍性以及导致暴力的潜在因素，以便采取适当的行动。IRDAR是一个明确定义且易于实施的协议，旨在预防和管理牙科学习环境中的WPV。
方法：为了确定影响WPV发生的因素，采用了预过程规划模型。然后在教师中进行了试点横断面调查，工作人员,和牙科学习者（学生/居民）评估过去一年中经历和目睹的WPV事件的发生率。调查还评估了事件发生的地点,他们的类型,以及管理它们的策略。随后制定了旨在预防和管理牙科环境中的WPV的综合方案。
结果：多种因素影响WPV的发生。有经验和见证的WPV事件的发生率在教职员工中分别为22％和24％，在学习者中分别为7％和5％。分别。言语攻击是最常见的WPV类型。大多数答复者缺乏对WPV可用报告机制的认识。制定了WPV预防和管理协议，包括五个步骤:干预，报告,文档,访问支持服务，和解决（IRDAR）。
结论：管理人员必须全面了解工作场所暴力的普遍性以及导致暴力的潜在因素，以便采取适当的行动。IRDAR是一个明确定义且易于实施的协议，旨在预防和管理牙科学习环境中的WPV。
