背景:针对护理人员的暴力行为已被描述为严重的公共卫生问题,可能造成重大的身体和心理伤害,但行业内的组织文化鼓励护理人员将暴力视为工作的一部分。\"因此,大多数暴力事件从未正式记录。这限制了研究人员和政策制定者制定减轻风险和提高护理人员安全性的策略的能力。
目标:随着小说的开发和实施,在2021年2月的事件点暴力报告过程中,我们的目标是:(1)估计暴力的流行程度,并为所报告的暴力事件生成描述性简介;(2)根据响应护理人员在派遣点通常知道的呼叫特征识别潜在的高风险服务呼叫;(3)探索基础主题,包括基于性别的不容忍,种族,和性取向,助长了暴力事件。
方法:我们的工作位于安大略省的单一护理人员服务中,加拿大。使用收敛并行混合方法方法,我们将回顾性回顾从2021年2月1日至2023年2月28日的外部暴力事件报告(EVIR)系统收集的2年定量和定性数据.EVIR是通过广泛的利益相关者参与过程开发的嵌入电子患者护理记录(ePCR)中的事件点报告机制。完成ePCR时,如果医护人员在电话中遇到暴力,他们会被提示提交EVIR。我们的方法包括使用描述性统计来估计暴力的发生率和描述报告事件的特征(目标1),识别高风险服务呼叫的逻辑回归模型(目标2),和事件报告叙述的定性内容分析,以确定导致暴力的基础主题(目标3)。
结果:截至2023年1月1日,377名护理人员-约有五分之一的现役护理人员-共提交了975份暴力报告。早期分析表明,40%的报告涉及对报告护理人员的人身攻击。我们的团队将继续收集数据,从2023年3月开始进行更全面的分析。我们的研究结果将提供急需的流行病学数据,说明单一护理人员服务中针对护理人员的暴力行为的患病率,其贡献主题,和潜在的风险因素。
结论:我们的研究结果将有助于越来越多的文献表明,针对护理人员的暴力行为是一个复杂的问题,需要对其范围进行细致入微的理解。危险因素,和贡献的情况。总的来说,我们的研究将提供更大的信息,多站点前瞻性研究已经在规划阶段,并告知组织战略,以减轻暴力伤害的风险。
UNASSIGNED:DERR1-10.2196/37636。
BACKGROUND: Violence against paramedics has been described as a serious public health problem with the potential for significant physical and psychological harm, but the organizational culture within the profession encourages paramedics to consider violence as just \"part of the job.\" Therefore, most incidents of violence are never formally documented. This limits the ability of researchers and policy makers to develop strategies that mitigate the risk and enhance paramedic safety.
OBJECTIVE: Following the development and implementation of a novel, point-of-event violence reporting process in February 2021, our objectives are to (1) estimate the prevalence of violence and generate a descriptive profile for incidents of reported violence; (2) identify potentially high-risk service calls based on characteristics of calls that are generally known to the responding paramedics at the point of dispatch; and (3) explore underpinning themes, including intolerance based on gender, race, and sexual orientation, that contribute to incidents of violence.
METHODS: Our work is situated in a single paramedic service in Ontario, Canada. Using a convergent parallel mixed methods approach, we will retrospectively review 2 years of quantitative and qualitative data gathered from the External Violence Incident Report (EVIR) system from February 1 2021 through February 28, 2023. The EVIR is a point-of-event reporting mechanism embedded in the electronic patient care record (ePCR) developed through an extensive stakeholder engagement process. When completing an ePCR, paramedics are prompted to file an EVIR if they experienced violence on the call. Our methods include using descriptive statistics to estimate the prevalence of violence and describe the characteristics of reported incidents (Objective 1), logistic regression modeling to identify high-risk service calls (Objective 2), and qualitative content analysis of incident report narratives to identify underpinning themes that contribute to violence (Objective 3).
RESULTS: As of January 1, 2023, 377 paramedics-approximately 1 in 5 active-duty paramedics in the service-have filed a total of 975 violence
reports. Early analysis suggests 40% of
reports involved a physical assault on the reporting paramedic. Our team is continuing to collect data with more fulsome analyses beginning in March 2023. Our findings will provide much-needed epidemiological data on the prevalence of violence against paramedics in a single paramedic service, its contributing themes, and potential risk factors.
CONCLUSIONS: Our findings will contribute to a growing body of literature demonstrating that violence against paramedics is a complex problem that requires a nuanced understanding of its scope, risk factors, and contributing circumstances. Collectively, our research will inform larger, multisite prospective studies already in the planning stage and inform organizational strategies to mitigate the risk of harm from violence.
UNASSIGNED: DERR1-10.2196/37636.