Workplace Violence

工作场所暴力
  • 文章类型: Journal Article
    尽管意识越来越强,性骚扰仍然是工作场所的一个重要问题。性骚扰的持久问题似乎仍然存在,因为对哪些行为属于骚扰缺乏明确性。此外,对这些行为的解释受到上下文和关系因素的影响,增加了处理和预防此类事件的复杂性。本研究建立在现有研究的基础上,通过调查性骚扰行为的严重程度,目标的反应,参与者的性别有助于将行为标记为性骚扰。使用基于在线实验场景的调查,1,700(850名女性,850名男性)目前受雇的参与者被提供了一个单一的工作场所场景,该场景操纵了性骚扰行为的严重程度和目标的反应。然后要求参与者评估行为的适当性,是否将其标记为性骚扰,并评估他们对标签决定的信心。结果显示,不那么严重的性骚扰行为,表现出兴趣的目标,男性参与者更有可能认为这种行为不太不当,也不太倾向于将其标记为性骚扰。这些发现对于塑造性骚扰的定义和设计提高意识的培训计划具有重要意义。
    Despite increasing awareness, sexual harassment remains a significant concern in the workplace. The enduring problem of sexual harassment seems to persist due to a lack of clarity regarding what behaviors qualify as harassment. Furthermore, the interpretation of these behaviors is influenced by contextual and relational factors, contributing to the complexity of addressing and preventing such incidents. This study builds on existing research by investigating how the severity of sexually harassing behavior, the response from the target, and the gender of the participant contribute to labeling behavior as sexual harassment. Using an online experimental scenario-based survey, 1,700 (850 female, 850 male) currently employed participants were presented with a single workplace scenario that manipulated the severity of the sexual harassment behavior and the target\'s response. Participants were then asked to assess the appropriateness of the behavior, label it as sexual harassment or not, and rate their confidence in their labeling decision. The results revealed that less severe sexual harassment behaviors, targets who displayed interest, and male participants were more likely to perceive the behavior as less inappropriate and were less inclined to label it as sexual harassment. These findings have implications for shaping the definition of sexual harassment and designing training programs for heightened awareness.
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  • 文章类型: Journal Article
    Objectives.在COVID-19大流行期间,针对医护人员(HCWs)的工作场所暴力(WPV)的流行越来越使世界各地的医疗保健系统感到震惊。因此,本综述的目的是调查COVID-19大流行期间WPV对HCWs的相关因素.方法。这项研究于2021年12月进行。搜索了四个国际数据库和两个伊朗数据库。系统审查和荟萃分析(PRISMA)声明的首选报告项目是报告程序的基础。结果。共有13篇文章被纳入分析。结果显示,女性患WPV的风险较低(比值比[OR]0.76,95%置信区间[CI][0.67,0.84],基于固定效应模型,p=0.000)。此外,教育水平之间存在显著关联(OR1.09,95%CI[1.05,1.14]),年龄(相关性=0.025,95%CI[0.014,0.036])和工作经验(相关性=0.028,95%CI[0.016,0.016])和WPV。结论。与WPV暴露相关的主要因素是性别,教育水平,年龄和工作经验。需要进行更多的研究以提供更准确和详细的数据。
    Objectives. Healthcare systems all over the world are increasingly alarmed by the prevalence of workplace violence (WPV) directed at healthcare workers (HCWs) during the COVID-19 pandemic. Therefore, the aim of the current review was to investigate the factors associated with WPV against HCWs during the COVID-19 pandemic. Methods. This study was conducted in December 2021. Four international databases along with two Iranian databases were searched. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement served as the foundation for the reporting procedure. Results. A total of 13 articles were included in the analysis. Results showed that females are less at risk of WPV (odds ratio [OR] 0.76, 95% confidence interval [CI] [0.67, 0.84], p = 0.000 based on a fixed-effects model). Moreover, significant association was found between education level (OR 1.09, 95% CI [1.05, 1.14]), age (correlation = 0.025, 95% CI [0.014, 0.036]) and work experience (correlation = 0.028, 95% CI [0.016, 0.016]) and WPV. Conclusion. The primary factors linked to WPV exposure were found to be gender, education level, age and work experience. Additional research is necessary to provide more accurate and detailed data.
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  • 文章类型: Journal Article
    背景:针对医护人员的暴力行为普遍存在,然而在许多情况下,报告不足的问题。这是由于各种因素,包括缺乏时间,支持和对什么是可报告事件的普遍理解。这项研究探讨了急诊科护士报告工作场所暴力的促进因素和障碍。
    方法:在此描述中,定性研究,研究人员对急诊护士进行了开放式访谈,这些护士被认为是暴力事件的“高”和“非记者”,并对主题进行了分析。
    结果:参与者列举了与较少报告相关的一致因素,与更多报告和现有安全措施有效性相关的因素。
    结论:为了鼓励举报暴力事件,经常提到的障碍和促进者应该得到解决。将报告机制纳入健康记录等战略,创建可报告事件的细微差别定义,一致的教育和积极的反馈可以促进员工的报告。这些努力应与预防策略相结合,以确保我们收集有关这些计划成败的正确数据。
    BACKGROUND: Violence against healthcare workers is a pervasive, yet in many cases, under-reported problem. This is due to various factors, including lack of time, support and a universal understanding of what constitutes a reportable event. This study explored facilitators and barriers to reporting workplace violence among emergency department nurses.
    METHODS: In this descriptive, qualitative study, researchers conducted open-ended interviews with emergency nurses considered to be \"high-\" and \"non-reporters\" of violent events and analyzed for themes.
    RESULTS: Participants cited consistent factors associated with less reporting, factors associated with more reporting and effectiveness of existing safety measures.
    CONCLUSIONS: To encourage the reporting of violent events, frequently cited barriers and facilitators should be addressed. Strategies such as integrating reporting mechanisms into the health record, creating nuanced definitions of reportable events, and consistent education with positive feedback can promote reporting by staff. These efforts should be combined with prevention strategies to ensure we are collecting correct data about the success or failure of these programs.
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  • 文章类型: Journal Article
    惩教人员面临着广泛的工作场所暴力和由此产生的过度劳累,这可能会严重损害他们的身心健康。
    本研究旨在调查过度劳累在劳教人员中工作场所暴力与身心健康问题表现之间的关系中的中介作用。
    本研究招募了472名符合条件的参与者。横断面数据使用中文版工作场所暴力量表(WVS)获得,同时通过相关量表评估惩教人员的身心健康。分析涉及描述性统计,相关分析,和中介模型的测试。
    研究发现工作场所暴力之间存在显著相关性,过度劳累,和各种心理健康变量(抑郁症,焦虑,压力,自杀意念,和失眠),相关性在0.135到0.822之间(p<0.01)。中介分析显示,工作场所暴力直接影响惩教人员的身心健康(p<0.001),也通过过度劳累产生间接影响(p<0.023)。这些发现强调了工作场所暴力对惩教人员健康的重大影响,直接和间接。
    工作场所暴力和过度劳累极大地加剧了惩教人员面临的身心健康挑战。过度劳累在工作场所暴力与这些健康问题之间的关系中起着中介作用。该研究建议通过增加惩教人员的人数来解决工作场所暴力和心理健康问题,改善工作环境,并实施增强的福利政策。
    UNASSIGNED: Correctional officers face widespread workplace violence and the resulting overwork that can profoundly damage their physical and mental health.
    UNASSIGNED: This study aims to investigate the mediating role of overwork in the relationship between workplace violence and the manifestation of physical and mental health issues among correctional officers.
    UNASSIGNED: This study enlisted 472 eligible participants. Cross-sectional data were obtained using the Chinese version of the Workplace Violence Scale (WVS), while the physical and mental health of correctional officers was evaluated through relevant scales. Analysis involved descriptive statistics, correlation analyses, and tests for mediation models.
    UNASSIGNED: The study found significant correlations between workplace violence, overwork, and various mental health variables (depression, anxiety, stress, suicidal ideation, and insomnia), with correlations ranging from 0.135 to 0.822 (p < 0.01). Mediation analysis revealed that workplace violence directly impacts correctional officers\' physical and mental health (p < 0.001) and also has an indirect effect through overwork (p < 0.023). These findings underscore the substantial impact of workplace violence on the health of correctional officers, both directly and indirectly.
    UNASSIGNED: Workplace violence and overwork significantly contribute to the physical and mental health challenges faced by correctional officers. Overwork acts as a mediator in the relationship between workplace violence and these health issues. The study suggests addressing workplace violence and mental health issues among correctional officers by increasing their numbers, improving the work environment, and implementing enhanced welfare policies.
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  • 文章类型: Journal Article
    目的:系统探讨管理实习护生在临床实习期间经历的工作场所暴力的干预措施的有效性。
    方法:对实验研究的系统回顾。
    方法:根据系统评价和荟萃分析指南的首选报告项目进行综述。关键搜索概念,如“护生”,\"教育\",“工作场所暴力”,检查“临床放置”和“临床研究”以确定相关文章(附录A)。两名独立审稿人完成了筛选,关键评估和数据提取。由于纳入研究之间的异质性,结果进行了叙述合成。
    方法:MEDLINE(Ovid),CINAHL(EBSCOhost),WebofScience核心合集(ClarivateAnalytics),Scopus(Elsevier),Embase(Ovid),科克伦中部,ERIC(ProQuest),从成立到2023年2月27日,搜索了ProQuestCentral和ProQuest社会科学高级收藏。
    结果:本综述共纳入13项研究。管理注册护生在临床实习期间经历的工作场所暴力的主要干预措施是教育。研究的方法各不相同,包括教学教学,电子学习,角色扮演和模拟实践。纳入的研究显示,注册护生的信心得到了不确定的改善,应对技巧,知识,临床实习期间处理工作场所暴力的能力和自我效能感。只有一项研究评估了工作场所暴力的发生率,发现涉及工作人员和学生的多方面干预降低了发生率。
    结论:鉴于教育干预的异质性,干预措施对管理学生临床实习期间工作场所暴力的影响尚不确定。为了解决这个差距,高品质,需要在机构和组织层面采取积极和综合的干预措施。
    OBJECTIVE: To systematically investigate the effectiveness of interventions for managing workplace violence experienced by registered nursing students during clinical placement.
    METHODS: A systematic review of experimental studies.
    METHODS: The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The key search concepts such as \"Nursing students\", \"Education\", \"workplace violence\", \"clinical placement\" and \"clinical study\" were inspected to identify relevant articles (Appendix A). Two independent reviewers completed screening, critical appraisal and data extraction. Due to heterogeneity among the included studies, results were synthesized narratively.
    METHODS: MEDLINE (Ovid), CINAHL (EBSCOhost), Web of Science Core Collection (Clarivate Analytics), Scopus (Elsevier), Embase (Ovid), Cochrane CENTRAL, ERIC (ProQuest), ProQuest Central and ProQuest Social Science Premium Collection were searched from inception to 27th February 2023.
    RESULTS: A total of 13 studies were included in this review. The predominant intervention for managing workplace violence experienced by registered nursing students during clinical placements was education. Approaches varied among studies and included didactic teaching, e-learning, role-playing and simulation practice. The included studies showed uncertain improvements in registered nursing students\' confidence, coping skills, knowledge, competence and self-efficacy in dealing with workplace violence during clinical placements. Only one study assessed the incidence rate of workplace violence and found that a multi-faceted intervention involving both staff and students decreased the incidence.
    CONCLUSIONS: Given the heterogeneity of educational interventions, the effect of interventions for managing workplace violence during students\' clinical placement is uncertain. To address this gap, high-quality, proactive and combined interventions at both institutional and organizational levels are needed.
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  • 文章类型: Journal Article
    背景:在医疗保健环境中,医疗服务提供者在工作场所经常遇到身体和言语攻击。据报道,患者和患者的亲戚和朋友是工作场所暴力的肇事者。在所有医疗机构中,急诊科(ED)已被指定为暴力的高风险场所,超过四分之一的急诊医生报告说他们是人身攻击的受害者。这项研究旨在报告吉达市军事和非军事医院中针对急诊医师的工作场所暴力的发生率。
    方法:本研究采用了横断面设计。通过谷歌表格平台开发了一份电子问卷,其中包括人口统计数据,在工作场所对参与者的言语或身体暴力的发生,他们经历了多少次这种暴力,事件发生的时间,医院内外的位置,无论肇事者大多是病人,患者家属,或者朋友,以及他们是否报告了任何暴力事件。分类变量用于描述频率和百分比,而描述性统计,如平均值和95%置信区间(95%CI)用于总结量表变量。P<0.05被认为是统计学上显著的差异。
    结果:在100名参与者中,76经历过身体或语言暴力,或者两者兼而有之。其余24人没有经历任何形式的暴力。83%的身体受到侵害的医生在非军事医院工作。在经历过言语暴力的72名参与者中,51人(70.8%)在非军事医院工作,21人(29.2%)在军队医院。不报告的最常见原因是参与者认为报告暴力事件没有用。此外,92%的参与者选择“培训医护人员应对暴力袭击”作为减少与工作有关的暴力数量的建议有用因素。此外,“公众的教育”和“提高医护人员的意识”也被91%和90%的参与者选择为有用的因素,分别。
    结论:这表明,与军队同行相比,非军事医院的医生遭受的暴力程度更高。然而,令人担忧的是,军事和非军事医疗机构的暴力事件报告严重不足。
    BACKGROUND: In healthcare settings, physical and verbal attacks are commonly encountered in the workplace among healthcare providers. Patients and patients\' relatives and friends have been reported to be the perpetrators of workplace violence. Among all healthcare settings, emergency department (ED) have been designated as high-risk settings for violence, where more than one-quarter of emergency physicians reported that they were victims of physical assault. This study aimed to report the prevalence of workplace violence against emergency medicine physicians in military and non-military hospitals in Jeddah city.
    METHODS: A cross-sectional design has been used in this study. An electronic questionnaire was developed through the Google Form Platform and it included demographic data, the occurrence of verbal or physical violence in the workplace to participants, how many times they experienced this violence, the time of incidents, the location either inside or outside the hospital, whether the perpetrators were mostly patients, patient families, or friends, and whether they reported any violence or not. Categorical variables were used to describe frequencies and percentages, while descriptive statistics such as mean and 95% Confidence Interval (95% CI) were used to summarize the scale variables. P < 0.05 was considered for statistically significant differences.
    RESULTS: Among the 100 participants, 76 experienced either physical or verbal violence, or both. The remaining 24 did not experience any sort of violence. 83% of the physicians who have been physically violated were working in non-military hospitals. Of the 72 participants who had experienced verbal violence, 51 (70.8%) were working in a non-military hospital, while 21 (29.2%) were in a military hospital. The most common reason for not reporting was that the participants felt that reporting the violence incidence was useless. Moreover, 92% of participants chose \"Train healthcare workers to deal with violent attacks\" as a suggested helpful factor in decreasing the number of work-related violence. In addition, \"Education of the public\" and \"Raising awareness of healthcare workers\" were chosen as helpful factors as well by 91% and 90% of participants, respectively.
    CONCLUSIONS: This revealed that physicians in non-military hospitals experience higher levels of violence compared to their military counterparts. However, it is concerning that instances of violence are substantially under-reported across both military and non-military healthcare facilities.
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  • 文章类型: Journal Article
    暴力是无家可归者收容所的一个关键问题,影响服务使用者和工作人员,然而,关于基于庇护所的暴力是如何发生的证据有限。这项定性研究的目的是从服务使用者和工作人员的角度调查基于庇护所的暴力的前兆和后果。有目的的抽样被用来招募在安大略省一个大都市经历无家可归的人和庇护所工作人员,加拿大。分析了对56名无家可归的人和30名收容所工作人员的深入访谈数据。调查结果表明,针对服务使用者和工作人员的基于庇护所的暴力行为被认为表现为三个相互作用的因素:(a)无家可归和庇护所生活的负担,(b)个人历史和边缘化,(c)人际冲突。这些先例具有层次结构,因为每个随后的因素都加剧了先前因素的风险,并最终导致了暴力的最接近因素。服务使用者和工作人员报告的基于住房的暴力有三个主要结果:(a)健康和环境损害,(b),程序强制执行,(c)回避行为。避免通常是健康损害后的后续影响,程序强制执行的程度较小。总的来说,研究结果表明,基于住房的暴力是一个复杂和动态的问题,被认为是相互作用的结构的结果,环境,programmal,人际关系,和个人因素,对服务用户和员工有类似的后果。讨论了通过庇护所设计和服务提供预防暴力的含义。
    Violence is a critical issue in homeless shelters that affects service users and staff, yet there is limited evidence on how shelter-based violence occurs. The objective of this qualitative study was to investigate the antecedents and consequences of shelter-based violence from the perspectives of service users and staff. Purposive sampling was used to recruit individuals experiencing homelessness and shelter staff in a large metropolitan city in Ontario, Canada. Data from in-depth interviews with 56 individuals experiencing homelessness and 30 shelter staff were analyzed. Findings showed that shelter-based violence toward service users and staff was perceived to manifest in response to three interacting factors: (a) burden of homelessness and shelter living, (b) individual histories and marginalization, and (c) interpersonal conflict. These antecedents had a hierarchical structure in that each subsequent factor exacerbated the risk of previous ones and culminated with the most proximal factor for violence. There were three primary outcomes of shelter-based violence reported by service users and staff: (a) health and environmental harms, (b), procedural enforcement, and (c) avoidant behaviors. Avoidance was often a subsequent impact following health harms, as was procedural enforcement to a lesser extent. Overall, the study findings demonstrate that shelter-based violence is a complex and dynamic problem that is perceived to be the result of interacting structural, environmental, programmatic, interpersonal, and individual factors, with similar consequences for service users and staff. Implications for preventing violence through shelter design and service delivery are discussed.
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  • 文章类型: Journal Article
    工作场所暴力是地方性的,破坏性,以及医疗保健中频率和严重程度的升级。关于地区和偏远医院急诊科(ED)的工作场所暴力的研究很少。
    这项研究的目的是在澳大利亚五个地区和偏远地点确定与ED中暴力事件相关的犯罪者和情况特征。
    本研究审计了医院汇总数据,事件报告,和2018年12个月的医疗记录,以检查五个地区和偏远澳大利亚ED的工作场所暴力事件的肇事者和情况特征。
    暴力事件在整个星期和轮班中均匀分布。大多数事件被分类为紧急,发生在最初的4小时内,并有多学科参与。几乎每六个事件中就有一个导致受伤。施暴者主要是年轻和中年男性,几乎总是病人,大多数人表现为精神和行为障碍,或使用精神活性物质。
    了解暴力肇事者的特征可以帮助寻求量身定制干预措施,以减少进一步的暴力行为。这些发现对优化患者护理具有重要意义,员工安全和资源管理。
    UNASSIGNED: Workplace violence is endemic, destructive, and escalating in frequency and severity in healthcare. There is a paucity of research on workplace violence in regional and remote hospital emergency departments (EDs).
    UNASSIGNED: The aim of this study was to identify the perpetrator and situational characteristics associated with violent incidents in the ED across five regional and remote Australian sites.
    UNASSIGNED: This study audited hospital summary data, incident reports, and medical records for a 12-month period in 2018 to examine the perpetrator and situational characteristics of workplace violence incidents in five regional and remote Australian EDs.
    UNASSIGNED: Violent incidents were evenly spread throughout the week and across shifts. Most incidents were triaged as urgent, occurred within the first 4 hr, and had multidisciplinary involvement. Almost one in every six incidents resulted in an injury. Perpetrators of violence were predominantly young and middle-aged males and almost always patients, with most presenting with mental and behavioral disorders, or psychoactive substance use.
    UNASSIGNED: Understanding the characteristics of perpetrators of violence can help in seeking to tailor interventions to reduce further violent behaviors. These findings carry implications for optimizing patient care, staff safety and resource management.
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  • 文章类型: Journal Article
    目的:本研究的目的是:(1)了解工作场所暴力(WPV)对大型多州紧急医疗服务(EMS)机构内员工的个人影响,(2)描述WPV对后续患者互动的影响,检查暴力经历如何影响EMS临床医生提供的护理质量,(3)检查WPV对院前人员感知工作场所安全的影响及其与EMS领域保留的相关性,(4)征求工作人员的建议,以便将来预防和减轻WPV。方法:我们在2023年4月5日至2023年6月20日之间,在中西部大型EMS机构中使用描述性定性设计,对22名院前人员进行了虚拟焦点小组和个人访谈。使用主题分析对数据进行了分析,以确定参与者之间和参与者之间的共同看法。结果:确定了个人影响的主要主题;对患者互动的影响;WPV对职业寿命/可持续性的影响;以及EMS文化与WPV之间的关系。总的来说,参与者都认为WPV是“工作的一部分”,而且这种辱骂是如此普遍,以至于他们以前不认为这是暴力。参与者提供了WPV的几个例子,并描述了这些经历如何影响他们个人(例如高度警惕)以及影响他们随后与患者的互动(例如更快地使用约束,失去同理心)。与会者一致认为,EMS不再受到患者或社区的重视或尊重。一些人表达了对下一代同事的担忧,几乎所有参与者都报告了对情境意识的教育和培训的必要性,降级,和自卫战术。与会者提到希望与执法部门加强协调和沟通,患者虐待文化的改变没有影响,并在暴力事件后改善机构的心理健康支持和同伴支持/指导。尽管有WPV的经验,大多数人报告计划留在EMS。结论:紧急医疗服务人员通常在工作中受到暴力的创伤,而非身体暴力则被低估。尽管它对工作人员和随后的患者互动产生了影响,大多数参与者报告计划留在EMS内。需要多方面的以系统为重点的努力,以转向和支持WPV的零容忍文化。
    UNASSIGNED: The objectives of this study were to: (1) understand the personal impact of workplace violence (WPV) on staff within a large multistate emergency medical services (EMS) agency, (2) describe the impact of WPV on subsequent patient interactions, examining how experiences of violence affect the quality of care provided by EMS clinicians, (3) examine the influence of WPV on perceived workplace safety among prehospital personnel and its correlation with retention in the EMS field, and (4) solicit recommendations from staff for the prevention and mitigation of WPV in the future.
    UNASSIGNED: We conducted virtual focus groups and individual interviews with 22 prehospital personnel using a descriptive qualitative design within a large multistate Midwest EMS agency between 4/5/2023-6/20/2023. Data were analyzed using Thematic Analysis to identify common perceptions among and across participants.
    UNASSIGNED: Major themes of personal impact; impact on patient interactions; influence of WPV on career longevity/sustainability; and relationship between EMS culture and WPV were identified. Overall, participants shared the perception that WPV is \"part of the job\", and that verbal abuse was so common that they hadn\'t previously considered it as violence. Participants provided several examples of WPV and described how these experiences impacted them personally (e.g., hypervigilance) and impacted their subsequent interaction with patients (e.g., quicker to use restraints, loss of empathy). Participants shared the perception that EMS is no longer valued or respected by patients or communities. Several voiced concerns for the next generation of colleagues and nearly all participants reported the need for education and training in situational awareness, de-escalation, and self-defense tactics. Participants referenced desire for more coordination and communication with law enforcement, change in culture of abuse from patients without repercussions, and improved agency mental health support and peer support/mentoring following a violent event. Despite experiences with WPV, the majority reported plans to remain in EMS.
    UNASSIGNED: Emergency Medical Services personnel are commonly traumatized by violence in their work and nonphysical violence is underappreciated. Despite its impact on staff and subsequent patient interactions, most participants reported plans to remain within EMS. Multi-faceted system-focused efforts are needed to shift toward and support a zero-tolerance culture for WPV.
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  • 文章类型: Journal Article
    背景:研究表明,与其他职业相比,医护人员的自杀风险更大,但是大多数发表的研究都集中在医生身上。这项研究调查了广泛的非医师医护人员中自杀意念(SI)和相关职业因素的患病率。
    方法:在2022年9月至11月之间,对大型城市医疗保健系统中30%的非医师医疗保健人员进行了一项匿名在线调查。进行加权多变量二元逻辑回归以确定与SI相关的工作场所和心理健康因素。
    结果:1084名受访者包括护士,行政人员,研究人员,医疗助理,执业护士,医师助理,和其他角色。在样本中,8.6%的人在前两周接受了SI。回归结果表明,在调整了人口因素后,SI的更大几率与患者或来访者的身体暴力有关(优势比[OR]=2.15,95%置信区间[CI]=1.06-4.37),较低的感知领导支持(OR=0.95,95%CI=0.92-0.98),和抑郁症筛查阳性(OR=4.66,95%CI=2.45-8.86)。探索性分析表明,抑郁可能是工作场所压力源和SI之间的中介因素。
    结论:限制包括中度反应率,使用单个项目来评估SI,和横截面设计。
    结论:研究结果表明,在医护人员中,工作场所暴力和领导支持是与SI相关的重要职业因素。减少和减轻工作场所暴力,加强领导支持,改善获得精神卫生保健的机会应被视为干预措施的目标,以降低该人群的自杀风险。
    BACKGROUND: Research suggests that healthcare workers are at greater risk for suicide than other occupations, but most published studies focus on physicians. This study examines the prevalence of suicidal ideation (SI) and associated occupational factors among a broad group of non-physician healthcare staff.
    METHODS: An anonymous online survey was sent to a random sample of 30 % of non-physician healthcare staff at a large urban healthcare system between September and November 2022. Weighted multivariable binary logistic regressions were conducted to determine the workplace and mental health factors associated with SI.
    RESULTS: The 1084 respondents included nurses, administrative staff, research staff, medical assistants, nurse practitioners, physician assistants, and other roles. Of the sample, 8.8 % endorsed having SI over the prior two weeks. Results of the regression indicated that, after adjusting for demographic factors, greater odds of SI were associated with physical violence experienced from a patient or visitor (odds ratio [OR] = 2.15, 95 % confidence interval [CI] = 1.06-4.37), lower perceived leadership support (OR = 0.95, 95 % CI = 0.92-0.98), and positive screening for depression (OR = 4.66, 95 % CI = 2.45-8.86). Exploratory analysis suggests that depression may be a mediating factor between workplace stressors and SI.
    CONCLUSIONS: Limitations include the response rate, the use of a single item to assess SI, and the cross-sectional design.
    CONCLUSIONS: Findings suggest that workplace violence and leadership support are important occupational factors associated with SI among healthcare workers. Reducing and mitigating workplace violence, enhancing leadership support, and improving access to mental health care should be considered targets for interventions to decrease suicide risk in this population.
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