Verbal abuse against home care aides: another shot across the bow in violence against health care and other workers.
Verbal abuse against home care aides: another shot across the bow in violence against health care and other workers.
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针对家庭护理人员的辱骂：针对医疗保健人员和其他工作人员的暴力行为的又一枪击事件。
DOI：
10.1136/oemed-2019-105925
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发表时间：
2019
影响因子：
4.9
通讯作者：
Gerberich,SusanGoodwin
中科院分区：
文献类型：
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作者：
Gerberich,SusanGoodwin
令人不安的是，虽然人身攻击被认为是与工作有关的暴力的主要后果，但非人身暴力，包括威胁、性骚扰、辱骂和欺凌，可能会给受害者带来更大的负担。1-4特别是，涉及另一个人大喊大叫或咒骂，进行辱骂或使用其他旨在控制或伤害的词语的口头虐待一直被报告为最常见的工作场所暴力形式。1 2 4 5在美国非致命性暴力风险最高的卫生保健和社会援助部门，情况尤其如此，这也是全球的一个主要问题。3 4 Karlsson等人6在对家庭护理助理7进行的职业研究中特别强调了言语虐待的问题，家庭护理助理在医疗保健工作者中占重要比例。8根据从954名报告非家庭客户及其家庭成员言语虐待的医疗保健助理中收集的问卷调查数据，确定的言语虐待风险增加涉及照顾行动不便的患者和在执行护理任务的空间有限的家庭中工作;当护理人员保持可预测的工作时间表时，确定的风险降低。在过去12个月内报告言语虐待的助手与那些没有报告的助手相比，报告身体虐待的可能性高出11倍。重要的是，这与Lanza等人先前关于言语虐待是身体攻击风险因素的文献一致。9在当前研究中，22%的人报告在过去12个月内至少发生过一次言语虐待事件;其他职业研究报告的范围在26%至65%之间。
It is disconcerting that while physical assault is perceived as a major consequence of work-related violence, non-physical violence—which includes threats, sexual harassment, verbal abuse and bullying—may result in even greater burdens for the victims. 1–4 In particular, verbal abuse involving another person yelling or swearing, engaging in name calling or using other words intended to control or hurt has consistently been reported as the most common form of workplace violence. 1 2 4 5 This is particularly the case in the Health Care and Social Assistance sector which is at highest risk of non-fatal violence in the USA and a major problem globally. 3 4The problem of verbal abuse is especially highlighted by Karlsson et al 6 from their occupational study of home care aides 7 who constitute an important proportion of healthcare workers. 8 Based on questionnaire survey data collected from 954 Health Care Aides who reported on verbal abuse from non-family clients and their family members, increased risks identified for verbal abuse involved caring for patients with limited mobility and working in homes with limited space in which to perform care tasks; a decreased risk was identified when predictable work schedules were maintained by the caregiver. Aides who reported verbal abuse within the last 12 months, compared with those who did not, were 11 times more likely to also report physical abuse. Importantly, this was consistent with previous documentation of verbal abuse as a risk factor for physical assault by Lanza et al. 9 In the current study, 22% reported at least one incident of verbal abuse within the last 12 months; other occupational studies have reported a range between 26% and 65% and beyond.