Nurses under threat: A comparison of content of 28 aggression management programs
Nurses under threat: A comparison of content of 28 aggression management programs
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DOI：
10.1111/j.1440-0979.2005.00354.x
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发表时间：
2005-03-01
影响因子：
5.6
通讯作者：
Cubit, Katrina
中科院分区：
文献类型：
--
作者：
Farrell, Gerry;Cubit, Katrina
在卫生服务部门工作的工作人员现在被认为是工作场所遭受袭击的高危群体。最近，专业和工业组织开始建议适当的课程，以培训工作人员进行攻击管理。然而，目前有太多的攻击性管理训练计划(AMP)可用，在内容和持续时间上都不同。在本文中，根据关键专业和行业组织提出的建议得出的13个主要内容领域，以及今天可能被认为适合/理想AMP的内容领域，对28个计划进行了评估。通过标准数据库、因特网、方案提供者以及通过与同事和专业组织建立网络联系，寻找有关英文方案的信息。大多数审查的项目涵盖了工作人员和患者的个人安全问题，以及法律问题。使用约束、对攻击和与世隔绝的药理学管理是专门解决精神卫生环境中卫生保健人员需求的方案的特点。大多数项目似乎没有解决与工作场所攻击性相关的心理和组织成本。这是令人惊讶的，因为文献表明，暴力的影响是广泛和多样的，包括旷工和病假增加、财产损失、生产力下降、安全费用、诉讼、工人补偿、工作满意度下降以及招聘和留用问题。此外，很少有项目是基于对其结果的系统评估。讨论了程序开发和教学的建议。
Staff who work in the health service are now recognized as a high-risk group for assault in the workplace. Recently, professional and industrial organizations have begun to suggest appropriate curricula for training staff in aggression management. However, there is currently a plethora of aggression management training programs (AMP) available, varying both in content and in duration. In this paper, 28 programs were evaluated against 13 major content areas derived from the recommendations made from key professional and industrial organizations, and what may be today considered appropriate/ideal content areas for AMP. Information on programs available in English was sought via standard databases, the Internet, program providers, and through networking with colleagues and professional organizations. The majority of the programs reviewed covered personal safety issues for staff and patients, together with legal issues. The use of restraint, pharmacological management of aggression and seclusion were features of programs specifically addressing the needs of health care staff in mental health settings. Most programs appeared not to address the psychological and organizational costs associated with aggression in the workplace. This is surprising since the literature suggests that the effects of violence are wide and varied, including increased absenteeism and sick leave, property damage, decreased productivity, security costs, litigation, workers' compensation, reduced job satisfaction together with recruitment and retention issues. Also, few programs were based on a systematic evaluation of their outcomes. Suggestions for program development and their teaching are discussed.