Coping with Workplace Violence against General Practitioners and Nurses in Heilongjiang Province, China: Social Supports and Prevention Strategies.
Coping with Workplace Violence against General Practitioners and Nurses in Heilongjiang Province, China: Social Supports and Prevention Strategies.
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中国黑龙江省应对全科医生和护士的工作场所暴力：社会支持和预防策略
DOI：
10.1371/journal.pone.0157897
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Wu Q
中科院分区：
文献类型：
--
作者：
Zhao S;Qu L;Liu H;Gao L;Jiao M;Liu J;Liang L;Zhao Y;Wu Q
该研究的目的是：1）使用社会支持理论来检查影响医护人员对工作场所暴力（WPV）预防策略的意见的因素，以及2）确定全科医生（GP）和全科护士寻求并期望在WPV暴露后使用的支持类型。采用横断面调查方法，对黑龙江省90所乡镇卫生院的448名全科医生和412名全科护士进行调查。结果显示，暴露于身体，心理或两种WPV类型的工人有一个强烈的意见，提高诊断/治疗能力的必要性，制定预防暴力的指导方针和计划，使用防护设备，并加强工作人员提供备份支持。最后两种策略也是在我们之前的研究中由三级医院工作人员选择的。此外，高焦虑的工作人员选择了以下预防策略最有效：提高医患沟通技巧;在病房安装摄像头;保持工作区域明亮;改善暴力报告，统计和干预;在关键部门进行安全巡逻;加强工作人员;纠正不准确的媒体观点和报道。最后四种策略也是由三级医院工作人员选择的。所有受访者都希望得到组织和社会支持。最后，这些预防战略应适合特定人群的不同需要。此外，组织、公众和政策制定者有必要在WPV预防方面提供强有力的支持。
The study’s objectives were to: 1) use social support theory to examine factors influencing healthcare workers’ opinions about workplace violence (WPV) prevention strategies, and 2) to determine the types of support that general practitioners (GPs) and general nurses sought and expected to use after WPV exposure. A cross-sectional survey was used to assess a sample of 448 GPs and 412 general nurses from 90 township hospitals located in Heilongjiang province, China. Results revealed that workers exposed to physical, psychological or both WPV types had a strong opinion about the necessity of improving diagnosis/treatment competence, developing violence prevention guidelines and plans, using protective equipment, and reinforcing staff by providing back-up support. The last two strategies were also selected by tertiary hospital workers in our previous study. In addition, workers with high anxiety selected the following prevention strategies as most effective: improving doctor-patient communication skills; installing cameras on wards; keeping work areas bright; improvements in violence reporting, statistics, and interventions; security patrols in the key departments; reinforcing staff; and correcting inaccurate media perspectives and reports. The last four strategies were also selected by tertiary hospital workers. All respondents expected to receive organisational and social support. In conclusion, these prevention strategies should be tailored to the different requirements of specific populations. Furthermore, it is necessary for organisations, the public, and policymakers to provide powerful support in WPV prevention.