Workplace violence against homecare workers and its relationship with workers health outcomes: a cross-sectional study.
Workplace violence against homecare workers and its relationship with workers health outcomes: a cross-sectional study.
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DOI：
10.1186/s12889-014-1340-7
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发表时间：
2015-01-17
影响因子：
4.5
通讯作者：
Glass N
中科院分区：
文献类型：
--
作者：
Hanson GC;Perrin NA;Moss H;Laharnar N;Glass N
消费者驱动的家庭护理模式通过家庭护理工作者的服务支持老年人和残疾人独立生活。虽然这些模式有好处，包括对服务的自主权和控制权，但几乎没有证据表明家庭护理工作者在提供服务时可能面临挑战，包括工作场所暴力和与工作场所暴力有关的负面后果。本研究调查了家庭护理工作者中工作场所暴力的发生率，并探讨了这些经历与家庭护理工作者压力、倦怠、抑郁和睡眠之间的关系。我们招募了俄勒冈州的女性家庭护理工作者，这是美国第一个实施消费者驱动家庭护理模式的州，我们与同行访谈者一起完成了一项在线或电话调查。该调查询问了人口统计数据，并包括评估工作场所暴力，恐惧，压力，倦怠，抑郁和睡眠问题的措施。家庭护理工作者（n = 1，214）报告了过去一年的言语攻击事件（50.3%的受访者），工作场所攻击（26.9%），工作场所暴力（23.6%），性骚扰（25.7%）和性侵犯（12.8%）。暴露与更大的压力（p <0.001），抑郁（p <0.001），睡眠问题（p <0.001）和倦怠（p <0.001）相关。解决工作场所攻击的信心缓冲了家庭护理工人对负面工作和健康结果的影响。为了确保家庭护理工作者的安全和提供服务的积极健康成果，至关重要的是制定和实施预防性安全培训计划，并制定政策和程序，为遭受骚扰和暴力的家庭护理工作者提供支持。本文的在线版本（doi：10.1186/s12889-014-1340-7）包含补充材料，可供授权用户使用。
Consumer-driven homecare models support aging and disabled individuals to live independently through the services of homecare workers. Although these models have benefits, including autonomy and control over services, little evidence exists about challenges homecare workers may face when providing services, including workplace violence and the negative outcomes associated with workplace violence. This study investigates the prevalence of workplace violence among homecare workers and examines the relationship between these experiences and homecare worker stress, burnout, depression, and sleep. We recruited female homecare workers in Oregon, the first US state to implement a consumer driven homecare model, to complete an on-line or telephone survey with peer interviewers. The survey asked about demographics and included measures to assess workplace violence, fear, stress, burnout, depression and sleep problems. Homecare workers (n = 1,214) reported past-year incidents of verbal aggression (50.3% of respondents), workplace aggression (26.9%), workplace violence (23.6%), sexual harassment (25.7%), and sexual aggression (12.8%). Exposure was associated with greater stress (p < .001), depression (p < .001), sleep problems (p < .001), and burnout (p < .001). Confidence in addressing workplace aggression buffered homecare workers against negative work and health outcomes. To ensure homecare worker safety and positive health outcomes in the provision of services, it is critical to develop and implement preventive safety training programs with policies and procedures that support homecare workers who experience harassment and violence. The online version of this article (doi:10.1186/s12889-014-1340-7) contains supplementary material, which is available to authorized users.
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作者：
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通讯作者：
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