Personal safety, violence, and home health
Personal safety, violence, and home health
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DOI：
10.1046/j.1525-1446.2000.00043.x
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发表时间：
2000-01-01
影响因子：
2.1
通讯作者：
Chitty, JA
中科院分区：
文献类型：
--
作者：
Fazzone, PA;Barloon, LF;Chitty, JA
当今医疗保健行业面临的一个关键问题是社区和人际暴力对家庭医疗保健的潜在影响。本研究的目的是（1）作为一个来源，了解个人安全面临的问题，在一个大的中西部地区及其周边农村地区的家庭护理人员;（2）提供一个了解如何感知威胁到个人安全可能会影响病人的护理和病人的结果;（3）确定战略，提高直接护理人员的个人安全;以及（4）识别阻碍或增强员工安全的组织、教育和程序问题。一个三角定性设计，包括焦点小组，深入的个人访谈，关键事件的叙述，和参与者自我报告表。该研究使用了一个有目的的样本，包括5名男性和56名女性，他们是来自13个家庭健康机构的管理人员或直接护理人员。出现了七个主要主题：（1）直接护理人员必须面对的不安全条件;（2）妨碍或促进工作人员人身安全的组织和行政问题;（3）工作人员每天面临的道德问题;（4）与维护安全有关的保护因素;（5）性别、种族、年龄和经验问题;（6）教育和培训;以及（7）员工对人际和社区暴力的恐惧可能对患者护理和患者结局产生的潜在影响。
A critical issue facing the health care industry today is the potential impact of community and interpersonal violence on home health care. The purposes of this study were to (1) serve as a source for understanding the personal safety risk issues facing home care staff in a large Midwest region and its surrounding rural areas; (2) provide an understanding of how perceived threats to personal safety may impact patient care and patient outcomes; (3) identify strategies for increasing the personal safety of direct care staff; and (4) identify organizational, educational, and procedural issues that impede or enhance staff safely. A triangulated qualitative design was used including focus groups, in-depth individual interviews, critical event narratives, and a participant self-report form. The study used a purposive sample consisting of 5 men and 56 women who were either administrators or direct care staff from 13 home health agencies. Seven major themes emerged: (1) unsafe conditions that direct care staff must face; (2) organizational and administrative issues that impede or promote the personal safety of staff; (3) ethical issues staff face daily; (4) protective factors associated with maintaining safety; (5) issues of gender, race, age, and experience; (6) education and training; and (7) the potential impact that staff's fear of interpersonal and community violence can have on patient care and patient outcomes.