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VIOLENCE AGAINST CAREGIVERS IN NURSING HOMES

针对疗养院护理人员的暴力行为

基本信息

批准号：
2806263
负责人：
DONNA M GATES
金额：
$ 10.7万
依托单位：
UNIVERSITY OF CINCINNATI
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-09-01 至 2001-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2806263
关键词：
behavioral /social science research tag caregivers clinical research coping education evaluation /planning health care personnel education health care service evaluation health services research tag human subject nurse patient relations nursing homes nursing skill /technique occupational health /safety stress management violence work site

项目摘要

DESCRIPTION (As Adapted from the Investigator's Abstract): Growing violence against health care workers prompted the Occupational Safety and Health Administration (OSHA) in 1996 to publish employer guidelines; health care employers are expected to protect their employees from violence from patients, families, and others. Nurse aides working in long term care represent the occupation most at risk of workplace assault. These caregivers receive minimal education regarding the care of some of the most challenging and aggressive patients. As the number of nursing home patients and aides increases in the near future, efforts are needed to improve the nursing home environment for both caregivers and residents. A preliminary study by the investigators found that nurse aides, who daily experience verbal and physical violence, lack the knowledge and skills to prevent violence. The purpose of the proposed study is to test the effectiveness of an intervention to decrease violence against nurse aides. The aims of the study are to: 1) describe the context in which assaults occur, 2) increase nurse aides' skills to prevent assaults, and 3) decrease the incidence of assaults against nurse aides. The study design is quasi-experimental with two nursing homes serving as a control group and two homes as an intervention group. Within each nursing home 18 subjects will be randomly selected to participate in the study. Two instruments, the Assault Log and the Violence Prevention Checklist have been developed for this study. The intervention, based on Social Cognitive Theory, will consist of a four hour in-service and three 1 1/2 hour problem solving groups. Subjects will be assessed for changes in their assault prevention skills prior to the intervention and upon completion of the intervention. The type and number of assaults will also be assessed before and after the intervention. Data analysis will include a summary of the context in which assaults occur. Data analysis will also determine whether the intervention group demonstrated a significant difference in violence prevention skills than the control group and whether there was a significant difference in the number of violent incidents between the intervention group and the control group.

描述(改编自《调查员摘要》)：日益增长的暴力针对医护人员的职业安全与健康问题美国职业安全与健康管理局(OSHA)于1996年发布雇主指南；医疗保健雇主应该保护他们的员工免受患者的暴力侵害，家庭，以及其他人。在长期护理中工作的护士助手代表最有可能受到工作场所攻击的职业。这些照顾者得到最低限度的关于照顾一些最具挑战性和侵略性的人的教育病人。随着疗养院病人和助手数量的增加，在不久的将来，需要努力改善养老院的环境，以无论是护理者还是住院医生。调查人员的初步研究发现那些每天遭受言语和身体暴力的护士助手缺乏预防暴力的知识和技能。拟议研究的目的是测试减少针对护士的暴力行为干预措施的有效性助手们。这项研究的目的是：1)描述袭击的背景发生，2)提高护士助手防止攻击的技能，3)减少针对护士助理的袭击事件。研究设计为两家养老院作为对照组和两家养老院的准实验家庭作为干预组。在每个疗养院内，将有18名受试者随机抽取参加研究的对象。两种乐器，攻击性日志并为这项研究制定了预防暴力检查表。这个根据社会认知理论，干预将由四个小时组成在职和三个一个半小时的问题解决小组。主题将是评估他们在袭击预防技能方面的变化干预和干预完成后。的类型和数量还将在干预前后对袭击进行评估。资料分析将包括袭击发生的背景的摘要。资料分析也将确定干预组是否表现出显著的暴力预防技能与对照组的差异以及是否在暴力事件的数量上有显著的差异干预组和对照组。