Workplace Violence Risk in the Home Health Work Place

描述：工作场所暴力被认为是医疗保健部门的一项重大职业危害，然而，人们对家庭医疗保健工作场所问题的严重程度和有效的预防策略知之甚少。家庭保健工作者与医院环境中的同行一样，面临着许多与工作场所暴力有关的危险，但他们面临着与其工作组织方式的性质有关的额外风险。他们的工作通常是高度不可预测的，他们很少或根本无法控制物理工作环境。这一探索性研究项目的总体目标是收集试点数据，为研究设计、抽样策略和测量家庭保健工作场所的工作场所暴力提供信息。该试点项目将针对风险因素、威胁和攻击以及当前的暴力预防战略制定措施。该项目还将制定措施，评估目前家庭保健方面的预防暴力战略及其与职业安全与健康管理局的家庭保健预防暴力指南的一致性。该试点项目将为大规模调查家庭保健中的工作场所暴力行为提供概念和方法蓝图，具体目标如下：1)制定有效可靠的家庭保健工作场所工作场所暴力潜在风险因素的测量方法；2)确定家庭保健中相关因变量、威胁和攻击的经验抽样参数；3)描述马里兰州家庭保健工作场所样本中威胁和攻击的频率和严重程度。4)制定措施，评估目前家庭保健中的暴力预防战略及其与职业安全与健康管理局关于全面暴力预防计划的指导方针的一致性。

DESCRIPTION: Workplace violence is recognized as a significant occupational hazard in the healthcare sector, however little is known about the magnitude of the problem and effective prevention strategies in the home health care workplace. Home healthcare workers are exposed to many of the same hazards associated with workplace violence as their counterparts in the hospital environment, but they face additional risk related to the nature of the way their work is organized. Their work is often highly unpredictable and they have little or no control of the physical work environment. The overall objective of this exploratory research project is to collect pilot data to inform study design, sampling strategy, and measurement of workplace violence in the home health work place. The pilot project will develop measures for risk factors, threats and assaults and current violence prevention strategies. This project will also develop measures to assess current violence prevention strategies in home health and their coherence with OSHA's violence prevention guidance for home healthcare. This pilot project will provide a conceptual and methodological blueprint for a large-scale investigation of workplace violence in home health care vial the following specific aims: 1) develop valid and reliable measures of potential risk factors for workplace violence in the home health workplaces, 2) ascertain empirical sampling parameters of the relevant dependent variables, threats and assaults, in home health, 3) describe the frequency and severity of threats and assault in a sample of Maryland home health work places, and 4) develop measure to assess current violence prevention strategies in home health and their coherence to OSHA guidelines for a comprehensive violence prevention program.