EFFECTS OF OSHA GUIDELINES ON VIOLENCE PREVENTION IN MEN

OSHA 指南对男性暴力预防的影响

• 批准号: 6446029
• 负责人: Jane A Lipscomb
• 金额: $ 22.15万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2003-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6446029
• 关键词: clinical research; disease /disorder proneness /risk; health related legal; health science research analysis /evaluation; health services research tag; human subject; job satisfaction; male; mental health facility; mental health personnel; occupational health /safety; prevention; violence; work site

Workplace violence is pervasive in the mental health care setting. Washington State hospital workers surveyed regarding the incidence of physical assaults were found to have a rate of 386-437 physical assaults resulting in at least minor injury per 100 ward staff members per year (1993). In 1996, in response to data such as these, Federal OSHA published violence prevention guidelines for health and community workers. Although the guidelines are based on sound principles of safety and health, they have never been formally evaluated in the field. Evaluation of the guidelines in mental health settings is critically needed to demonstrate the effectiveness of the recommendations, and to examine the true costs and benefits associated with their implementation. This project will evaluate the effectiveness of the OSHA guidelines in three NYSOMH facilities: one adult psychiatric, one child psychiatric and one forensic facility. The intervention will be implemented in two units in each of the three facilities selected and include key elements of the OSHA guidelines. Management Commitment and Employee Involvement are inherent in the design of the proposed study and include the formation and work of joint labor-management advisory groups. A Worksite Analysis will include review of OIRS data, focus groups, a pre-intervention survey, risk mapping and walk-through evaluation. Hazard Prevention and Control will be accomplished by implementing recommendations from the walk-through surveys. The advisory groups in consultation with project staff will review and make recommendations for policies and procedures on Medical Management and Post-incident Reporting and Training and Education. Training on a comprehensive violence prevention program will be offered annually. Formative evaluation of the project will be on-going. Evaluation of the Program, will be accomplished through analysis of a post-intervention survey and OIRS data one year following the implementation of the intervention. An in-depth analysis of the cost and benefit of the intervention will be conducted. The study has the following specific aims. 1) To document and describe a process for implementing OSHA violence prevention guidelines within three types of mental health facilities: one adult psychiatric, one child psychiatric and one forensic facility; 2) To compare assault rates, risk factors for assault and job satisfaction in three types of facilities one year prior to and one year following implementation of a comprehensive OSHA guideline-based (violence prevention program; 3) To assess the cost and benefit of implementing OSHA violence prevention guidelines within a state mental health facility.

工作场所暴力在精神卫生保健环境中普遍存在。 对华盛顿州立医院工作人员进行的关于人身攻击发生率的调查发现，每年每100名病房工作人员中有386-437起人身攻击，造成至少轻伤（1993年）。 1996年，针对这些数据，联邦职业安全与健康管理局发布了针对卫生和社区工作者的暴力预防指南。 虽然这些准则是基于安全和健康的合理原则，但从未在实地进行过正式评估。 迫切需要在精神卫生环境中评估准则，以证明建议的有效性，并审查与其实施相关的真正成本和效益。 该项目将评估OSHA指南在NYSOMH三个设施中的有效性：一个成人精神病，一个儿童精神病和一个法医设施。干预措施将在选定的三个设施中的每个设施的两个单位实施，并包括OSHA指南的关键要素。 管理层承诺和员工参与是拟议研究的设计中固有的，包括联合劳资咨询小组的形成和工作。 工作现场分析将包括审查OIRS数据、重点小组、干预前调查、风险绘图和走查评估。 将通过执行走查调查的建议来完成危害预防和控制。咨询小组将与项目工作人员协商，审查医疗管理、事故后报告以及培训和教育方面的政策和程序，并提出建议。 每年将提供关于全面预防暴力方案的培训。 对该项目的形成性评价将继续进行。 将通过分析干预后调查和实施干预一年后的OIRS数据来完成对该方案的评估。 将对干预的成本和效益进行深入分析。 这项研究有以下具体目标。1)记录并描述在三种类型的精神卫生设施中实施OSHA暴力预防指南的过程：一种成人精神病，一种儿童精神病和一种法医设施; 2）比较三种类型的设施在实施全面的OSHA指南之前一年和之后一年的攻击率，攻击的风险因素和工作满意度。（暴力预防计划; 3）评估在州精神卫生机构内实施OSHA暴力预防指南的成本和效益。

项目成果

Violence prevention in the mental health setting: the New York state experience.

心理健康环境中的暴力预防：纽约州的经验。

• 发表时间: 2006
• 期刊: The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres
• 作者: Lipscomb,Jane;McPhaul,Kathleen;Rosen,Jonathan;Brown,JeanneGeiger;Choi,Mona;Soeken,Karen;Vignola,Victor;Wagoner,Deborah;Foley,Janet;Porter,Peggy
• 通讯作者: Porter,Peggy