Violence Against Home Health and Hospice Workers

描述(由申请人提供)：这份修订后的R01申请来自地理上分散的研究团队，目的是提供证据，证明通过对言语和身体攻击比率的前瞻性研究，保护家庭保健工作者免受暴力侵害的战略的有效性。既定的长期目标是在家庭卫生机构中增加全面安全方案的实施，以减少暴力事件及其对家庭卫生保健提供者的影响。主要的假设是，机构内的工作人员高度遵守《医疗保健和社会服务工作者工作场所暴力预防指南》的情况下，遭受攻击的比率将低于不太愿意遵守这些指导方针的机构内的工作人员。这项研究将提供风险信息，这些信息稍后可用于制定循证预防计划，这些计划将有助于指导家庭卫生机构采取干预策略，这些策略最有可能在这些相对不受控制的环境中降低发病率。该项目的目标是：(1)确定工作场所言语和身体攻击的发生率；(2)根据机构、提供者、患者和外部环境的特点，确定言语和身体攻击的风险；(3)确定每个机构中存在哪些OSHA建议的指南；以及(4)确定机构一级的政策和预防工作对言语和身体攻击发生率的有效性。

DESCRIPTION (provided by applicant): This revised R01 application from a geographically-dispersed team of researchers has the goal of providing evidence of the effectiveness of strategies to protect home health care workers from violence, as measured through a prospective study of rates of verbal and physical assaults. The stated long-range goal is to increase the implementation of comprehensive security programs into home health agencies to reduce violent events and their consequences on home health care providers. The major hypothesis is that workers within agencies that exhibit a profile of high compliance with the "Guidelines for Preventing Workplace Violence for Health Care and Social Service Workers" will have lower rates of assaults than workers within agencies with lesser commitment to following these guidelines. The study will provide risk information that can later be used to develop evidence-based prevention programs that would help guide home health agencies toward intervention strategies that are most likely to work to lower incidence rates in these relatively uncontrolled settings. The project's aims are: (1) to determine the incidence of workplace verbal and physical assaults; (2) identify risks for verbal and physical assaults based on characteristics of the agency, provider, patient, and external environment; (3) identify which of the OSHA-recommended guidelines are present within each agency; and (4) identify the effectiveness of agency-level policies and prevention efforts on the incidence of verbal and physical assaults.