Violence Against Home Health and Hospice Workers

描述（由申请人提供）：本修订后的R01申请来自一个地理上分散的研究团队，其目的是通过对言语和身体攻击率的前瞻性研究来衡量，为保护家庭卫生保健工作者免受暴力侵害的策略有效性提供证据。声明的长期目标是增加家庭保健机构全面安全计划的实施，以减少暴力事件及其对家庭保健提供者的影响。主要的假设是，那些高度遵守《卫生保健和社会服务工作者预防工作场所暴力指导方针》的机构内的工人比那些不太遵守这些指导方针的机构内的工人的攻击率要低。这项研究将提供风险信息，这些信息可以用来制定基于证据的预防计划，帮助指导家庭健康机构采取干预策略，最有可能在这些相对不受控制的环境中降低发病率。该项目的目的是：(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征，识别言语和身体攻击的风险；(3)确定每个机构中存在哪些osha推荐的指导方针；(4)确定机构层面的政策和预防措施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.