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Impact and Prevalence of Physical and Verbal Violence Toward Healthcare Workers

机译：医疗保健工人的身体和口头暴力的影响和患病率

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Background: Threatening and assaultive behaviors against healthcare workers are a growing national concern(1)(,)(2,)(3) Objective: To assess the incidence and impact of aggression against healthcare workers, a safety and quality improvement project was initiated in an academic, tertiary care, urban hospital. Methods: Through the Northwestern Academy of Quality and Safety Initiatives program, an invitation to complete an online survey was sent to healthcare workers. The survey inquired about prevalence, location, and type of experience of physical or verbal abuse by patients or families. Other goals were: 1) worker knowledge and use of reporting systems, 2) effect on healthcare worker engagement, and 3) report of posttraumatic symptoms. Results: 34.4% of healthcare workers reported any incident of verbal or physical violence in the preceeding 12 months, with 13.5% reporting physical assault. Of those with any incident of physical or verbal violence, 60.2% endorsed at least one posttraumatic symptom, 9.4% missed work, and 30.1% had thoughts about leaving their job or career. The reported impact was the same for physical or verbal incidents. Discussion: Physical and verbal abuse of healthcare workers is prevalent and has a significant impact on employee engagement and posttraumatic spectrum symptoms. These results are based on a cross-sectional survey at one institution and may have a significant selection and response bias. Conclusion: Assessment of both verbal and physical aggression against healthcare workers should be standard. Front-line consulting psychiatrists and psychiatric programs for employee wellness could assess and manage this impact.
机译：背景：针对医疗保健工人的威胁和攻击行为是一个不断增长的国家关注（1）（，）（2，）（3）目标：评估侵略侵略对医疗工作者的发病率和影响，提起了安全和质量改善项目学术，高等教育，城市医院。方法：通过西北部质量和安全举措计划，邀请完成在线调查的邀请函已发送给医疗保健工人。调查询问了患者或家庭的患病率，地点和体验虐待的经验类型。其他目标是：1）工作人员知识和使用报告系统，2）对医疗工作者参与的影响，以及3）宫外症状的报告。结果：34.4％的医疗保健工人报告了前期12个月内的口头或身体暴力事件，报告的23.5％的报告物理攻击。在任何物理或口头暴力事件发生的情况下，60.2％认可至少有一个错误症状，错过工作9.4％，30.1％关于离开工作或职业。报告的影响对于身体或口头事件是相同的。讨论：医疗保健工人的身体和言语滥用是普遍的，对员工参与和创伤性谱症状产生重大影响。这些结果基于一个机构的横截面调查，并且可能具有重要选择和反应偏差。结论：对医疗工作者的口头和身体侵略的评估应该是标准的。员工健康的前线咨询精神科医生和精神病学计划可以评估和管理这种影响。

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