首页> 外文期刊>Journal of professional nursing: official journal of the American Association of Colleges of Nursing >Training efforts to reduce reports of workplace violence in a community health care facility.
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Training efforts to reduce reports of workplace violence in a community health care facility.

机译:培训努力减少社区医疗机构中工作场所暴力报告。

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摘要

The objective of this study was to measure reports of workplace violence (WPV) after an online training program on WPV for health care workers. Recognition of the prevalence of WPV (physical, emotional-verbal, and sexual) suggests a great need for employers to provide training to all health care workers as a first-line effort to reduce or prevent WPV. A 3-hour online training program for WPV was offered to 43 workers attending an informational session. Volunteers included 22 participants designated for training and 21 volunteers designated to serve as control subjects. Pretraining WPV work area assessments were completed by all participants and compared between training participants and control subjects. At 6 months, comparisons were made between 3 groups: Group A, those who completed the training; Group B, control subjects; and Group C, those who did not complete the training within the designated period. Group C was defined as a separate group because some participants within this group were workers from the same work areas as were Group A participants. Comparisons of preassessments and postassessments of WPV for Group A and assessments of WPV across the three groups were made. Participants reported 200 WPV events over a 6-month period before training. Pretraining reports of WPV were statistically different between training participants and control subjects for total and emotional-verbal WPV events. At 6 months after the training, a reduction in sample size and reports of all types of WPV was noted across the three groups (i.e., those who completed the training, those who did not complete it, and control subjects). Owing to the small number of reported physical and sexual WPV events, only total and emotional-verbal WPV events were examined. No difference was noted between the three groups for total events; however, emotional-verbal abuse was statistically significant between the groups. In addition, a statistically significant difference was noted among participants before and after the completion of theonline training. Despite the reported prevalence of WPV, a significant number of health care workers did not make training a priority. Participants who were designated for training and who subsequently completed it reported the most number of events before and after training. Proportionately per number of participants after training, fewer total WPV events were reported; however, because of the attrition rate and group sample size, significance was not reached. Reports of emotional-verbal abuse remained high after training, which could suggest a heightened awareness of this type of WPV with a personal redefinition of WPV or a heightened staff and administration sensitivity to reporting. Although differences existed among training participants and control subjects before training, significance could not be achieved among the three groups owing to validity threats, including subject mortality, diffusion between groups, selection bias, and small sample size. However, the finding that training can make a difference is important and encourages replication of this study with a larger sample size and a larger setting. Finding high rates of emotional-verbal abuse across work areas and support for training benefits enhance the need for training programs with an increased focus on emotional-verbal WPV.
机译:本研究的目的是衡量在WPV的医疗保健工作者的在线培训方案后衡量工作场所暴力(WPV)的报告。识别WPV的患病率(身体,情感 - 口头和性)表明,雇主的巨大需求为所有医疗工作者提供培训,作为减少或预防WPV的一级努力。提供3小时的WPV在线培训计划,为43名工人参加信息会议。志愿者包括22名参与者,指定为培训,21名志愿者指定为控制受试者。预先旅行WPV工作区评估由所有参与者完成,并在培训参与者和控制科目之间进行比较。 6个月,3组之间的比较:A组,完成培训的人; B组,控制主题;和C组,那些没有完成指定期间培训的人。 C组被定义为单独的组,因为本集团内的一些参与者是与参与者组的同一工作领域的工人。制作了对A组A和WPV分组的非评估和WPV的评估比较。参与者在培训前的6个月内报告了200个WPV事件。 WPV的预先预订报告在培训参与者和控制主题之间进行了统计学不同的,用于总和情感 - 口头WPV事件。在培训后6个月,在三个群体中注意到所有类型WPV的样本大小和报告的减少(即,那些完成培训的人,那些没有完成IT的人和控制主题)。由于少数报告的身体和性WPV事件,仍有综合综合和情感 - 口头WPV事件。在总事件的三个​​群体之间没有差异;然而,情绪 - 口头虐待在群体之间存在统计学意义。此外,在线培训之前和之后,参与者之间注意到了统计学上的差异。尽管报告了WPV的患病率,但大量的医疗工作人员没有训练优先权。被指定为培训的参与者以及随后完成其培训前后最多的事件。在培训后,每位参与者分为按比例,报告了WPV总事件的数量;但是,由于磨损率和群体样本量,未达到意义。培训后情绪言语滥用的报告仍然很高,这可能提高了这种类型的WPV的认识,以个人重新定义了WPV或提高的员工和行政致力于报告。虽然在培训前培训参与者和控制受试者中存在差异,但由于有效性威胁,包括主体死亡率,组之间,选择偏差和小样本大小,这三个群体中无法在三个群体中实现意义。然而,发现培训可以产生差异是重要的,并鼓励通过更大的样本大小和更大的设置复制这项研究。在工作领域寻找高度情感 - 口头滥用和对培训福利的支持增强了对培训计划的需求,以增加情绪 - 口头WPV。

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