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首页> 外文期刊>International journal of older people nursing >Determining the frequency, kinds and cues of violence displayed by patients in an acute older person ward environment: Findings from an observational study
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Determining the frequency, kinds and cues of violence displayed by patients in an acute older person ward environment: Findings from an observational study

机译：确定患者在急性老年病房环境中表现出的暴力发生的频率，种类和线索：一项观察性研究的结果

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Background: Workplace violence is one of the most complex and significant occupational hazards experienced by nurses in healthcare settings. Verbal abuse and physical violence are particularly prevalent in older person assessment wards, owing to the prevalence of illnesses involving cognitive dysfunction; the high frequency and nature of contact with staff; and the frustration caused by high levels of disability. Aim: To determine the frequency, kinds and cues of violence displayed by patients towards nurses in an acute older person assessment ward environment using a structured observational tool - the Violence Assessment Tool (VAT). Design: Observational study. Method: Non-participant structured observations of behavioural cues for violence towards nurses in an acute older person hospital ward were gathered and analysed. Results: One hundred and twelve hours of observations were undertaken, resulting in 95 behavioural cues for violence in 19 patients. Four of these patients subsequently escalated to physical violence. Pacing around the bed was the only commonality in the behavioural cues of patients who became violent. All patients who became violent had previously demonstrated shoving. Conclusions: To date, the assessment of potentially violent older patients has not been adequately addressed. The VAT may be one way of addressing this challenge through early identification of the more subtle behavioural cues that could indicate potential for violence. Further research on the VAT using a larger data set could determine its predictability for physically violent acts displayed by older people. Implications for practice: The VAT will allow early identification, early de-escalation and ultimately a reduction in violence against nurses in acute older person wards.
机译：背景：工作场所的暴力是护士在医疗机构中遇到的最复杂，最严重的职业危害之一。由于涉及认知功能障碍的疾病的普遍存在，口头虐待和身体暴力在老年人评估病房中尤为普遍;与员工接触的频率和性质;以及因高度残疾而造成的挫败感。目的：使用结构化的观察工具-暴力评估工具（VAT），确定患者在急性老年人评估病房环境中对护士展示的暴力发生的频率，种类和线索。设计：观察性研究。方法：收集并分析急性参与者医院病房中护士暴力行为线索的非参与者结构观察。结果：进行了一百一十二小时的观察，导致19名患者有95项暴力行为提示。这些患者中有四人随后升级为人身暴力。床跳动是暴力行为患者行为提示的唯一共性。所有暴力的患者以前都表现出痛。结论：迄今为止，对潜在暴力老年患者的评估尚未得到适当解决。增值税可能是通过尽早发现可能暗示暴力可能性的更微妙的行为线索来应对这一挑战的一种方式。使用更大的数据集对增值税进行的进一步研究可以确定其对老年人所显示的身体暴力行为的可预测性。实践的意义：增值税将允许及早发现，提早降级，并最终减少针对急性老年人病房中护士的暴力行为。

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