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An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses' Study.

机译:与工作有关的暴力的规模和后果的流行病学研究:明尼苏达州护士的研究。

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AIMS: To identify the magnitude of and potential risk factors for violence within a major occupational population. METHODS: Comprehensive surveys were sent to 6300 Minnesota licensed registered (RNs) and practical (LPNs) nurses to collect data on physical and non-physical violence for the prior 12 months. Re-weighting enabled adjustment for potential biases associated with non-response, accounting for unknown eligibility. RESULTS: From the 78% responding, combined with non-response rate information, respective adjusted rates per 100 persons per year (95% CI) for physical and non-physical violence were 13.2 (12.2 to 14.3) and 38.8 (37.4 to 40.4); assault rates were increased, respectively, for LPNs versus RNs (16.4 and 12.0) and males versus females (19.4 and 12.9). Perpetrators of physical and non-physical events were patients/clients (97% and 67%, respectively). Consequences appeared greater for non-physical than physical violence. Multivariate modelling identified increased rates for both physical and non-physical violence for working: in a nursing home/long term care facility; in intensive care, psychiatric/behavioural or emergency departments; and with geriatric patients. CONCLUSIONS: Results show that non-fatal physical assault and non-physical forms of violence, and relevant consequences, are frequent among both RNs and LPNs; such violence is mostly perpetrated by patients or clients; and certain environmental factors appear to affect the risk of violence. This serves as the basis for further analytical studies that can enable the development of appropriate prevention and control efforts.
机译:目的:确定主要职业人群中暴力行为的严重程度和潜在危险因素。方法:将全面调查发送给6300名明尼苏达州持牌注册(RN)和实用(LPN)护士,以收集前12个月的身体和非身体暴力数据。重新加权可以针对与无响应相关的潜在偏见进行调整,从而解决了资格不明的问题。结果:在78%的回应者中,加上未回应率信息,针对身体和非身体暴力的每100人每年每100人调整后的比率(95%CI)分别为13.2(12.2至14.3)和38.8(37.4至40.4) ; LPN对RNs(16.4和12.0)以及男性对女性(19.4和12.9)的攻击率分别增加。身体和非身体事件的肇事者是患者/服务对象(分别为97%和67%)。非肉体暴力的后果似乎大于肉体暴力。多变量模型确定了在工作中的物理暴力和非物理暴力的发生率上升:在疗养院/长期护理机构中;在重症监护室,精神科/行为或急诊科;和老年患者。结论:结果表明,RN和LPN中都经常发生非致命的人身攻击和非人身暴力以及相关后果。这种暴力主要是由患者或客户犯下的;某些环境因素似乎会影响暴力风险。这是进一步分析研究的基础,可以进行适当的预防和控制工作。

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