SCI晨读：澳大利亚护士对工作场所暴力管理的建议：“制定政策的人不是下面的人”
澳大利亚护士对工作场所暴力管理的建议：“制定政策的人不是下面的人”
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摘要
目标
确定护士对患者实施的工作场所暴力的管理解决方案的看法和建议。
背景
在澳大利亚，工作场所患者对护士的暴力行为非常普遍。需要良好的管理响应，经验丰富的护士可以提供有效的策略建议。
方法
采用探索性定性设计。对在澳大利亚昆士兰州一家地区公立医院工作的 23 名护士进行了焦点小组访谈。遵循 COREQ 研究报告清单，并通过手动和NVivo转录和专题分析定性数据 。
结果
中心主题包括：政策实施、培训、员工离职、隔离、汇报和完整的报告周期。工作场所暴力管理发生在暴力事件之前、之中和之后。
结论
薄弱的流程会破坏管理；需要对工作人员进行降级培训。受影响的员工需要自由离开病房。更好的医疗命令应该在事件发生之前就位。需要一个完整的汇报和反馈周期，以及更简单的报告流程。
对护理管理的影响
护理管理可以通过确保更好的机构支持、一致的后续行动和完整的反馈程序来减少暴力。降级方面的法律支持、后续机制和员工培训是关键点。
Abstract
Aim(s)
To ascertain nurses’ perceptions about, and suggestions for, management solutions to workplace violence perpetrated by patients.
Background
Violence towards nurses from patients in the workplace is high in Australia. There is a need for good management responses, and experienced nurses can provide logistical suggestions about effective strategies.
Method(s)
This study uses an exploratory qualitative design. Focus group interviews were undertaken with 23 nurses working in a regional public hospital in Queensland, Australia. The COREQ research reporting checklist was followed, and the qualitative data were transcribed and thematically analysed manually and by NVivo.
Results
Policy implementation, training, staff movement, seclusion, debriefing and a full reporting cycle were identified as central themes. Workplace violence management happens before, during and after a violent event.
Conclusion(s)
Weak processes undermine management; staff training on de-escalation is needed. Affected staff need freedom to move from the ward. Better medical orders should be in place before an event. A full debriefing and feedback cycle are required, along with easier reporting processes.
Implications for Nursing Management
Nursing management can reduce violence by ensuring better institutional support, consistent follow-up and complete feedback procedures. Legal support, follow-up mechanisms and staff training in de-escalation are key points.
原文链接：https://doi.org/10.1111/jonm.13378
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