在医疗保健管理患者攻击:沟通适应理论干预的初步测试

Q2 Arts and Humanities Psychology of Language and Communication Pub Date : 2021-01-01 DOI:10.2478/plc-2021-0004
Rachyl Pines, H. Giles, B. Watson
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引用次数: 7

摘要

摘要:患者实施的工作场所暴力(WPV)在医疗保健是常见的。虽然沟通技巧培训是有帮助的,但可以通过建立理论框架来提高跨环境的可复制性来加强这些培训。本研究采用纵向混合方法对美国一家初级保健诊所的医疗保健专业人员进行调查,开发并进行了一项基于沟通适应理论(CAT)框架的培训的初步测试,以提高他们的自我效能感、患者合作和使用CAT策略来降低患者攻击。干预结果表明,随着时间的推移,CAT培训显着提高了专业人员的疗效和报告的患者合作。调查结果显示,那些报告使用五种CAT策略中更多策略的人也报告了他们能够有效地降级的情况。预防WPV的CAT培训的初步测试表明,CAT策略在降低患者攻击行为方面具有适用性,并且需要在WPV高水平的环境中扩展和测试这些培训。
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Managing patient aggression in healthcare: Initial testing of a communication accommodation theory intervention
Abstract Patient-perpetrated workplace violence (WPV) in healthcare is common. Although communication skills trainings are helpful, they may be strengthened by having a theoretical framework to improve replicability across contexts. This study developed and conducted an initial test of a training framed by Communication Accommodation Theory (CAT) using longitudinal mixed-methods surveys of healthcare professionals in an American primary care clinic to increase their self-efficacy, patient cooperation, and use of CAT strategies to de-escalate patient aggression. Results of the intervention indicate that the CAT training significantly increased professionals’ efficacy and reported patient cooperation over time. Findings showed that those who reported using more of the five CAT strategies also reported situations that they were able to de-escalate effectively. This initial test of a CAT training to prevent WPV demonstrates promise for the applicability of CAT strategies to de-escalate patient aggression, and the need to scale and test these trainings in settings that experience high WPV levels.
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来源期刊
Psychology of Language and Communication
Psychology of Language and Communication Arts and Humanities-Language and Linguistics
CiteScore
0.80
自引率
0.00%
发文量
11
审稿时长
14 weeks
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