Managing violence against healthcare personnel in the emergency settings of Pakistan: A mixed methods study

Objectives: The primary objective of this study was to evaluate the effectiveness of a half day training on de-escalation of violence against healthcare personnel regarding prevention and management of violence incidents versus a similar tertiary level hospital with no such training. Secondary objectives were to compare the overall satisfaction, burnout, fear of violence, and confidence in coping with patients’ aggression of the healthcare personnel in the two hospitals.

Design: Mixed method design, with a comparative cross sectional (quantitative) and Focus Group Discussions (qualitative) components.

Setting: Emergency departments of the two tertiary care hospitals in district Peshawar over six months starting in May 2018.

Participants: Healthcare personnel in the emergency departments of the two hospitals (trained vs untrained).

Outcome measures: Violence exposure (experienced/witnessed) assessed through a previously validated tool in the past 5 months. Burnout, confidence...

研究目标：本研究的核心目标为，评估针对医护人员暴力事件预防与管控的半日制暴力事件降级干预（de-escalation of violence against healthcare personnel）培训的有效性，并与未开展此类培训的同类三级医院进行对照。次要目标为对比两家医院医护人员的总体满意度、职业倦怠、暴力恐惧程度，以及应对患者攻击行为的信心水平。
研究设计：采用混合研究设计（mixed method design），包含对照横断面定量研究与焦点小组讨论（Focus Group Discussions）定性研究两个组成部分。
研究场景：2018年5月起的6个月内，白沙瓦地区两家三级医院的急诊科。
研究对象：两家医院急诊科的医护人员，分为接受过培训组与未接受培训组。
结局指标：通过过往5个月内经过预先验证的工具，评估医护人员的暴力暴露情况（亲身经历/亲眼目睹）；职业倦怠、应对信心……