แนวทางการป้องกันและจัดการความรุนแรงที่เหมาะสมในโรงพยาบาล โดยใช้กระบวนการวิจัยปฏิบัติการอย่างมีส่วนร่วม

Chaiear N; Assavanopakun P; Paileeklee S

Authors

Chaiear N Department of Community Medicine, Khon Kaen University, Thailand https://orcid.org/0000-0002-2613-6833
Assavanopakun P Department of Community Medicine, Khon Kaen University, Thailand
Paileeklee S Department of Community Medicine, Khon Kaen University, Thailand

Keywords:

workplace violence, healthcare workers, health personnel, participatory action research

Abstract

Objectives Workplace violence is known as a global health problem, especially in health sector. Most studies aimed to determine prevalence and risk factors. Major well-established guidelines mostly focused on hardware and workplace procedures, therefore guidelines may not be appropriated to Thailand healthcare setting. This study aimed to develop and apply a practical form of preventing workplace violence system in hospital, especially emergency room, as high-risk area of workplace violence’s occurrence.

Methods A participatory action research was conducted. Study population included various stakeholders, hospital executives, occupational health and safety management, health personnel, total of 64, and researcher. Current information regarding workplace violence was collected by focus group discussions, observation, questionnaire, and was analyzed in various terms related to workplace violence. A practical form of system was developed from well-established guidelines and collected information.

Results Verbal violence had the highest proportion (34.9%) amongst workers which were multidisciplinary professions and various affiliations. Respondence in workplace violence was individual. There were some measures in preventing workplace violence which were incomplete, CCTV did not cover all areas, training programs did not focus on soft skill as important and nor arrange evenly. The proportion of worker’s perception to current measures was 66.6%. A practical form of system was contemplated for reducing measure’s limitation. Communication of policies was raised after conference reflection with stakeholders.

Conclusion Hospital should describe policies and practices in preventing workplace violence included announcing policy in written declaration, conducting activities which enhanced physical and qualitative protective measures, and developing appropriated communication and respond-to-event system.

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