The analysis of the role of an institution in providing safety and quality in psychiatric health care

Amaç: Hastadan psikiyatri sağlık bakımı çalışanlarına yönelen şiddet yaygın bir olgudur. Bu alanda çalışanlar çeşitli şiddet türleriyle karşılaşır (sözel, cinsel, yaralanmalarla sonuçlanan fiziksel şiddet). Yöntem: Bu çalışma yapılandırılmış bir anket aracılığıyla deneysel olmayan bir örnekleme yöntemi kullandı. Örneklemi, en sık şiddete uğrayan çalışanlar olduğu için, Slovenyadaki beş psikiyatri hastanesindeki (üç psikiyatri, iki özel eğitim merkezi) kapalı ve/veya psikiyatrik yoğun bakım birimlerinde çalışan hemşireler oluşturdu. Bulgular: Özellikle ilk kabul servislerinde, yoğun bakım birimi ve kapalı birimlerde çalışan psikiyatrik bakım elemanları hasta saldırganlığıyla karşılaşanlar içinde saldırganlığa en çok uğrayanlardır. Tartışma: Talihsiz olayın ardından şiddet patlaması protokollerini oluş- turmada, güvenliği sağlamak için gerekli önlemleri almada, sistematik eğitim modelleri yaratarak kurumsal güvenlik kültürü kurulmasında kurumun etkisi vardır.

Psikiyatrik bakımda nitelik ve güvenliği sağlamada bir kurumun rolü

Objective: Patient induced violence directed at the psychiatric health care staff is a common occurrence. The staff are confronted with various types of violence (verbal, sexual, frequently physical violence with resulting injuries). Methods: This study utilized a non-experimental sampling method, with its instrument being a structured questionnaire. The sample covered the personnel most frequently exposed to violence, namely, the nursing staff in closed and/or intensive psychiatric units in five Slovenian psychiatric hospitals, three psychiatric homes and two special education, and work and care centers. Results: Psychiatric health care staff, especially those working in reception wards, intensive care and closed units, are the most exposed of all the stakeholders faced with patient induced aggression. Conclusion: The institution has an influence on the establishment of organizational safety culture by creating systematic training models, taking necessary precautions to ensure safety and forming violent outbursts protocols during after the unfortunate event. (Anatolian Journal of Psychiatry 2015; 16(6):420-425)

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1. Kobal M. Security and Legal Psychopathology. Ljubljana: Faculty of Criminal Justice and Security, University of Maribor, 2009.
2. Gabrovec B, Eržen I, Lobnikar B. The prevalence and the nature of violence directed at the nursing staff in psychiatric health care in Slovenia. HealthMED 2014; 8:2.
3. Bette JG, Valente LR, Goelman MD, Hardeman J, Scot I. A guide for employees: domestic violence in the workplace. Washington, DC: American Bar Association Commission on Domestic Violence. 1999.
4. Kolman K. Danger that nurses and medical technicians are threatened by in psychiatric hospital - Diploma thesis. Ljubljana, Faculty of Criminal Justice and Security, University of Maribor, 2009.
5. Clements PT, DeRanieri JT, Clark K, Manno MS, Kuhn DW. Workplace Violence and Corporate Policy for Health Care Settings. Nurse Econ 2005; 23(3):119-124.
6. Gates DM, Gillespie GL, Succop P. Violence against nurses and its impact on stress and productivity. Nurse Econ 2011; 29:59-67.
7. Stokowski LA. Violence: Not in My Job Description. Workplace Violence in Healthcare Settings, Retrieved from web address (5.6.2014): http://www.medscape.com/viewarticle/727144 .
8. Soares JJF, Lawoko S, Nolan P. The nature, extent and determinants of violence against psychiatric personnel. Work and Stress 2000; 14:2.
9. Hahn S, Muller M, Needham I, Dassen T, Kok G, Halfens RJG. Factors associated with patient and visitors violence experienced by nurses in general hospitals in Switzerland: a cross-sectional survey. J Clin Nurs 2010; 19:23-24.
10. Occupational hazards in hospitals. Violence. National Institute for Occupational Safety and Health (NIOSH Publication No.02-101), 2002.
11. Health and Safety Execute. New model prepared by Chappell and di Martino, Based on Poyner and Warne: Preventing Violence to Staff. London, 1998.
12. Warshaw LJ, Messite J. Workplace violence: preventive and interventive strategies. J Occup Environ Med 1996; 38:993-1006.
13. Clerk JM. Introduction to Working Conditions and Environment. Second ed., Geneva: International Labour Office, 1989.
14. Kiran S. The evaluation of occupational factors levels and relation with expose disease in health workers. Izmir, Dokuz Eylul Univ, 2003.
15. Van Leeuwen ME, Harte JM. Violence against care workers in psychiatry: Is prosecution justified? International Journal of Law and Psychiatry 2011; 30:5.
16. National Center for Biotechnology Informatio. Violence: A world-wide epidemic. Retrieved from web address (15.5.2014): http://www.ncbi.nlm.nih.gov/ 2010.
17. Pai HC, Lee S. Risk factors for workplace violence in clinical registered nurses in Taiwan. J Clin Nurs 2011; 20:9-10.
18. Picakciefe M, Akca S, Elibol A, Deveci A, Yilmaz N, Yilmaz UE. The analysis of violence against the nurses who are in employee status in Mugla State Hospital, Turkey. HealthMED 2012; 6:11.
19. McKinnon B, Cross W. Occupational violence and assault in mental health nursing: a scoping project for a Victorian Mental Health Service. Int J Ment Health Nurs 2008; 17(1):9-17.
20. Bowie V. Defining violence at work: a new typology. Gill M, Fisher B, Bowie V. (Ed.), Violence at Work: Courses, Patterns and Prevention. Portland: Willan Publishing, 2002, p.1-20.
21. Davison SE. The management of violence in general psychiatry. Advances in Psychiatric Treatment 2005; 11:362-370.