提升護理人員暴力處置知識與態度之方案

A Project to Improve Nurses' Knowledge and Attitudes Towards Violence Intervention

本專案旨在增強護理人員的暴力處置知識與態度，降低暴力事件發生率。本單位暴力發生率於2003年6月至12月為1.5‰，2004年1月至6月上升至2.3‰。分析原因為：（1）病人部分：疾病影響、要求未獲滿足；（2）護理人員部分：暴力處置知識與態度不足亦無系統之教育訓練。改善方案有：增購教材、教育訓練、情境討論、經驗分享。專案的推動，護理人員在暴力處置知識得分由57分提升至89分，態度部分由72分提升至84分，2004年7月至12月發生率降至0.5‰以下。此專案措施有效提升護理人員的暴力處置知識、態度與降低暴力發生率。因此將本專案之措施列入新進人員必備之課程，以提升優良的照護品質。

The purpose of this project was to enhance nurses’ knowledge and attitudes towards violence intervention and identify approaches to reducing the occurrence of violence. In 2003, from June to December, the occurrence rate of violence in our ward was 1.5%; however, from January to June in 2004, it had increased to 2.3%. Our cause analysis showed the following findings: (1) patients were influenced by their disease and their requests were hard to satisfy; (2) the knowledge and attitude of some nurses towards violence intervention were insufficient and (3) there was a lack of systematic in-service education in this area. The project involved the purchase of additional training material, the implementation of in-service education, the conducting of simulated encounters, the sharing of experiences and the completion of the project package. The overall performance of nurses in terms of violence intervention was improved 57 points to 89 points and their attitude also improved from 72 points to 84 points. In 2004, from July to December, the occurrence of violence fell below 0.5%. This project effectively promoted nurses’knowledge and attitudes towards violence intervention and lowered the occurrence rate for violence. Hence, in order to optimize the quality of patient care, it is clear that a similar approach should be included in the mandatory education of all new qualified nurses.