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勞工安全衛生研究季刊

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篇名 精神科醫療工作來自病人的職場暴力
卷期 18:1
並列篇名 Workplace Violence from Psychiatric Patients
作者 陳文慶胡海國林宜平郭育良蘇德勝王榮德
頁次 152-176
關鍵字 職場暴力精神科危險因子預防方法Workplace violencePsychiatric departmentRisk factorsPrevention methods
出刊日期 201003

中文摘要

職場暴力已被認為是職業危害之一,近幾年逐漸受到大眾注意,現已經是超越國界、超越
各種職業,變成一種全球性的問題。在所有職場之中以醫療機構尤其是精神科病房最為嚴重,
其暴力來源絕大部份是來自病人。本文首先介紹職場暴力的類型和定義,其次描述醫療職場暴
力的流行病學調查,接著由機關組織、環境和個人層面探討精神科醫療來自病人暴力的介
紹,喚起國人對職場暴力的重視,並希望可做為預防醫療職場暴力的參考;綜合言之,精神科
醫療工作來自病人的職場暴力是可以預防的,除了應對病人的精神症狀積極控制之外,機關組
織應訂立對暴力零容忍的政策宣言、建立通報系統並發展團隊合作的安全文化,而精神科的從
業人員更應培養處理及預防暴力之專業能力。

英文摘要

Workplace violence has attracted public attention in past few years, and has been identified as one of occupational hazardsA Regardless of nations or occupations, it has become a global problem. Among healthcare settings, workplace violence is the particularly serious in psychiatric wards mostly from patients. In this article first addressed the types and definition of workplace violence The epidemiological investigations
on medical workplace violence were then described, followed by examining risk factors of workplace violence from psychiatric patients and prevention methods with respect to institutions and organizations,
environment and personal perspective, and finally, the conclusionsA This article is intended to raise the public's attention to workplace violence by introducing how psychiatric medical staff faces occupational violence
from patients, and to serve as the reference for preventing workplace violence in healthcare settings. In conclusion, workplace violence from psychiatric patients is preventable. While actively controlling patients'
psychiatric syndromes, institutions and organizations should draw up a formal announcement to not tolerate violence, and establish a reporting system as well as create a culture of safety around teamworkA Psychiatric
medical staff should also acquire the capability of handing and preventing violence.

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