Using Implementation Science to Explore the Facilitators and Barriers of Creating a Workplace Violence Reporting System in the Context of Pakistan
Notice bibliographique
Résumé
AbstractBackground: Workplace violence (WPV) is a serious, global, occupational problem. The magnitude of WPV is particularly high in hospitals. Nurses face a heightened risk of WPV, as they work closely with patients and their family members. However, implementing interventions to reduce WPV remains challenging, due to the persistent under-reporting of incidents. As a result, this dissertation assesses the feasibility of implementing a WPV reporting system for nurses in Pakistan that addresses the issue of under-reporting. This dissertation also assesses nurses’ understanding of and ability to recognize WPV, as well as their level of awareness surrounding the importance of reporting WPV incidents. Methods: As part of this dissertation, studies were conducted in one public and one private hospital in Pakistan. Data was also collected from nurses who are from Pakistan and currently work in the Canadian healthcare system. The dissertation followed an implementation science approach and focused on the Exploration Phase. To track violent incidents, the Violence Incident Form, a one-page reporting checklist, was introduced to the study settings. To achieve this purpose, a qualitative descriptive design was used. Subsequently, online In-depth Interviews were conducted with nurses, nursing supervisors, and nursing administrators. Meetings were also conducted with hospital administrators. Further, Key Informant Interviews were conducted with nurses currently working in Canadian healthcare settings. Results: The findings were categorized into two sections (a) the current state of WPV against nurses in healthcare settings in Pakistan, and (b) barriers to and facilitators of WPV reporting in the healthcare settings in Pakistan. Each section is divided into various themes and subthemes. Overall, the barriers and facilitators are integrated around the six domains of the implementation hexagon tool, including implementation site indicators (need, capacity, fitness) and implementation program indicators (evidence, supports, useability). Conclusion: The findings from this dissertation suggest that interventions to reduce WPV will only be successful if hospital management is aware of the severity of the issue and is actively involved in creating a violence-free environment for healthcare providers. Achieving this goal is critical because a safe work environment encourages nurses to remain in the nursing profession and provide quality care to patients, which will lead to a positive impact on health outcomes within society.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,098 | 0,079 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,007 | 0,007 |
| Communication savante | 0,010 | 0,007 |
| Science ouverte | 0,003 | 0,009 |
| Intégrité de la recherche | 0,002 | 0,005 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».