ประสิทธิผลของคู่มือการสื่อสารเชิงบวกในบริการสุขภาพเพื่อลดความรุนแรง ในโรงพยาบาลศูนย์/ โรงพยาบาลทั่วไป

Wee Mekwilai; Passana  Gunadhivadhana; Burin  Suraaroonsamrit

Authors

Wee Mekwilai -
Passana Gunadhivadhana -
Burin Suraaroonsamrit -

Keywords:

effectiveness, guidebook, healthcare violence, healthcare personnel, positive communication

Abstract

This study evaluated the Gentle Communication for Gentle Healthcare Guidebook's effectiveness in reducing hospital violence. A mixed-methods approach was employed in two phases: Phase 1 used a quasi-experimental design with 50 healthcare personnel from five hospitals; Phase 2 involved follow-up with 132 participants. Data were analyzed using paired t-tests, independent t-tests, chi-square tests, and content analysis.

Results showed significant violence reductions (p<0.05): physical violence decreased 25.0%, verbal violence 17.8%. Safety perception increased from 3.0 to 3.6 (Effect Size=0.55, p<0.01), and conflict management confidence improved from 3.1 to 3.8 (Effect Size=0.58, p<0.01). At 3-month follow-up, 65.2% maintained regular usage. General hospitals demonstrated higher effectiveness perception than regional hospitals (p<0.05). Key factors for sustainable implementation included supervisor support (X²=18.42, p<0.001), refresher training (X²=12.67, p<0.001), and workload management (X²=9.73, p=0.002).

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