急诊科护患暴力冲突降级措施的最佳证据总结

doi:10.3761/j.issn.2096-7446.2026.06.019

Abstract

Abstract:

Objective To summarize evidence on de-escalation strategies for nurse-patient violence in emergency departments and provide a basis for clinical practice. Methods Evidence on de-escalation strategies for nurse-patient violence in emergency departments was systematically retrieved from guideline websites，professional association websites，and domestic and international databases，from inception to March 20，2025. Eligible evidence included guidelines，evidence summaries，clinical decision support，best practice recommendations，systematic reviews，and expert consensus. Two researchers independently conducted quality appraisal，evidence extraction，and synthesis. Results Twelve literature were included，including two guidelines，a clinical decision，an expert consensus，and eight systematic reviews. Evidence was categorized into 38 findings across five dimensions：communication strategies，emotion regulation and support，risk identification and assessment，intervention actions，and safety maintenance. Conclusion This study summarizes evidence-based de-escalation strategies for nurse-patient violence in emergency departments，offering guidance for clinical practice. In practical application，it should be combined with the departmental context and nurses’ competence，supported by systematic training and institutional guarantees，so as to improve the feasibility of implementation.

Key words: Emergency Department, Nurse-Patient Conflict, Violence De-escalation, Evidence Synthesis, Evidence-Based Nursing

CHEN Ruoxi, LIU Lihong, FAN Luo, WANG Huixia, JIA Qianhui, YANG Zhen, FAN Kaisheng, WANG Yuanyunzi. Evidence summary of de-escalation measures for patient-nurse violence in emergency departments[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 748-754.

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References 35

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Evidence summary of de-escalation measures for patient-nurse violence in emergency departments

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