Erleben von aggressivem Verhalten in der Notaufnahme nach Etablierung eines Deeskalationstrainings

Frick, Johann; Slagman, Anna; Möckel, Martin; Searle, Julia; Stemmler, F.; Joachim, Ricarda; Lindner, Tobias

doi:10.1007/s10049-017-0394-3

Cited by 12 publications

(12 citation statements)

References 16 publications

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“…Our data support these findings, as verbally or physically aggressive patients were often described as intoxicated in our cohort. As a consequence, the training of paramedics to identify these early indicators of aggressive incidents as well as de-escalation management could be implemented into paramedic education as these measures have proven themselves effective in other healthcare settings [31].…”

Section: Discussionmentioning

confidence: 99%

Workload and influencing factors in non-emergency medical transfers: a multiple linear regression analysis of a cross-sectional questionnaire study

Keunecke

Gall

Birkholz

et al. 2019

BMC Health Serv Res

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Background Human workload is a key factor for system performance, but data on emergency medical services (EMS) are scarce. We investigated paramedics’ workload and the influencing factors for non-emergency medical transfers. These missions make up a major part of EMS activities in Germany and are growing steadily in number. Methods Paramedics rated missions retrospectively through an online questionnaire. We used the NASA-Task Load Index (TLX) to quantify workload and asked about a variety of medical and procedural aspects for each mission. Teamwork was assessed by the Weller teamwork measurement tool (TMT). With a multiple linear regression model, we identified a set of factors leading to relevant increases or decreases in workload. Results A total of 194 non-emergency missions were analysed. Global workload was rated low (Mean = 27/100). In summary, 42.8% of missions were rated with a TLX under 20/100. TLX subscales revealed low task demands but a very positive self-perception of performance (Mean = 15/100). Teamwork gained high ratings (Mean TMT = 5.8/7), and good teamwork led to decreases in workload. Aggression events originating from patients and bystanders occurred frequently (n = 25, 12.9%) and increased workload significantly. Other factors affecting workload were the patient’s body weight and the transfer of patients with transmittable pathogens. Conclusion The workload during non-emergency medical transfers was low to very low, but performance perception was very positive, and no indicators of task underload were found. We identified several factors that led to workload increases. Future measures should attempt to better train paramedics for aggression incidents, to explore the usefulness of further technical aids in the transfer of obese patients and to reconsider standard operating procedures for missions with transmittable pathogens.

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Section: Discussionmentioning

confidence: 99%

Workload and influencing factors in non-emergency medical transfers: a multiple linear regression analysis of a cross-sectional questionnaire study

Keunecke

Gall

Birkholz

et al. 2019

BMC Health Serv Res

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“…Table 2 provides an overview of the characteristics of the included studies. Of the fifteen studies, ten were conducted in the USA [14,[23][24][25][26][27][28][29][30][31], two in Australia [32,33], two in France [34,35] and one in Germany [36]. Five studies were published in each of the three time periods, from 2010 to 2013 [26,27,[32][33][34], from 2014 to 2017 [14,23,25,28,31], and from 2018 to 2021 [24,29,30,35,36], respectively.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Of the fifteen studies, ten were conducted in the USA [14,[23][24][25][26][27][28][29][30][31], two in Australia [32,33], two in France [34,35] and one in Germany [36]. Five studies were published in each of the three time periods, from 2010 to 2013 [26,27,[32][33][34], from 2014 to 2017 [14,23,25,28,31], and from 2018 to 2021 [24,29,30,35,36], respectively. Ten studies had a quasi-experimental design, most of them using pre-and post-tests [14,23,24,26,[28][29][30][31]33] and one identifying itself as an interrupted time-series study [35].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…One was a mixed-methods study with its main component being a pre-and post-test survey [32]. One study described itself as an observational study [25] and three were cross-sectional evaluation studies [27,34,36]. Eleven studies implemented behavioural interventions [23][24][25][26]28,29,[31][32][33][34]36].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…One study described itself as an observational study [25] and three were cross-sectional evaluation studies [27,34,36]. Eleven studies implemented behavioural interventions [23][24][25][26]28,29,[31][32][33][34]36]. Four studies used multi-component approaches including behavioural, organisational and environmental interventions [14,27,30,35].…”

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Interventions for Workplace Violence Prevention in Emergency Departments: A Systematic Review

Wirth

Peters

Nienhaus

et al. 2021

IJERPH

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Emergency departments (EDs) are high-risk settings for workplace violence, but interventions to prevent violent incidents and to prepare staff are not yet consistently implemented, and their effectiveness is often unclear. This study aims to summarise evidence on workplace violence prevention interventions that were implemented in EDs to reduce violent incidents caused by patients/relatives or to increase the knowledge, skills or feelings of safety of ED staff. A systematic review was conducted. The databases MEDLINE, Web of Science, Cochrane Library, CINAHL and PsycINFO were searched for studies dated between January 2010 and May 2021. Interventional and observational studies reporting on behavioural, organisational or environmental interventions among healthcare workers in hospital EDs were included. Studies were assessed for methodological quality using the Johanna Briggs Institute Tools. Key findings of studies were summarised narratively. Fifteen studies were included, of which eleven examined behavioural interventions (classroom, online or hybrid training programmes) on de-escalation skills, violent person management or self-defence techniques. Four studies included in addition, organisational and environmental interventions. Most studies showed that interventions had a positive effect in the form of a reduction of violent incidents or an improvement in how prepared staff were to deal with violent situations; however, evidence is still sparse. Further studies should consider in particular, environmental and organisational interventions and ensure a high methodological quality.

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Notfallversorgung als risikoreicher Arbeitsplatz – Maßnahmen zum Umgang mit Gewalt gegen Beschäftigte

Beringer

Wirth

Kazmierczak

et al. 2022

Med Klin Intensivmed Notfmed

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Hintergrund Viele Mitarbeitende in der Notfallversorgung erleben verbale und körperliche Gewalt, die von Patient:innen oder Begleitpersonen ausgeht. Ziel der vorliegenden Arbeit ist es, Erkenntnisse darüber zu gewinnen, welche Maßnahmen zum Umgang mit Gewalt in der Notfallversorgung verfügbar sind und wie die Beschäftigten diese subjektiv bewerten. Methodik Eine deutschlandweite Querschnittserhebung wurde 2020 mittels eines Online-Fragebogens durchgeführt. Der Fragebogen enthielt Items zu Maßnahmen zur Gewaltprävention, -intervention und -nachbereitung. Quantitative Daten wurden deskriptiv, Freitextangaben gemäß der qualitativen Inhaltsanalyse nach Mayring ausgewertet. Ergebnisse An der Erhebung nahmen 349 Personen, davon 115 Leitungskräfte, teil. Die Verfügbarkeit von Sicherheitspersonal und eine standardisierte Meldung von Vorfällen wurden als wichtige Maßnahmen zum Umgang mit Gewalt erachtet. Von den Leitungskräften gaben 67 % an, keinen Sicherheitsdienst zu haben, während 56 % berichteten, dass gemeldete Gewaltereignisse nicht strukturiert aufgearbeitet werden. Eine hohe Arbeitsbelastung in der Notfallversorgung kann die Umsetzung von Maßnahmen behindern. Insgesamt wurde die Forderung nach verstärkter Unterstützung durch Vorgesetzte und die Klinikleitung deutlich. Schlussfolgerung Es zeigt sich, dass Beschäftigte bestimmte Maßnahmen als wirksam erachten, diese oft aber nicht konsequent umgesetzt werden. Es bedarf einer strukturierten Meldung von Gewaltvorfällen gegen Beschäftigte, um die Prävalenz realitätsnah abbilden zu können. Neben der Aufstockung des (Pflege‑)Personals kann der eingeschränkte Zutritt für Begleitpersonen zu einer Reduktion des Konfliktpotenzials führen.

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Erleben von aggressivem Verhalten in der Notaufnahme nach Etablierung eines Deeskalationstrainings

Cited by 12 publications

References 16 publications

Workload and influencing factors in non-emergency medical transfers: a multiple linear regression analysis of a cross-sectional questionnaire study

Workload and influencing factors in non-emergency medical transfers: a multiple linear regression analysis of a cross-sectional questionnaire study

Interventions for Workplace Violence Prevention in Emergency Departments: A Systematic Review

Notfallversorgung als risikoreicher Arbeitsplatz – Maßnahmen zum Umgang mit Gewalt gegen Beschäftigte

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