Managing alcohol related aggression in the emergency department (Part II)

Cork, Alison; Ferns, Terry

doi:10.1016/j.ienj.2007.12.002

Cited by 9 publications

(3 citation statements)

References 13 publications

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“…This information also supports the need for hospitals to take a co-ordinated organisational approach to dealing with the issue of violence and aggresison. 21…”

Section: Alcohol-related Violence and Aggression In The Edmentioning

confidence: 99%

Experiences of emergency department staff: Alcohol-related and other violence and aggression

Gilchrist

Jones

Barrie

2011

Australasian Emergency Nursing Journal

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Introduction: Alcohol-related violence is a significant and growing problem in Australia and overseas, however there is no up to date information regarding the self-reported experiences of hospital emergency department (ED) workers in Australia. Methods: Ninety-one ED staff in two major hospitals in the Illawarra region of New South Wales completed a short survey designed to measure the amount and causes of violence experienced by staff and canvas possible solutions. Results: Eighty participants reported being verbally abused at least once a month, and 39 reported this as a daily occurrence. Twenty-three staff had experienced physical assault at least once a month. Alcohol was the most commonly listed factor contributing to the violence and aggression (n = 71). Seventy-one staff felt that alcohol-related violence had increased since they had begun working in the ED. There was some confusion at one hospital regarding policies and procedures around alcohol-related violence. Staff suggestions for how to manage alcoholrelated violence included the provision of more security staff and better training. Conclusions: Alcohol-related violence continues to be a significant issue for ED workers and further investigation of policies and procedures around alcohol-related violence in the ED is warranted.

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“…This information also supports the need for hospitals to take a co-ordinated organisational approach to dealing with the issue of violence and aggresison. 21…”

Section: Alcohol-related Violence and Aggression In The Edmentioning

confidence: 99%

Experiences of emergency department staff: Alcohol-related and other violence and aggression

Gilchrist

Jones

Barrie

2011

Australasian Emergency Nursing Journal

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“…Quanto ao exame físico, é importante pedir permissão ao paciente para tocá-lo, uma vez que a prestação de cuidados pode ser percebida como uma ameaça à segurança física [13,14]. Além disso, o paciente precisa se sentir à vontade e estimulado o suficiente para expressar suas emoções, enquanto o profissional, precisa mostrar-se disposto a reconhecer suas preocupações e ajudá-lo [5,6,15]. Os autores acrescentam que ficar de pé e cara a cara com o paciente pode ser entendido como uma ameaça.…”

Section: A -Manejo Comportamentalunclassified

Segurança do profissional de saúde frente ao paciente em agitação psicomotora

Fernandes¹,

Machado²,

Barros³

et al. 2022

Debates em Psiquiatria

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Pacientes em agitação psicomotora representam riscos para profissionais da saúde, demais presente e para si próprios. Assim, o presente artigo tem como objetivo reconhecer os protocolos relativos à promoção de segurança, especificamente, dos profissionais da saúde perante pacientes em agitação psicomotora. Quanto ao método, trata-se de revisão integrativa nas bases de dados PubMED, SciELO, Science Direct e BVS. Após aplicação dos critérios foram selecionados 15 artigos a partir dos quais foram identificadas e analisadas quatro principais categorias: ações e protocolos de segurança perante paciente agressivo (manejo comportamental, ambiental, organizacional, farmacológico e físico); causas, fatores preditivos e identificação do paciente instável; capacitação dos profissionais da saúde e notificação dos incidentes. Após análise desses fatores, é de grande importância a avaliação precoce e rápida do estado do paciente para que haja apropriado manejo, levando em consideração sua individualidade. Outrossim, é necessário que os profissionais tenham conhecimento sólido sobre as diferentes medidas, que haja eficiente organização da equipe e protocolos estabelecidos nos locais de promoção à saúde. Para isso, a capacitação profissional deve ser implementada e mantida como educação continuada, abordando os diferentes manejos e seus momentos de utilização, valorizando o aprimoramento constante dos métodos sobre esses pacientes, para todos os profissionais da saúde. Somado a isso, deve-se incentivar a notificação dos casos pelos profissionais, afinal, a subnotificação dos casos apresenta-se como um problema para o levantamento de estimativas acerca de agressões decorrentes da agitação psicomotora. Portanto, diretrizes claras e procedimento operacional padrão devem ser incentivados, procurando manter ambientes profissionais seguros a todos.

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“…Critical physical health and safety concerns for nurses have been documented, including musculoskeletal injuries, needlestick and sharps injuries, exposure to hazardous drugs, and violence in the workplace (Sedlak, 2004). In response, safety initiatives to prevent musculoskeletal injuries (de Castro, Hagan, & Nelson, 2006;Nelson et al, 2006;Silverwood & Haddock, 2006;Waters et al, 2006;Weinel, 2008), needlestick injuries (Pugliese & Salahuddin, 1999;Wilburn & Eijkemans, 2004), and physical violence (Cork & Ferns, 2008;Cowin et al, 2003;Presley & Robinson, 2002) have been developed. However, despite this recognition, accidents, injuries, and hostile environments persist and fully effective counter strategies have been elusive.…”

Section: Health Care Agency Safety Initiativesmentioning

confidence: 99%

Registered Nurses' Perceptions of Health and Safety Related to Their Intention to Leave

Palumbo¹,

Rambur²,

McIntosh³

et al. 2010

AAOHN Journal

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This study examined perceptions of general and emotional health among a statewide sample of nurses, and their assessment of employers' workplace health and safety initiatives. These variables and demographic data were then used to model predictors of intention to leave their work positions. A survey was mailed to all registered nurses in one state. Fifty-three percent responded ( n = 3,955). Findings suggested marked differences in perception of emotional health by age, with younger nurses reporting less positive perceptions of their emotional health. Perceptions of employers' safety and health initiatives varied by age, setting, and work role. Predictors of intention to leave included lower perceived emotional health among younger nurses and employer safety initiatives for both age groups. This exploratory study suggests a relationship among employer health and safety practices, nurses' emotional health, and intention to leave. Implications for occupational health nurses are detailed.

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Managing alcohol related aggression in the emergency department (Part II)

Cited by 9 publications

References 13 publications

Experiences of emergency department staff: Alcohol-related and other violence and aggression

Experiences of emergency department staff: Alcohol-related and other violence and aggression

Segurança do profissional de saúde frente ao paciente em agitação psicomotora

Registered Nurses' Perceptions of Health and Safety Related to Their Intention to Leave

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