Sicherheitsinfrastruktur in deutschen Notaufnahmen

Frick, Johann; Slagman, Anna; Lomberg, L.; Searle, Julia; Möckel, Martin; Lindner, Tobias

doi:10.1007/s10049-016-0179-0

Cited by 9 publications

(3 citation statements)

References 18 publications

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“…This finding is the most disconcerting of all, as such motions are diametrical to the benevolence of medicine in general and the personal efforts and sacrifices of EMS professionals in particular. Sadly, however, these findings are in keeping with recent literature all indicating a steady rise in attacks on medical personnel inside and outside of the hospital [12–16].…”

Section: Discussionsupporting

confidence: 90%

Single mission workload and influencing factors in German prehospital emergency medicine - a nationwide prospective survey of 1361emergency missions

Prottengeier

Keunecke

Gall

et al. 2019

Scand J Trauma Resusc Emerg Med

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Background Workload is a major determinant of system performance and human well-being. This study aims to evaluate workload in prehospital emergency medicine on a single mission level and investigates influencing factors originating from medical scenarios, patient-provider interaction, EMS logistics and teamwork. Methods In a nationwide study, German paramedics were asked to evaluate single missions for perceived workload by completing the NASA Task-Load-Index (TLX). A variety of candidate variables were documented and tested for influence on the TLX through multivariate regression analysis. Results One thousand three hundred sixty-one emergency missions were analysed. Global workload scored in medium ranges (Median TLX 41.00/100; IQR 24.25–57.50). 263 missions achieved very low (< 20/100) and 52 missions achieved very high (> 80/100) levels of workload. Severity of distress as indicated by the NACA score (delta TLX 2.71 per 1 NACA point), execution of invasive procedures (e.g. delta TLX 8.20 for intravenous access), obese patients (delta TLX 0.05 per 1 kg of weight) and aggression incidences (e.g. delta TLX 10.54 for physical aggression), amongst others, resulted in significant increases in workload. Good teamwork decreased workload by 2.18 points per 1 point on the Weller-Teamwork Measurement Tool. Conclusion Distinct factors result in significant increases in workload for EMS paramedics. Improvements in training for certain medical scenarios, strategies against aggression events and enhancements in EMS logistics - especially for the transfer of obese patients – should be implemented and tested for their presumably positive effect on workload, EMS performance and paramedics’ well-being. Electronic supplementary material The online version of this article (10.1186/s13049-019-0650-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 90%

Single mission workload and influencing factors in German prehospital emergency medicine - a nationwide prospective survey of 1361emergency missions

Prottengeier

Keunecke

Gall

et al. 2019

Scand J Trauma Resusc Emerg Med

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“…The experience of workplace violence among ED nurses in the USA was related to experiences of negative stress, decreased work productivity, and the quality of patient care [16]. Therefore, prevention of workplace violence is of great importance, but measures are not yet consistently implemented [17]. In a survey of nursing staff (n = 105) in EDs of seven German hospitals, 73% of the participants stated that they did not feel safe at their workplace and that they were not well prepared for incidents of violence [18].…”

Section: Introductionmentioning

confidence: 99%

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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“…Während die Gewaltproblematik im deutschsprachigen Raum vor allem in der Psychiatrie 2 , in Pflegeeinrichtungen 3 4 und zunehmend auch im Rettungsdienst 5 bzw. Kliniknotaufnahmen 6 7 8 9 10 relativ intensiv untersucht und diskutiert wird, fehlen bislang Studien zu einer möglichen Gewaltproblematik im Kreißsaal. Nach Kenntnis der Autoren ist in den letzten Jahren nur eine Studie publiziert worden, die auch Kreißsaal-Personal befragte; diese Subgruppe umfasste aber neben dem Rettungsstellenpersonal nur 10% der Studienteilnehmer und wurde nicht gesondert analysiert 9 .…”

Section: Introductionunclassified

Gewalt gegen Kreißsaalpersonal – Ergebnisse einer Online-Befragung und von Leitfadeninterviews an Berliner Geburtskliniken

Böhle

David

Breckenkamp

et al. 2021

Z Geburtshilfe Neonatol

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Zusammenfassung Einleitung Gewalt gegenüber medizinischem Personal ist ein bekanntes Problem in der Notfallversorgung. Es gibt wenig empirische Daten zu körperlicher und verbaler Gewalt gegen Kreißsaal-Personal in Deutschland. Methodik Es handelt sich um eine Studie mit quantitativer und qualitativer Datenerhebung. Für die quantitative Erhebung wurden zwischen dem 15.11.2019 und 15.02.2020 Hebammen, Ärztinnen und Ärzte, die in Kreißsälen Berliner Geburtskliniken tätig sind, mittels Fragebogen zu Gewalterleben innerhalb der letzten 6 Monate befragt. Im Rahmen der qualitativen Erhebung wurde die Thematik mittels Leitfadeninterviews vertiefend beleuchtet. Ergebnisse Von 173 Teilnehmern waren nach eigenen Angaben 148 (86%) verbaler Gewalt und 82 (47%) körperlicher Gewalt ausgesetzt. Hebammen und junges Personal scheinen häufiger von Gewalt betroffen zu sein. Von den Teilnehmenden fühlten sich ca. 70% nicht ausreichend auf Gewaltsituationen vorbereitet. In den 36 Interviews wurden insbesondere Kommunikationsprobleme, zu hohe Erwartungshaltungen der Schwangeren und ihrer Begleitung, Sprachbarrieren und kulturelle Missverständnisse als Gewalt begünstigend genannt. Schlussfolgerung Gewalt gegen Personal ist ein relevantes Problem in Kreißsälen in Berlin. Schulungsangebote zum Umgang mit Gewalt und professionelle Aufarbeitung von Gewalterlebnissen wurden von den Befragten gewünscht. Verbesserte Aufklärung über Schwangerschaft und Geburt, institutionalisierte Sprachmittlung und mehr Personal könnten helfen, die Häufigkeit von Gewalt zu senken.

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Sicherheitsinfrastruktur in deutschen Notaufnahmen

Cited by 9 publications

References 18 publications

Single mission workload and influencing factors in German prehospital emergency medicine - a nationwide prospective survey of 1361emergency missions

Single mission workload and influencing factors in German prehospital emergency medicine - a nationwide prospective survey of 1361emergency missions

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

Gewalt gegen Kreißsaalpersonal – Ergebnisse einer Online-Befragung und von Leitfadeninterviews an Berliner Geburtskliniken

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