Violence against emergency medical services personnel: A systematic review of the literature

Maguire, Brian J.; O’Meara, Peter; O’Neill, Barbara; Brightwell, Richard

doi:10.1002/ajim.22797

Cited by 105 publications

(119 citation statements)

References 45 publications

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“…Today, workplace violence is one of the major challenges in the pre‐hospital setting (Maguire, O'meara, O'neill, & Brightwell, ) and pre‐hospital staff, including nurses, experience many violent acts against them in their workplace (Gormley, Crowe, Bentley, & Levine, ; Maguire, ). Workplace violence is the act or threat of violence, ranging from verbal abuse to physical assaults, directed towards persons at work or on duty (Department of Health & Human Services, ).…”

Section: Introductionmentioning

confidence: 99%

Iranian pre‐hospital emergency care nurses' strategies to manage workplace violence: A descriptive qualitative study

et al. 2019

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Aim:To explore the experiences of Iranian nurses working in pre-hospital emergency care services and the strategies used to manage of workplace violence.Background: Pre-hospital emergency nurses are subject to workplace violence; however, little research addresses their experiences, particularly related to their strategies in dealing with workplace violence. Methods:A descriptive qualitative study that involved nineteen male nurses who were working in pre-hospital services collected data using semi-structured interviews and analysed it using qualitative content analysis.Results: Data analysis yielded four descriptive categories including no reaction to violence (tolerance and acceptance as common workplace conflicts), situational management (patient and scene management), confrontation (direct and indirect) and escaping the scene. Patient management was the dominant strategy used and had the best outcomes related to both patient and personnel safety. Conclusion:This study showed that pre-hospital nurses use different strategies to manage violence and patient management was a common and useful strategy for managing workplace violence. However, the pre-hospital nurses have little training, insufficient support and are poorly prepared to manage workplace violence. Implications for Nursing Management:The development of context-based guidelines, continuing education, better-equipped ambulances that include medical and defence equipment, as well as better coordination of the police force in ambulance operations, can help to reduce workplace violence. K E Y W O R D S emergency medical technician, nurse strategies, pre-hospital emergency care, workplace violence | 1191 DADASHZADEH Et Al. How to cite this article: Dadashzadeh A, Rahmani A, Hassankhani H, Boyle M, Mohammadi E, Campbell S. Iranian pre-hospital emergency care nurses' strategies to manage workplace violence: A descriptive qualitative study. J Nurs

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Section: Introductionmentioning

confidence: 99%

Iranian pre‐hospital emergency care nurses' strategies to manage workplace violence: A descriptive qualitative study

et al. 2019

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“…Emergency medical service (EMS) providers are first responders for public health and safety. In providing first aid, and stabilizing patients in emergency situations, such as assaults and disasters, EMS providers are often vulnerable to violence from several sources, including their patients . A study in Canada found that 26% of paramedics were exposed to physical assault and 67% were exposed to verbal abuse over the prior 12 months .…”

Section: Introductionmentioning

confidence: 99%

Organizational response to workplace violence, and its association with depressive symptoms: A nationwide survey of 1966 Korean EMS providers

Kim

Lee

Kim³

et al. 2019

Journal of Occupational Health

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Objectives This study investigated whether organizational responses modified the associations between experiencing violence and depressive symptoms among emergency workers. Methods A nationwide survey of 1966 Korean emergency medical service (EMS) providers was analyzed. Experience of workplace violence (ie, physical violence, verbal abuse) was classified into four groups based on the victims’ reporting and organizational responses: (i) “Not experienced,” (ii) “Experienced, not reported,” (iii) “Experienced, reported, responded by organization,”and (iv) “Experienced, reported, not responded by organization.” Depressive symptoms were assessed by 11‐item version of the Centers for Epidemiologic Studies Depression Scale. Results Compared to “Not experienced” group, physical violence was significantly associated with depressive symptoms among EMS providers responding “Experienced, not reported” (PR: 1.67, 95% CI: 1.37, 2.03) and “Experienced, reported, not responded by organization” (PR: 2.58, 95% CI: 1.75, 3.82), after adjusting for confounders. No significant difference was detected for workers responding “Experienced, reported, responded by organization” group (PR: 1.45, 95% CI: 0.87, 2.41). Similar trends were observed in the analysis with verbal abuse. Conclusions Our findings suggest that organizational responses could play a critical role in mitigating depressive symptoms among EMS providers who experience violence at work.

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“…reported that 1% of ED presentations involved violence, and the incidence is increasing. Occupational violence is a significant burden on resources and paramedic well‐being, as paramedics are often managing risky situations outside of a controlled environment.…”

Section: Introductionmentioning

confidence: 99%

Variations in the care of agitated patients in Australia and New Zealand ambulance services

Nambiar

Pearce²,

Bray

et al. 2019

Emerg Medicine Australasia

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Violence against emergency medical services personnel: A systematic review of the literature

Abstract: EMS leaders and personnel should work together with researchers to design, implement, evaluate and publish intervention studies designed to mitigate risks of violence to EMS personnel.

Cited by 105 publications

References 45 publications

Iranian pre‐hospital emergency care nurses' strategies to manage workplace violence: A descriptive qualitative study

Iranian pre‐hospital emergency care nurses' strategies to manage workplace violence: A descriptive qualitative study

Organizational response to workplace violence, and its association with depressive symptoms: A nationwide survey of 1966 Korean EMS providers

Variations in the care of agitated patients in Australia and New Zealand ambulance services

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