Violence in the accident and emergency department – An international perspective

Ferns, Terry

doi:10.1016/j.aaen.2005.03.005

Cited by 71 publications

(61 citation statements)

References 30 publications

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“…Violence involving radiographers in Hong Kong is not uncommon, and local hospitals need to improve current policies with respect to workplace violence. This can in turn benefit the health care system in Hong Kong, as workplace violence has a negative impact through increased work stress, reduced eagerness in the profession, or job dissatisfaction for the victims 1,21) , resulting in significant adverse consequences for the organization involved 22) .…”

Section: Discussionmentioning

confidence: 99%

Workplace Violence—A Survey of Diagnostic Radiographers Working in Public Hospitals in Hong Kong

Yeung

Cheung

et al. 2009

Journal of Occupational Health

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Methods: Frontline radiographers, from seven regional hospitals, who performed duties in general radiography, were provided with a workplace violence questionnaire. General radiography refers to plain film X-ray services in general rooms (including out patient clinics), A&E and portable services on wards. Materials relating to workplace violence, for example guidelines and training information, were provided by hospital managers. Results: Out of 281 questionnaires, 150 were returned (response rate of 53%). Sixty-one percent of radiographers had experienced violence in the past 3 yr and 34% of victims had encountered incidents more than 5 times. From respondents who had experienced abuse, verbal abuse (97%) was most frequently reported, and the predominant source of violence was patients (p<0.0001). Respondents identified long waiting times, communication issues and understaffing as key risk factors. The Accident & Emergency Department was the highest risk area (p<0.0001). Almost two thirds (65.91%) of radiographers who experienced verbal abuse ignored events. Although no severe injury was reported, indirect impact, including increased work stress, job dissatisfaction, depression and increased sick leave, were highlighted as negative consequences of violence. 77% of respondents felt that support from departments was inadequate and only 11% had attended courses on prevention of Field Study occupational violence. Conclusions: Workplace violence is a critical problem in Hong Kong. Further research is recommended to investigate the problem.

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Section: Discussionmentioning

confidence: 99%

Workplace Violence—A Survey of Diagnostic Radiographers Working in Public Hospitals in Hong Kong

Yeung

Cheung

et al. 2009

Journal of Occupational Health

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“…The majority of acts of physical or verbal aggression originate from patients or visitors (4)(5)(6)(7)(8)(9). While most incidents of patient or visitor aggression (PVA) arise in mental health and accident and emergency departments (10,11), PVA also occurs in other clinical settings, such as medical and surgical departments (12,13). Frequent staff exposure to aggression hampers recruitment and retention, and engenders a multitude of problems in the workforce, such as heightened risk of burnout, sleep disturbance, anxiety, as well as intent to leave the profession (6,9,14,15).…”

Section: Introductionmentioning

confidence: 99%

The effect of aggression management training programmes for nursing staff and students working in an acute hospital setting. A narrative review of current literature

Heckemann¹,

Zeller²,

Hahn³

et al. 2015

Nurse Education Today

123

144

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“…8 The Australasian College of Emergency Medicine and Australian Nursing Federation have clear policies regarding occupational violence, 17,18 however there have been few innovative strategies incorporated into emergency health care. In light of recent reports of escalating violence within EDs both domestically 3,11 and internationally, 9,10,[19][20][21] this strategy is both timely and warranted.…”

Section: Discussionmentioning

confidence: 99%

Managing acute behavioural disturbance in an emergency department using a behavioural assessment room

Cowling

McKeon²,

Weiland³

2007

Aust. Health Review

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This study was conducted to evaluate a behavioural assessment room (BAR) as a strategy in the management of people exhibiting acute behavioural disturbance in the St Vincent's Hospital, Melbourne Emergency Department (ED). The study involved a retrospective audit of the data documented for BAR use over a 12-month period and a structured questionnaire of clinical and nonclinical emergency department staff.Patients managed in the BAR presented with various behaviours; 58% were substance induced. The median duration of stay in the room was 20 minutes, during which assessment and containment or "behavioural resuscitation" proceeded. 98.5% of questionnaire respondents believed that the BAR created a safer environment EMERGENCY DEPARTMENTS (EDs) are faced with an increasing number of patients exhibiting behavioural disturbance that interferes with health care provision and may place patients, staff and/or others at risk. Workplace violence has also been on the rise over the past few decades. 1,2 Effective containment of this escalating situation demands an innovative approach and change in attitude by health professionals. 3 The increase in behavioural disturbance may be attributed to a growing demand on EDs, changing trends in illicit drug use, 4 and the redirection of mental health care towards a "mainstream" community-based model. [5][6][7] The structural design and care pathways of EDs have traditionally been geared towards medical emergencies rather than managing adverse behaviour. With respect to the increased number of behaviourally disturbed patients within EDs and the associated difficulties in managing their care, the typical ED environment is no longer conducive to optimum safety; patient care may be compromised and undue stress is placed on staff and visitors to the department. Previous research indicates that although ED staff feel able to assess the potential for violence, they perceive themselves as being inadequately skilled to manage aggression. 7 A recent internal quality improvement survey of St Vincent' s Hospital, Melbourne (SVHM) ED staff revealed that only one third of staff felt safe to very What is known about the topic? Despite escalating demands on emergency departments there are few strategies for managing the behaviourally disturbed patient. Clinicians have struggled to provide an adequate environment for the management of aggressive behaviour, and while most hospitals have a generic response to acute aggressive incidences, this strategy is insufficient for emergency department environments. What does this paper add?This paper describes and evaluates a strategy for managing behavioural disturbance; a dedicated space in association with supported processes and policies. It is demonstrated that this formula increases the perceived safety of ED staff. What are the implications for practitioners? Providing a dedicated area to manage behavioural disturbance provides effective behavioural resuscitation, thereby facilitating a more streamlined and safe approach to health care delivery.

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Violence in the accident and emergency department – An international perspective

Cited by 71 publications

References 30 publications

Workplace Violence—A Survey of Diagnostic Radiographers Working in Public Hospitals in Hong Kong

Workplace Violence—A Survey of Diagnostic Radiographers Working in Public Hospitals in Hong Kong

The effect of aggression management training programmes for nursing staff and students working in an acute hospital setting. A narrative review of current literature

Managing acute behavioural disturbance in an emergency department using a behavioural assessment room

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