Workplace Violence in Emergency Department and its Effects on Emergency Staff

Baydın, Ahmet

doi:10.4172/1522-4821.1000112

Cited by 38 publications

(37 citation statements)

References 19 publications

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“…In recent years, mental health issues are gaining attention from researchers as this is becoming the primary cause for work disability in Europe. In the area of mental health problems, a number of recent reviews have been published on bullying and aggression as important workplace factors to cause mental health problems [50–52]. Research on MSK health focuses on different variables compared to mental health, as different conceptual models are applied.…”

Section: Typical Health Issues Studiedmentioning

confidence: 99%

Researching Complex and Multi-Level Workplace Factors Affecting Disability and Prolonged Sickness Absence

et al. 2016

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Purpose There is growing research evidence that workplace factors influence disability outcomes, but these variables reflect a variety of stakeholder perspectives, measurement tools, and methodologies. The goal of this article is to summarize existing research of workplace factors in relation to disability, compare this with employer discourse in the grey literature, and recommend future research priorities. Methods The authors participated in a year-long collaboration that ultimately led to an invited 3-day conference, “Improving Research of Employer Practices to Prevent Disability, held October 14–16, 2015, in Hopkinton, Massachusetts, USA. The collaboration included a topical review of the literature, group conference calls to identify key areas and challenges, drafting of initial documents, review of industry publications, and a conference presentation that included feedback from peer researchers and a question/answer session with a special panel of knowledge experts with direct employer experience. Results Predominant factors in the scientific literature were categorized as physical or psychosocial job demands, work organization and support, and workplace beliefs and attitudes. Employees experiencing musculoskeletal disorders in large organizations were the most frequently studied population. Research varied with respect to the basic unit of assessment (e.g., worker, supervisor, policy level) and whether assessments should be based on worker perceptions, written policies, or observable practices. The grey literature suggested that employers focus primarily on defining roles and responsibilities, standardizing management tools and procedures, being prompt and proactive, and attending to the individualized needs of workers. Industry publications reflected a high reliance of employers on a strict biomedical model in contrast to the more psychosocial framework that appears to guide research designs. Conclusion Assessing workplace factors at multiple levels, within small and medium-sized organizations, and at a more granular level may help to clarify generalizable concepts of organizational support that can be translated to specific employer strategies involving personnel, tools, and practices.

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Section: Typical Health Issues Studiedmentioning

confidence: 99%

Researching Complex and Multi-Level Workplace Factors Affecting Disability and Prolonged Sickness Absence

et al. 2016

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“…The aggression of workplace violence may continue to increase, especially with the lack of preventive strategies and an effective reporting system. [11,12] Prehospital care was identified as a predisposing factor for violence. A survey study that examined the rate of violence exposure among emergency medical services (EMS) workers reported that up to 60% of them encountered assault and 25% suffered physical injuries.…”

Section: Introductionmentioning

confidence: 99%

Workplace violence among emergency medical services workers in Riyadh, Saudi Arabia

Alharthy

Mutairi

Alsahli

et al. 2017

JHA

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Background: Globally, workplace violence toward health care providers is an area of concern. The impact of workplace violence on health care providers is significant. Objectives: The study was conducted to evaluate the prevalence of workplace violence (physical and verbal) among emergency medical services (EMS) workers in Riyadh. Methods: The study used a cross-sectional design that employed a self-administered confidential questionnaire, which was distributed to all emergency medical personnel. A well-structured and validated questionnaire on workplace violence was adopted from the World Health Organization for use in the study. Results: A total of 370 EMS workers responded to the questionnaire. Workplace violence was experienced by 65% of the respondents. Verbal abuse (61%) was the most common type of violence reported. The majority of the attackers were patients' relatives (80%) followed by patients themselves (51%). Respondents younger than 30 reported a higher percentage of violent acts than did older respondents (p = .001, Odds ratio [OR] = 2.5, 95% Confidence Interval [CI] = (1.6, 3.9)). Similarly, those who had fewer years of work experience (≤ 10 years) reported a significantly higher percentage of violent incidents than those who had 10 or more years of experience (p = .001, OR = 3.5, 95% CI = 2.1, 5.6). Only 10% of the victims reported the incident to a higher authority. Common reasons for not reporting the violent acts included feeling that it was useless (56%) and that it was not important (52%). Discussion: The study demonstrates prevalent workplace violence among EMS workers, predominantly in the form of verbal abuse. The rate of workplace violence among EMS personnel is comparable with international figures. Less than half of EMS personnel exhibit knowledge regarding the process of violence reporting. However, workers tend not to report the incidents because they often believe that reporting is useless and/or not important. Recommendation: With a high reported rate of workplace violence among EMS personnel, we recommend national preventive measures and encouragement to professionals to report violent events. We also recommend awareness programs for the identified vulnerable group.

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“…Often, these processes are considered a waste of time and can cause violent behavior against the staff. In related studies, lack of awareness on the role of EMS (Rahmani, 2012;Saberinia, 2013;Sheikh-Bardsiri, 2012), disagreement with treatment interventions (Bernaldo, 2015), lack of appropriate treatment (Sheikh-Bardsiri, 2012), unacceptance of services (Piquero et al, 2013) and not meeting the expectations of clients (Baydin, 2014), were reported as the contextual factors of violence. Therefore, familiarizing the society with the structure, capabilities and pre-hospital emergency tasks using the capacity of education system and the media can be very helpful in reducing the incidence of violence against EMS staff.…”

Section: Unfamiliar With Ems Tasksmentioning

confidence: 99%

“…Using staff with inadequate general and professional eligibility in dispatch centers and ambulance that cannot be used to manage violence or have no desired psychological balance, predispose them to WPV. In various studies, educational level, eligibility and how to assist the clients (Koritsas, 2010), shortage of specialized staff (Sheikh-Bardsiri, 2012), low experience (Bernaldo, 2015;Koritsas, 2010), insufficient professional training (Baydin, 2014) and low self-esteem (Steffgen, 2008), were reported as the underlying causes of WPV. Also, lack of training program on how to deal with WPV (Baydin, 2014;Pourshaikhian, 2016) and control of violence (Bernaldo, 2015;Brough, 2005;Duchateau, 2002;Petzäll, 2011) have been emphasized.…”

Section: Inability Of Ems Systemmentioning

confidence: 99%

“…In several related studies, serious personal (Bigham, 2013;Esmaeilpour, 2011;Saberinia, 2013), organizational (Esmaeilpour, 2011;Saberinia, 2013), and professional (Bigham, 2013;Esmaeilpour, 2011) consequences and inadequate occupational safety (Furin, 2015) of WPV have been mentioned. In other related studies, minor and serious physical injury (Mechem, 2002;P, 2007;Rahmani, 2012) (wounds, eye and face injuries, bites, dislocations and fractures, bruises, stretch and scratches) (Mechem, 2002) and psychological consequences such as stress (Gates et al, 2011;Mechem, 2002;Shahzad, 2014), irritability (Mechem, 2002), and headache (Koritsas, 2010), anxiety, depersonalization (Bernaldo, 2015), depression, sleep disorders, irritability, fear of safety (Bigham, 2014;Furin, 2015) and disturbing memories (Baydin, 2014) have been mentioned. Psychological injuries cause social consequences, including impact on social interactions, isolation and personality changes in the workplace (Bigham, 2014).…”

Section: Ems Staff Health Injuriesmentioning

confidence: 99%

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Workplace Violence Process against Emergency Medical Services Staffs: A Grounded Theory

Pourshaikhian¹,

Khorasani-Zavareh²,

Gorji³

et al. 2016

GJHS

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Background: Workplace Violence (WPV) is an undesirable social phenomenon that threatens patients and staff safety and work environments. Despite the high prevalence of WPV and its serious consequences, limited studies have been conducted on its roots and formation in pre-hospital emergency. The aim of this study was to explore and explain the process of workplace violence against emergency medical service personnel. Methods:This qualitative study was performed using grounded theory approach in 2015. The study participants included 17 Emergency Medical Service (EMS) staffs working in Tehran and Guilan provinces, Iran. Data were collected by semi-structured interviews and analyzed using the Strauss/Corbin approach and constant comparative method. The paradigm model of WPV is presented in this study.Results: "Serving within the context of workplace violence" was presented as the main theory. Five main groups of paradigm model theory were identified as triggers, context, and intensifiers of violence, copying strategies, and outcomes. The important consequences of violence include physical and psychological health injury of staff in the process of service delivery. Conclusions:Despite their repeated exposure to violence and its consequences, EMS staffs usually fulfill their main role and perform their tasks. Training of stress management, familiarizing the community with the responsibilities of EMS, reducing response time, creating efficient communication systems, using appropriate facilities and manpower, training violence control, improving employees' job satisfaction, and coordinating cooperation with the police can reduce workplace violence. The supporting of the WPV victims is essential to improve the health and safety of EMS staff.

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Workplace Violence in Emergency Department and its Effects on Emergency Staff

Cited by 38 publications

References 19 publications

Researching Complex and Multi-Level Workplace Factors Affecting Disability and Prolonged Sickness Absence

Researching Complex and Multi-Level Workplace Factors Affecting Disability and Prolonged Sickness Absence

Workplace violence among emergency medical services workers in Riyadh, Saudi Arabia

Workplace Violence Process against Emergency Medical Services Staffs: A Grounded Theory

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