Factors Associated with Workplace Violence in Paramedics
The majority of research that has explored workplace violence has focused on establishing the prevalence of violence in different settings. In general, there is a paucity of research that explores factors that may predict or increase the risk of experiencing violence in the workplace.
The aim of this research was to determine predictors of violence for paramedics.
A questionnaire was developed that focused on paramedics' experiences with six forms of violence: verbal abuse, property damage/theft, intimidation, physical abuse, sexual harassment, and sexual assault. The questionnaire was distributed randomly to paramedics throughout rural Victoria and metropolitan South Australia, and completed and returned anonymously.
Predictors emerged for verbal abuse, intimidation, sexual harassment, and sexual abuse. Specifically, gender was the only predictor of intimidation, sexual harassment, and sexual assault. Paramedic qualifications, how they responded to a call-out, and hours per week in direct patient contact emerged as a predictor of verbal abuse.
Certain factors predict or predispose paramedics to workplace violence. The need for workplace violence education and training is imperative for the prevention of violence, as well as for its management.
Available from: Mónica Bernaldo-de-Quirós
- "Tan solo hay cinco estudios en este ámbito, tres de ellos realizados en países escandinavos (i.e. Suecia y Noruega)    y dos en Australia   . "
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ABSTRACT: El presente trabajo tiene como objetivo conocer la frecuencia y naturaleza de las agresiones que sufren los profesionales asistenciales de los servicios de urgencia y emergencia del SUMMA-112 por parte de pacientes y/o familiares/acompañantes y las variables implicadas con el fin de establecer las necesidades
más importantes para poder aportar soluciones y recursos al respecto. Se realizó un muestreo aleatorio estratificado de los distintos servicios de urgencias (n=32) y emergencias (n=38) localizados en las distintas áreas geográficas de la Comunidad de Madrid evaluando a los profesionales pertenecientes a los distintos estamentos (135 médicos, 127 enfermeras y 179 técnicos en emergencias médicas). De acuerdo a los resultados se ofrecen propuestas de actuación en distintas líneas que ayuden a prevenir las
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ABSTRACT: Patients and their relatives exposed to mental stress caused by hospitalization or illness might use violence against healthcare staff and interfere with quality healthcare.
The aim of this study was to investigate incidences of workplace violence and the attributes of healthcare staff who are at high risk.
A questionnaire-based, anonymous, and self-administered cross-sectional survey.
Healthcare staff (n = 11,095) of 19 hospitals in Japan.
Incidence rates and adjusted odd ratios of workplace violence were calculated to examine the effect of attributes of healthcare staff to workplace violence by using logistic regression analysis.
The response rate for survey completion was 79.1% (8711/11,095). Among the respondents, 36.4% experienced workplace violence by patients or their relatives in the past year; 15.9% experienced physical aggression, 29.8% experienced verbal abuse, and 9.9% experienced sexual harassment. Adjusted odds ratios of physical aggression were significantly high in psychiatric wards, critical care centers/intensive care units (ICU)/cardiac care units (CCU), long-term care wards, for nurses, nursing aides/care workers, and for longer working hours. Adjusted odds ratios of verbal abuse were significantly high in psychiatric wards, long-term care wards, outpatient departments, dialysis departments, and for longer years of work experience, and for longer working hours. Adjusted odds ratios of sexual harassment were significantly high in dialysis departments, for nurses, nursing aides/care workers, technicians, therapists and females. The general ward and direct interaction with patients were common risk factors for each type of workplace violence.
The mechanisms and the countermeasures for each type of workplace violence at those high-risk areas should be investigated.
Journal of Hospital Medicine 02/2012; 7(2):79-84. DOI:10.1002/jhm.976 · 2.30 Impact Factor
Available from: Gary Blau
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ABSTRACT: The first objective was to examine the outcome of how comfortable a potential EMS-caller would be receiving care from an out-of-hospital-care EMS professional who might have a legal conviction. A second objective was to test for correlates that would explain this outcome.
In the autumn of 2010, a structured phone survey was conducted. To maximize geographical representation across the contiguous United States, a clustered, stratified sampling strategy was used based upon US Postal Service zip codes.
Of the 2,443 phone calls made, 1,051 (43%) full survey responses were obtained. Data cleaning efforts reduced the total to 929 in the final model regression analysis. Results revealed significant public discomfort in receiving care from EMS professionals who may have such a conviction. In addition, respondents who are less educated and older more strongly (1) agree that EMS professionals should have their licenses revoked for wrong doing; (2) agree EMS professionals should be screened before being hired; (3) perceive EMS credentials to be important; (4) support a lawsuit for improper care; and (5) are collectively less comfortable with being cared for by an EMS professional who may have a legal conviction. Reliable scales were found for future research use.
There is significant public discomfort in receiving care from EMS professionals who may have a legal conviction. The results of this study provide increased impetus for the careful screening of EMS professionals before they are hired or allowed to be volunteers. Beyond this due diligence, the results serve as a reminder for increased EMS provider awareness of the importance of exhibiting professionalism when dealing with the public.
Prehospital and disaster medicine: the official journal of the National Association of EMS Physicians and the World Association for Emergency and Disaster Medicine in association with the Acute Care Foundation 07/2012; 27(4):345-50. DOI:10.1017/S1049023X12000969
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