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.
[Show abstract][Hide abstract] 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
[Show abstract][Hide abstract] 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
[Show abstract][Hide abstract] ABSTRACT: BACKGROUND: Patient and visitor violence (PVV) is the most dangerous occupational hazard that health professionals must contend with. Staff training is recommended to prevent and manage PVV. There is minimal research focusing on risk factors associated with PVV in general hospital settings. Therefore, staff training is mostly based upon expert knowledge and knowledge from psychiatric and emergency settings. OBJECTIVES: This study investigates health professionals' experiences with PVV in order to describe risk factors related to PVV that occur in general hospital settings. DESIGN: A retrospective cross-sectional survey was conducted in 2007. SETTING: A university general hospital in Switzerland. PARTICIPANTS: 2495 out of 4845 health professionals participated (58.0% nurses & midwives, 19.2% medical doctors, 3.6% physical therapists, occupational therapists & nutritionists, 6.1% ward secretaries, medical & radiology assistants, 6.3% nursing assistants or less qualified nursing staff and 5.1% other staff). All had direct patient contact and 82% were female. METHODS: Data were collected via questionnaires using the Survey of Violence Experienced by Staff German-Version-Revised, the German version of the shortened Perception of Aggression Scale and the Perception of Importance of Intervention Skills Scale. Descriptive statistics and multiple logistic regression analyses were used. RESULTS: Risk factors associated with PVV depend upon the form of violence. Those trained in aggression management and/or those who work predominantly with patients over 65years of age experience twice as much PVV as others. Health professionals working in emergency rooms, outpatient units, intensive care units, recovery rooms, anesthesia, intermediate care and step-down units also experience PVV more often. When health professionals are older in age, are from the medical profession, are students, or when they have an attitude rating preventive measures as being less important and aggression as emotionally letting off steam, they experience less PVV. CONCLUSION: Training could change the perception and the recognition of PVV, and could therefore increase the risk of experiencing PVV. The health professionals' specific occupation along with attitude and age, the patients' age, the communication and the workplace are all relevant risk factors. Further studies should investigate the impact of aggression management training and other measures that would reduce PVV.
International journal of nursing studies 10/2012; 50(3). DOI:10.1016/j.ijnurstu.2012.09.018 · 2.90 Impact Factor
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