“I think we still do too little”: measures to prevent violence and aggression in German emergency departments – a qualitative study

BMC Health Services Research

Research

Albert Nienhaus¹  Tanja Wirth²  Volker Harth²  Vanessa Beringer²  Sonja Reißmann³  Stefanie Mache³  David A. Groneberg⁴ 

[1] Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 22089, Hamburg, Germany;Institute for Health Services Research in Dermatology and Nursing (IVDP), Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Center Hamburg-Eppendorf (UKE), 20246, Hamburg, Germany;Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459, Hamburg, Germany;Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459, Hamburg, Germany;Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University Frankfurt, 60590, Frankfurt, Germany;Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University Frankfurt, 60590, Frankfurt, Germany;

关键词: Violence;    Prevention;    Emergency department;    Occupational health;    Occupational safety;    Qualitative research;   

DOI  :  10.1186/s12913-023-09044-z

 received in 2022-07-19, accepted in 2022-10-17,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundHealthcare workers employed in emergency departments (EDs) are particularly affected by physical and verbal violence. Violent assaults can be committed by both patients and their attendants. Research on interventions for violence prevention is limited and previous studies report that ED employees feel unprepared for violent incidents. Thus, the current study aims to explore ED staff’s perceptions regarding available prevention measures, their effectiveness, barriers, and further needs in terms of violence prevention.MethodsIn accordance with the qualitative study design, 27 semi-structured interviews were conducted via telephone with doctors and nurses working in direct contact with patients in German EDs. Main subjects were advantages and disadvantages of currently available measures, barriers regarding their implementation, their perceived effectiveness, as well as further needs concerning violence prevention. The transcribed interviews were analysed according to Mayring’s qualitative content analysis.ResultsParticipants described environmental (e.g., alarm systems), organisational (e.g., security service), and individual-focused measures (staff training, verbal de-escalation). Measures perceived as effective were, for instance, communication and security service. Both demands and barriers were often related to financial constraints, e.g., staff shortage led to higher workloads and less time to consider violence prevention. In most cases, guidelines or standard operating procedures (SOPs) regarding violence prevention were missing, unknown, or not perceived as helpful in their current form. Furthermore, screening tools were not applied in any of the EDs.ConclusionsThe workload in EDs needs to be decreased in order to enable violence prevention, e.g., by reducing patient inflow or by increasing personnel. In addition, violence prevention guidelines tailored to the requirements of the respective ED need to be developed. Hospitals should supply ED staff with such guidelines, e.g., in the form of SOPs, but more importantly, prevention measures have to be practiced and communicated. Furthermore, there is a need for research on the implementation of screening tools for violent behaviour, so that the focus would shift from managing violence to preventing violence.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 3