Keywords
emergency services
occupational aggresion
occupational aggresion occupational violence
How to Cite
Abstract
Objective: To examine shift characteristics that increase the risk of occupational violence and aggression.
Methods: This study was a secondary analysis of survey results obtained from ‘Violence and abuse against staff in the emergency department, a descriptive analysis of a two-centre staff survey’. The purpose was to identify shift characteristics that were predictive of submitting a survey response describing a violent event. Univariable and multivariable binomial logistic regressions were used to identify significant predictors. Aggregated data from phase I findings was used to calculate odds ratios (OR) for each day of the week.
Results: The adjusted OR of experiencing violence if the respondent was a nurse was OR 2.92 [95% confidence interval (CI) 1.50, 6.00], p < 0.01. There was a higher risk of violence on post meridiem (PM) (OR 2.63 [95% CI 1.45, 4.83, p < 0.01) and night shifts (OR 2.65 [95% CI 1.51,4.71], p < 0.001). Saturday was the only day of the week identified as a significant risk factor (OR 4.92 [95% CI 1.60,18.13], p = 0.002).
Conclusions: Based on this cohort of emergency workers, the shift characteristics that were most predictive of submitting a survey describing a violent encounter were PM or night shifts, whether the health provider is a nurse, or whether the shift was performed on a Saturday.
References
Copeland, D. Henry, M. Workplace violence and perceptions of safety among emergency department staff members: experiences, expectations, tolerance, reporting, and recommendations. J Trauma Nurs 2017; 24:65-77.
Sachdeva S, Jamshed N, Aggarwal P, Kashyap S. Perception of workplace violence in the emergency department. J Emerg Trauma Shock 2019; 12:179-84.
Egerton-Warburton D, Gosbell A, Wadsworth A, Moore K, Richardson D, Fatovich D. Perceptions of australasian emergency department staff of the impact of alcohol-related presentations. Med J Aust 2016; 204:155.
Cannavò M, La Torre F, Sestili C, La Torre G, Fioravanti M. Work related violence as a predictor of stress and correlated disorders. Clin Ter 2019; 170:e170-e123.
Mitra B, Nikathil S, Gocentas R, Symons E, O'Reilly G, Olaussen A. Security interventions for workplace violence in the emergency department. Emerg Med Australas 2018; 30:802-7.
Pich J, Hazelton M, Kable A. Violent behaviour from young adults and the parents of paediatric patients in the emergency department. Int Emerg Nurs 2013; 21:157-62.
D’Ettore G, Caroli A, Pellicani V, Ceccarelli G. Preliminary risk assessment of workplace violence in hospital emergency departments. Ann Ig 2020; 32:99-108.
Pouryahya P, Meyer ADM, Sherington S. Violence and abuse against staff in the emergency department, a descriptive analysis of a two-centre staff survey. J Gen Emerg Med 2019; 3:1-4.
Pouryahya P, Sherington S, Meyer A, Lim A. Consolidated survey results for phase I and phase II of the occupational violence and aggression in the emergency department investigation 2020. https://bridges.monash.edu/ articles/Tidy_Data_csv/12022386 (Last access 13/01/2020).
Kennedy MP. Violence in emergency departments: under-reported, unconstrained, and unconscionable. Med J Aust 2005; 183:362-5.
Pich J, Hazelton M, Sundin D, Kable A. Patient-related violence at triage: A qualitative descriptive study. Int Emerg Nurs 2011; 19:12-9.
Morphet J, Griffiths D, Plummer V, Innes K, Fairhall R, Beattie J. At the crossroads of violence and aggression in the emergency department: p erspectives of australian emergency nurses. Aust Health Rev 2014; 38:194-201.
Pich JV, Kable A, Hazelton M. Antecedents and precipitants of patient- related violence in the emergency department: Results from the Australian VENT Study (Violence in emergency nursing and triage). Australas Emerg Nurs 2017; 20:108-13.
Partridge B, Affleck J. Verbal abuse and physical assault in the emergency department: Rates of violence, perceptions of safety, and attitudes towards security. Australas Emerg Nurs 2017; 20:139-45.
Pich J, Hazelton M, Kable A. Violent behaviour from young adults and the parents of paediatric patients in the emergency department. Int Emerg Nurs 2013; 21:157-62.
Australian Institute of Criminology. Violence in the workplace. Canberra: Australian Institute of Criminology 1999; 36:37-46.
Merfield E. How secure are Australian emergency departments? Emerg Med Australas 2003; 15:468-74.
Gerdtz MF, Daniel C, Dearie V, Prematunga R, Bamert M, Duxbury J. The outcome of a rapid training program on nurses’ attitudes regarding the prevention of aggression in emergency departments: A multi-site evaluation. Int J Nurs Stud 2013; 50:1434-45.
D eans C. The effectiveness of a training program for emergency department nurses in managing violent situations. Aust J Adv Nurs 2004; 21:17-22.
Pich J, Hazelton M, Sundin D, Kable A. Patient-related violence against emergency department nurses. Nurs Health Sci 2010; 12:268-74.