Aggressive Interactions in Hospital Emergency Units
International literature emphasizes on the concern regarding the phenomenon of aggression in hospital. This paper focuses on the reality of aggressive interactions reigning within an emergency triage involving three chaps of protagonists: the professionals, the patients and their carers. The data collection was made from a grid of observation, in which the various variables exposed in the literature were integrated. They observations took place around the clock, for three weeks, at the rate of one week a month. In this research 331 aggressive interactions have been listed and analyzed by means of the software SPSS. This research is one of the very few continuous observation surveys in the literature. It shows the various human factors at play in the emergence of aggressive interaction. The data may be used both for taking steps in primary prevention, thanks to the analysis of interaction modes, and in secondary prevention by integrating the useful results in situational prevention.
<p>[1] C.M.B. Fernandes, F. Bouthillette, and J.M. Raboud, "Violence in the emergency department: a survey of health care workers", Emergency Department Violence, 1999;161, vol. 10, pp. 1245-1248. [2] S.Hahn, A., Zeller, I. Needham, G. Kok, T. Dassen, and R. Halfens, R., "Patient and visitor in general hospitals : A systematic review of the literature", Aggression and Violent Behavior, 2008, vol.13, pp. 431-441. [3] S. Winstanley, and R. Whittington, "Violence in a general hospital : A comparison of assailant and other assault, related factors on accident and emergency and inpatient wards", 2002, Acta Psychiatrica Scandinavia, 106, pp.144-147. [4] T. Ferns, and D. He, "Violence in the accident and emergency department, an international perspective", Accident and Emergency Nursing,2005, vol.13, pp. 180-185. [5] International Council of Nurses (2006). Position statement : Abuse and violence against nursing personnel .Ann. Conf.Geneva,Switzerland. [6] F.S.Ergun, and A. Karadakovan, "Violence towards nursing staff in emergency department in one Turkish city". International Nursing of Nurses, 2005, vol. 52, pp.154-160. [7] D. Ryan, and J. Maguire, "Aggression and violence : A problem in Irish Accident and Emergency departments ?" Journal of Nursing Management, 2006, vol. 14, pp. 106-115. [8] V. Schneiden, and U. Marren-Bell, "Violence in the accident and emergency department". Accident and emergency journal. 1995, vol 3, pp.74-78. [9] S. Winstanley, and R. Whittington, "Aggressive encounters between patients and general hospital staff : Staff perceptions of the context and assailant-s levels of cognitive processing". Aggressive Behaviour, 2004, vol.30, pp. 534-543. [10] D.Gates, C.S. Ross, and L. McQueen, "Violence against emergency department workers". The Journal of Emergency Medicine, 2006, vol.31 (3), pp. 331-337. [11] D. Pateron, " Urgence et sécurité". Paris XIII University, http://www.afmha.fr/pdf/jn_25/pateron.pdf [12] J.M. Elchardus, Y. Gansel, Y. and J.Grison-Curinier, "Violence et urgence", 2005, Annales Médico-Psychologiques, vol. 163(8), pp.664- 667. [13] G.Bains, "Explanations and the need for control", In M. Hewstone (Ed.), Attribution theory: social and functional extensions, 1983, Oxford, Blackwell. [14] J.Pich, M.Hazelton, D. Sundin and A. Kable, "Patient-related violence at triage: A qualitative descriptive study". International Emergency Nursing, 2011, January, vol.19(1), pp.12-19. [15] J.Crilly, W. Chaboyer, W. and D. Creedy, " Violence towards emergency department nurses by patients", Accident and Emergency Nursing, 2004, vol.12, pp. 67-73. [16] N. Sands, "An ABC approach to assessing the risk of violence at triage". Australasian Emergency Nursing Journal, 2007, vol.10, pp. 107-109. [17] C. Vidy, "La violence aux urgences : comprendre pour faire évoluer la culture hospitalière",2006, Report, Institut de Formation des Cadres de Santé, Grenoble. [18] C.A. Lindquist, and J.T. Whitehead, "Burnout, job stress and job satisfaction among southern correctional officers: Perceptions and causal factors". Journal of Offender Counseling, services & Rehabilitation, 1986, 10(4), 5-25. [19] M. Lourel, K. Gana, V. Prud'homme and A. Cerclé, " Le burn-out chez les personnels des maisons d'arr├¬t: Test du modèle "demande-contr├┤le" de Karasek", 2004, L'Encéphale, vol.30, pp.557-563. [20] P. Karli, "L-homme agressif", 1987, Paris: Odile Jacob.</p>
<p>[1] C.M.B. Fernandes, F. Bouthillette, and J.M. Raboud, "Violence in the emergency department: a survey of health care workers", Emergency Department Violence, 1999;161, vol. 10, pp. 1245-1248. [2] S.Hahn, A., Zeller, I. Needham, G. Kok, T. Dassen, and R. Halfens, R., "Patient and visitor in general hospitals : A systematic review of the literature", Aggression and Violent Behavior, 2008, vol.13, pp. 431-441. [3] S. Winstanley, and R. Whittington, "Violence in a general hospital : A comparison of assailant and other assault, related factors on accident and emergency and inpatient wards", 2002, Acta Psychiatrica Scandinavia, 106, pp.144-147. [4] T. Ferns, and D. He, "Violence in the accident and emergency department, an international perspective", Accident and Emergency Nursing,2005, vol.13, pp. 180-185. [5] International Council of Nurses (2006). Position statement : Abuse and violence against nursing personnel .Ann. Conf.Geneva,Switzerland. [6] F.S.Ergun, and A. Karadakovan, "Violence towards nursing staff in emergency department in one Turkish city". International Nursing of Nurses, 2005, vol. 52, pp.154-160. [7] D. Ryan, and J. Maguire, "Aggression and violence : A problem in Irish Accident and Emergency departments ?" Journal of Nursing Management, 2006, vol. 14, pp. 106-115. [8] V. Schneiden, and U. Marren-Bell, "Violence in the accident and emergency department". Accident and emergency journal. 1995, vol 3, pp.74-78. [9] S. Winstanley, and R. Whittington, "Aggressive encounters between patients and general hospital staff : Staff perceptions of the context and assailant-s levels of cognitive processing". Aggressive Behaviour, 2004, vol.30, pp. 534-543. [10] D.Gates, C.S. Ross, and L. McQueen, "Violence against emergency department workers". The Journal of Emergency Medicine, 2006, vol.31 (3), pp. 331-337. [11] D. Pateron, " Urgence et sécurité". Paris XIII University, http://www.afmha.fr/pdf/jn_25/pateron.pdf [12] J.M. Elchardus, Y. Gansel, Y. and J.Grison-Curinier, "Violence et urgence", 2005, Annales Médico-Psychologiques, vol. 163(8), pp.664- 667. [13] G.Bains, "Explanations and the need for control", In M. Hewstone (Ed.), Attribution theory: social and functional extensions, 1983, Oxford, Blackwell. [14] J.Pich, M.Hazelton, D. Sundin and A. Kable, "Patient-related violence at triage: A qualitative descriptive study". International Emergency Nursing, 2011, January, vol.19(1), pp.12-19. [15] J.Crilly, W. Chaboyer, W. and D. Creedy, " Violence towards emergency department nurses by patients", Accident and Emergency Nursing, 2004, vol.12, pp. 67-73. [16] N. Sands, "An ABC approach to assessing the risk of violence at triage". Australasian Emergency Nursing Journal, 2007, vol.10, pp. 107-109. [17] C. Vidy, "La violence aux urgences : comprendre pour faire évoluer la culture hospitalière",2006, Report, Institut de Formation des Cadres de Santé, Grenoble. [18] C.A. Lindquist, and J.T. Whitehead, "Burnout, job stress and job satisfaction among southern correctional officers: Perceptions and causal factors". Journal of Offender Counseling, services & Rehabilitation, 1986, 10(4), 5-25. [19] M. Lourel, K. Gana, V. Prud'homme and A. Cerclé, " Le burn-out chez les personnels des maisons d'arr├¬t: Test du modèle "demande-contr├┤le" de Karasek", 2004, L'Encéphale, vol.30, pp.557-563. [20] P. Karli, "L-homme agressif", 1987, Paris: Odile Jacob.</p>
@article{"International Journal of Business, Human and Social Sciences:50181", author = "C. Blatier and M. El Methni and F. Carpentier and S. Abdellaoui and C. Kock and M. Maillard", title = "Aggressive Interactions in Hospital Emergency Units", abstract = "International literature emphasizes on the concern regarding the phenomenon of aggression in hospital. This paper focuses on the reality of aggressive interactions reigning within an emergency triage involving three chaps of protagonists: the professionals, the patients and their carers. The data collection was made from a grid of observation, in which the various variables exposed in the literature were integrated. They observations took place around the clock, for three weeks, at the rate of one week a month. In this research 331 aggressive interactions have been listed and analyzed by means of the software SPSS. This research is one of the very few continuous observation surveys in the literature. It shows the various human factors at play in the emergence of aggressive interaction. The data may be used both for taking steps in primary prevention, thanks to the analysis of interaction modes, and in secondary prevention by integrating the useful results in situational prevention.
", keywords = "Aggressive interaction, emergency unit, observational study.", volume = "7", number = "6", pages = "1361-4", }
